About two weeks ago I broke my nose, I can hardly breathe out of it anymore and a large bump has formed on it because of this. I want to know that if I can get surgery, is it going to reshape my nose and get rid of the bump? Or are they going to keep it there? On top of this, do I have to pay myself or will my insurance cover it?
August 29, 2016
Answer: Health insurance coverage for broken nose It is possible to obtain coverage for a broken nose by your medical insurance. A thorough documentation of the injury, along with x-rays, and a comprehensive internal and external termination of the nose for coverage is required. Medical necessity must be documented at the time of the consultation and examination. In addition to the nature of the injury, each in insurance has different determinations about eligibility/benefits. It's always best to check with your insurance booklet specific to your medical Health insurance policy. Co-pays and Deductibles still apply even for medical necessity. Surgical free-nation should be performed by the physician's office prior to the surgery. For more information and many examples of broken nose repair in our practice, please see the link and the video below
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August 29, 2016
Answer: Health insurance coverage for broken nose It is possible to obtain coverage for a broken nose by your medical insurance. A thorough documentation of the injury, along with x-rays, and a comprehensive internal and external termination of the nose for coverage is required. Medical necessity must be documented at the time of the consultation and examination. In addition to the nature of the injury, each in insurance has different determinations about eligibility/benefits. It's always best to check with your insurance booklet specific to your medical Health insurance policy. Co-pays and Deductibles still apply even for medical necessity. Surgical free-nation should be performed by the physician's office prior to the surgery. For more information and many examples of broken nose repair in our practice, please see the link and the video below
Helpful
August 30, 2016
Answer: Rhinoplasty and Insurance Sorry to hear about your trauma to your nose!Insurance will cover a "functional rhinoplasty" sometimes. It depends on the insurance carrier and a few other factors. Usually the insurance company needs to see that you have failed "maximal medical therapy." In my patients, we try to use saline spray and a steroid nasal spray (both over the counter) for several months to see if this helps. If it doesn't and breathing is still obstructed we try to get the surgery to correct breathing approved by insurance. Some people would like some cosmetic changes too and are willing to pay out of pocket for the additional work. It can be a process, but worth it if you can't breathe from your nose!Make an appointment with a facial plastic surgeon to get startedBest of luckDr Rodman
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August 30, 2016
Answer: Rhinoplasty and Insurance Sorry to hear about your trauma to your nose!Insurance will cover a "functional rhinoplasty" sometimes. It depends on the insurance carrier and a few other factors. Usually the insurance company needs to see that you have failed "maximal medical therapy." In my patients, we try to use saline spray and a steroid nasal spray (both over the counter) for several months to see if this helps. If it doesn't and breathing is still obstructed we try to get the surgery to correct breathing approved by insurance. Some people would like some cosmetic changes too and are willing to pay out of pocket for the additional work. It can be a process, but worth it if you can't breathe from your nose!Make an appointment with a facial plastic surgeon to get startedBest of luckDr Rodman
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