Septorhinoplasty and Blue Cross Blue Shield

asked 1 year ago by Columbia6571 in Columbia, SC
Latest answer by William Portuese, MD
Question viewed 1,203 times
Tags: age 18-24, female, Blue Cross/Blue Shield, broken nose, insurance

I am 18/f. I broke my nose a few weeks ago and my doctor said I should get a septorhinoplasty. I know BCBS will cover the reconstructive part of the operation. The thing is, I have ALWAYS hated my nose. Can I get BCBS to consider a complete reshaping of my entire nose as the "reconstruction" of my nose? Can my surgeon give me the nose Ive always wanted while getting rid of a bump acquired from injury? Do surgeons think it's unethical to reshape it to my preference under insurance?

5 answers to Septorhinoplasty and Blue Cross Blue Shield

Insurance and Rhinoplasty

This is a little complicated. Most insurance companies, including BC/BS of Florida will pay for a rhinoplasty within a year of the injury for a deformity arising from a fracture that occurred while the insurance was in effect. My practice is to incorporate any reasonable patient request into the procedure. One must understand that insurance companies do not reimburse enough to cover the cost of a cosmetic rhinoplasty. Then there is the problem of the doctor not being able to bill the... more

James H. Fuller, MD
Fort Myers Facial Plastic Surgeon

Septo-rhinoplasty & health insurance

When a broken nose is straightened back to its normal shape out of medical necessity, it is called an open reduction nasal and septal fracture. Any internal breathing issues can be addressed as well and is submitted to insurance; for repair and straightening of the internal nose to its pre-injury state. Changing the nose shape through cosmetic surgery is paid for by the patient and any cosmetic procedure on the nose can be performed at the same time as any reconstructive procedure... more

William Portuese, MD
Seattle Facial Plastic Surgeon

Septoplasty or Rhinoplasty Insurance Coverage Cost

Hi Columbia6571, Rhinoplasty is not one operation, but rather many potential procedures to improve the appearance and function of the face and nose. The cost of plastic surgery varies greatly, but it's usually similar for plastic surgeons in your area. Portions of plastic surgery may also be covered by your insurance provider, such as septoplasty or turbinate reduction. Straightening the nose with septorhinoplasty after nasal trauma or broken nose may also be covered. However,... more

Houtan Chaboki, MD
Washington DC Facial Plastic Surgeon

Rhinoplasty

There should be documentation that the nose was actually BROKE, can have CT Scan. Also document that the beak have caused the deformity and that the surgery is to correct the deformity as a result of the trauma. You say " always hated your nose" Do not expect the insurance to pay for cosmetic rhinoplasty, this is fraud. You want cosmetic rhinoplasty then you need to pay for the surgery. If the doctor lies to the insurance company this is fraud and can cost him/her their... more

Samir Shureih, MD
Baltimore Plastic Surgeon

Rhinoplasty (nose job) covered by insurance

If you have had acute (less than 3 weeks ago) trauma to your nose and notice a significant change in the appearance once most of the swelling has abated, insurance may cover your surgery. It is important to see your physician as soon as possible after the injury so they can document it with your insurance. If you broke your nose 3 years ago, are seeing your surgeon for the first time, and now want cosmetic changes to your nose, insurance will likely NOT pay for your procedure.... more

Etai Funk, MD
Houston Facial Plastic Surgeon

www.funkfacialplastics.com

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