Working with Insurance to Offset Costs of Rhinoplaplasty/Septoplasty

asked 1 year ago by San Francisco8432 in San Francisco, CA
Latest answer by Edward J. Domanskis, MD
Question viewed 582 times
Tags: costs, insurance

I have an excellent insurance (Kaiser) and already saw a specialist there regarding combined rhinoplasty/septoplasty and got a quote. However, I'd rather have a procedure with a more experienced and well known doc privately practicing. I know that the combined procedure should be partially coevered by my insurance but my question is: who would go about contacting insurance to cover this partial cost ? Would I have to do this on my own or would the doctor's staff help with figure out billing ?

5 answers to Working with Insurance to Offset Costs of Rhinoplaplasty/Septoplasty

Insurance for nose surgery

Our office contacts the insurance to try and obtain coverage for a procedure like a rhinoplasty or septoplasty. You may have a problem for if you have Kaisder, they will not cover you having surgery done by an outside plastic surgeon. Watch our videos!

Edward J. Domanskis, MD
Orange County Plastic Surgeon

Insurance coverage for rhinoplasty

Thanks for the question. Insurance coverage can certainly offset a significant portion of the cost of rhinoplasty if the patient also has medical (non-cosmetic) concerns. These can include difficulty breathing through the nose, deviated septum, narrowing of the internal valves of the nose, large turbinates, prior nasal fracture with crooked nasal bones, and septal perforation, among others. The degree to which insurance will cover a given set of procedures varies widely... more

Umang Mehta, MD
Bay Area Facial Plastic Surgeon

Rhinoplasty and insurance coverage for septoplasty

Dear SF. If you would prefer to stay with your Kaiser insurance: I would recommend a consult with Dr. Amir Rafii at the SF Kaiser Group to help you make your decision. Otherwise, other insurance plans may occasionally cover some portions of a septoplasty and function complaints if you meet criteria. Best Wishes

Travis T. Tollefson, MD, MPH
Sacramento Facial Plastic Surgeon

Insurance coverage for a rhinoplasty

You have Kaiser insurance which only pays for treatment at Kaiser facilities. Having any surgery outside that system would be totally out of pocket. Many plastic surgeons have accredited office operating rooms which help to keep costs down.

Sheldon S. Kabaker, MD
Oakland Facial Plastic Surgeon

Rhinoplasty

The septoplasty may be covered by your insurance. Your chosen doctor may be able to write a letter of preauthorization for the surgery and coverage. You need to follow up with your insurance and be persistant. (the contract is between you and the insurance). Initial approval by the insurance does not guarantee payement. Your policy may nor allow you to go ouside the insurance participating doctors. Cotact your insurance and talk with your chosen doctor

Samir Shureih, MD
Baltimore Plastic Surgeon

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