Hello, I am wondering if a tension nose would be covered by insurance for rhinoplasty. While there is trouble breathing, I don't know if it is severe enough to be covered, so my question is based off of how it is considered a "deformity". Please help!
February 10, 2020
Answer: Nasal evaluation Hello and thank you for your question. The best advice you can receive is from an in-person consultation. Insurance can cover a septoplasty when a patient has a deviated septum with breathing problems. This can typically cover approximately half of the total cost of a rhinoplasty with septoplasty. Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and not just a computer animation system. You should be able to view numerous pictures of actual patients with noses similar to yours performed by your surgeon. If you cannot find enough real before and after pictures, then consider continuing your search for a surgeon. Best wishes and good luck. Richard G. Reish, M.D. FACS Harvard-trained plastic surgeon
Helpful 1 person found this helpful
February 10, 2020
Answer: Nasal evaluation Hello and thank you for your question. The best advice you can receive is from an in-person consultation. Insurance can cover a septoplasty when a patient has a deviated septum with breathing problems. This can typically cover approximately half of the total cost of a rhinoplasty with septoplasty. Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and not just a computer animation system. You should be able to view numerous pictures of actual patients with noses similar to yours performed by your surgeon. If you cannot find enough real before and after pictures, then consider continuing your search for a surgeon. Best wishes and good luck. Richard G. Reish, M.D. FACS Harvard-trained plastic surgeon
Helpful 1 person found this helpful
February 11, 2020
Answer: Is the tension nose deformity covered by insurance The tension nose is a cosmetic deformity not covered under medical insurance. If there is a deviated septum present blocking airflow on the inside of the nose, then a septoplasty can be performed for medical necessity. Preauthorization must also occur with your insurance. Expect to pay for the cosmetic rhinoplasty yourself. Both functional and cosmetic nasal surgery can be performed simultaneously under one anesthesia with one recovery period.
Helpful 1 person found this helpful
February 11, 2020
Answer: Is the tension nose deformity covered by insurance The tension nose is a cosmetic deformity not covered under medical insurance. If there is a deviated septum present blocking airflow on the inside of the nose, then a septoplasty can be performed for medical necessity. Preauthorization must also occur with your insurance. Expect to pay for the cosmetic rhinoplasty yourself. Both functional and cosmetic nasal surgery can be performed simultaneously under one anesthesia with one recovery period.
Helpful 1 person found this helpful