Rhinoplasty: Q&A
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Would I Be Able to Get a Rhinoplasty Covered at Least Somewhat by my Insurance Company?
I just went to the ENT and found that I have a slight deviated septum and moderately large turbinates, which he thinks swell at night, causing my bad nighttime breathing. He gave me nasal spray and nothing gets better, I *might* get surgery. The thing is- I want a rhinoplasty anyway. But I need the insurance company to help pay for some of it. Would they pay for some things even though my deviated septum is only slight? Should I see a plastic surgeon instead?
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11 Doctor Answers |
Asked by
FurElise
in Georgia
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Insurance Does Not Cover For Aesthetic Surgeries
Hello,
With a "slight" septal deviation not causing considerable breathing problems hence falling into the category of "legit" health issue, I doubt that health insurances would be able to contribute to any aspect of your surgery.
That being said, aesthetic surgeries are to be covered by the patient entirely.
Pease remember that commendable results require an exceptionally skilled surgeon to perform the surgery and settling for anything less than that increases the chances of...
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Insurance coverage and rhinoplasty
A very slight deviated septum does not need to be fixed. Very enlarged turbinates may need to be addressed and this is billed to the patient’s insurance. Any and all cosmetic surgery must be paid for directly by the patient and is not billed to a medical insurance company. A rhinoplasty is much more complicated than turbinate surgery and will take longer to perform and is paid for by the patient.
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Insurance coverage for rhinoplasty
Nasal surgery which improves the function of the nose will typically be covered by insurance. Any portion of the procedure which is for cosmetic purposes is paid for by the patient.
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Insurance Coverage for Rhinoplasty
Insurance will sometimes pay for nasal surgery if it is necessary to repair damage caused by trauma or to correct problems with nasal function. Your surgeon's office can help you contact the insurance company for pre-surgical authorization.
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Rhinoplasty and insurance
Your insurance company may pay for issues related to breathing problems. Otherwise you will have to cover the rest.
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Insurance pays for functional aspects only
Your insurance will pay only for the surgical procedures which help your breathing to improve (for example the septoplasty and turbinate reduction). Insurance will not cover the cosmetic part of the surgery. It may be confusing for you because these may all be done in the same operation. You need to think of it like you are having several operations under one anesthetic.
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Is rhinoplasty covered by insurance?
Functional rhinoplasty is typically covered by insurance. Functional rhinoplasty refers to rhinoplasty that is designed to improve the function of the nose. Typical conditions that qualify for a functional rhinoplasty include a deviated septum, turbinate hypertrophy, valve collapse, trauma, or other conditions that impair the flow of air through the nose.
Cosmetic rhinoplasty refers to rhinoplasty that is performed to improve the look of the nose. It does not have any effect of the...
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Rhinoplasty with septum, etc. is covered by insurance for crooked noses.
Rhinoplasty with septum, etc. is covered by insurance for crooked noses with deviated septums and hypertrophied inferior turbinates. How much depends on your carrier and the policy.
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Getting nose surgery covered by insurance
It is common for insurance companies to cover function nasal breathing surgery such as septoplasty and turbinate reduction. Your doctor's office would likely want to get pre-authorization from your insurance to see what is covered. It does make sense to have the cosmetic surgery done at the same time as the functional nose surgery. You would want to make sure that your surgeon has experience with both aspects of surgery.
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Insurance Coverage for Rhinoplasty
Depending on the insurance company, you should be able to receive at least partial reimbursement for the functional portion. You will not get the cosmetic portion covered.
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Does insurance pay for the functional part of a rhinoplasty
It depends on the insurance company and ow the doctor writes up the operative report. It is best to do a predeterminaton letter to the insurance company. In short the should pay for their legitimate part not the cosmetic
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