I have a crooked nose. I think I have a deviated septum because I find it hard to breathe,mostly at night. I also have a messed up sense of smell. I don't know if that has anything to do with the crookedness. But I find it hard to smell things. I told my doctor and she checked my nose but said she doesn't think it is serious enough for surgery. I hate how my nose looks though. It is crooked and the tip is boulbous, I also have a bump. Is it possible to have the insurance cover my surgery?
Answer: Rhinoplasty
Your posted photos look like you sustained a frontal blunt trauma to your nose. If that is the case and especially if it is documented in your medical records the entire surgery would be covered by insurance. In the absence of that insurance will only cover the part of surgery that restores your breathing.
My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship. You need to consult with i.e. personally see a board certified plastic surgeon in order to receive a formal evaluation and develop a doctor patient relationship.
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Answer: Rhinoplasty
Your posted photos look like you sustained a frontal blunt trauma to your nose. If that is the case and especially if it is documented in your medical records the entire surgery would be covered by insurance. In the absence of that insurance will only cover the part of surgery that restores your breathing.
My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship. You need to consult with i.e. personally see a board certified plastic surgeon in order to receive a formal evaluation and develop a doctor patient relationship.
Helpful 1 person found this helpful
Answer: Crooked nose: covered by insurance? Hello! Thank you for your question! Surgical procedures for aesthetic purposes, to improve appearance, are not covered by insurance. Typically, these as well as complications resulting from such procedures are the responsibility of the patient. Procedures that are meant to correct functional issues and those which cause health-related issues should be covered by your insurance as a medical necessity, with proper examination and documentation. Some insurance plans have exclusion criteria for certain procedures. Also, it is an obligation of the surgeon not to attempt to authorize purely cosmetic procedures through insurance. Insurance may cover the septoplasty, but not the rhinoplasty portion.Discuss your issues and complaints with a board-certified plastic surgeon to discuss these as well as to examine and assist you in deciding which procedure(s) will be the best for you. A discussion of the advantages and disadvantages will take place along with the risks and benefits. Insurance companies will vary on coverage and is always reasonable to discuss your issues with your surgeon and primary care. It would behoove you to get as much information as possible and even call your insurance yourself. Certainly, pay in advance prior to your surgical procedure and options such as financing are available if you qualify. Hope that this helps! Best wishes!
Helpful
Answer: Crooked nose: covered by insurance? Hello! Thank you for your question! Surgical procedures for aesthetic purposes, to improve appearance, are not covered by insurance. Typically, these as well as complications resulting from such procedures are the responsibility of the patient. Procedures that are meant to correct functional issues and those which cause health-related issues should be covered by your insurance as a medical necessity, with proper examination and documentation. Some insurance plans have exclusion criteria for certain procedures. Also, it is an obligation of the surgeon not to attempt to authorize purely cosmetic procedures through insurance. Insurance may cover the septoplasty, but not the rhinoplasty portion.Discuss your issues and complaints with a board-certified plastic surgeon to discuss these as well as to examine and assist you in deciding which procedure(s) will be the best for you. A discussion of the advantages and disadvantages will take place along with the risks and benefits. Insurance companies will vary on coverage and is always reasonable to discuss your issues with your surgeon and primary care. It would behoove you to get as much information as possible and even call your insurance yourself. Certainly, pay in advance prior to your surgical procedure and options such as financing are available if you qualify. Hope that this helps! Best wishes!
Helpful
March 19, 2014
Answer: Insurance and Rhinoplasty It’s not unreasonable to seek prior authorization from insurance carriers for both rhinoplasty and septoplasty simultaneously. Post traumatic deformities of the nose and deviated septum’s can both be caused by trauma and both problems may therefore be covered by insurance. It’s not unusual for septoplasty to be covered by insurance, especially when nasal airway obstruction is present. Under these circumstances, this represents a functional problem. Rarely insurance covers reconstructive rhinoplasty as a restorative procedure. In some cases, insurance carriers approve septoplasty, while denying benefits for rhinoplasty. In this situation nothing is lost by running the rhinoplasty through insurance. For this reason, there’s no reason, not to seek prior authorization for both procedures if there’s any question about insurance coverage. Following rhinoplasty, patients are eager to resume their normal exercise routine. Unfortunately, any maneuver that elevates blood pressure in the immediate post-operative period can result in bleeding. For this reason, strenuous activities should be avoided for six to eight weeks following rhinoplasty and septoplasty.
Helpful
March 19, 2014
Answer: Insurance and Rhinoplasty It’s not unreasonable to seek prior authorization from insurance carriers for both rhinoplasty and septoplasty simultaneously. Post traumatic deformities of the nose and deviated septum’s can both be caused by trauma and both problems may therefore be covered by insurance. It’s not unusual for septoplasty to be covered by insurance, especially when nasal airway obstruction is present. Under these circumstances, this represents a functional problem. Rarely insurance covers reconstructive rhinoplasty as a restorative procedure. In some cases, insurance carriers approve septoplasty, while denying benefits for rhinoplasty. In this situation nothing is lost by running the rhinoplasty through insurance. For this reason, there’s no reason, not to seek prior authorization for both procedures if there’s any question about insurance coverage. Following rhinoplasty, patients are eager to resume their normal exercise routine. Unfortunately, any maneuver that elevates blood pressure in the immediate post-operative period can result in bleeding. For this reason, strenuous activities should be avoided for six to eight weeks following rhinoplasty and septoplasty.
Helpful
February 5, 2012
Answer: Insurance coverage for crooked nose surgery
You need to have your nose fully examined by a specialist with a thorough understanding of nasal obstruction correction to see what can be done to help your breathing and smell.
Insurance can cover functional surgery to help with chronic congestion. This would include septoplasty, turbinate reduction, alar batten grafts and/or spreader grafts.
Insurance doesn't cover surgery to correct tip bulbosity or a bump, but this can be done at the same time as functional surgery if you want.
Helpful
February 5, 2012
Answer: Insurance coverage for crooked nose surgery
You need to have your nose fully examined by a specialist with a thorough understanding of nasal obstruction correction to see what can be done to help your breathing and smell.
Insurance can cover functional surgery to help with chronic congestion. This would include septoplasty, turbinate reduction, alar batten grafts and/or spreader grafts.
Insurance doesn't cover surgery to correct tip bulbosity or a bump, but this can be done at the same time as functional surgery if you want.
Helpful
February 5, 2012
Answer: Crooked nose
You are certaqinly a good candidate for a rhinoplasty based in your photos. What needs to be done to improve your breathing cna only be assessed by a physical exam. As far as whether insurance would cover all or part of the cost depends on a number of issues. If the crookedness is the result of an injury, insurance would bmore likely to cover the cost. If not, they may cover only the part involving your breathing, but not any cosmetic alterations. You should check with your insurnace carrier to determine their policy, then consult with a surgeon who can assess your situation and obtain insurance preauthorization.
Helpful
February 5, 2012
Answer: Crooked nose
You are certaqinly a good candidate for a rhinoplasty based in your photos. What needs to be done to improve your breathing cna only be assessed by a physical exam. As far as whether insurance would cover all or part of the cost depends on a number of issues. If the crookedness is the result of an injury, insurance would bmore likely to cover the cost. If not, they may cover only the part involving your breathing, but not any cosmetic alterations. You should check with your insurnace carrier to determine their policy, then consult with a surgeon who can assess your situation and obtain insurance preauthorization.
Helpful