I'm looking into getting my deviated septum fixed in the near future. Would that be considered cosmetic even though I have trouble breathing and therefore makes it seem medically required?
Answer: Deviated septum causing nasal obstruction may be covered by insurance A deviated septum that causes nasal obstruction may be covered by your medical insurance. The requirements of some insurance companies are that it has been evaluated by a specialist, and does not respond to medical treatment (like allergy pills or nasal sprays). Most septum surgery does not cause a change in your nasal appearance. There are occasional cases in which a correction of the nasal septum may change or improve external appearance, but that would be considered a secondary outcome of the operation, and therefore applicable to insurance. The best way to know what would be covered in your particular case is to see your local nasal specialist, and review your symptoms with him/her. The specialists office will be able to help you with your insurance coverage details.
Helpful 1 person found this helpful
Answer: Deviated septum causing nasal obstruction may be covered by insurance A deviated septum that causes nasal obstruction may be covered by your medical insurance. The requirements of some insurance companies are that it has been evaluated by a specialist, and does not respond to medical treatment (like allergy pills or nasal sprays). Most septum surgery does not cause a change in your nasal appearance. There are occasional cases in which a correction of the nasal septum may change or improve external appearance, but that would be considered a secondary outcome of the operation, and therefore applicable to insurance. The best way to know what would be covered in your particular case is to see your local nasal specialist, and review your symptoms with him/her. The specialists office will be able to help you with your insurance coverage details.
Helpful 1 person found this helpful
April 29, 2020
Answer: Medically Necessary Nose Surgery - Septoplasty The answer is no. A septoplasty is typically done for medically indicated reasons. Patients usually present with complaints of difficulty breathing thru their nose with no improvement from medical treatment. Because of this, medical insurance usually provides coverage for septoplasty surgery. If you are interested in also having your nose reshaped at the same time, I would recommend you consult with a board certified facial plastic surgeon in your area.
Helpful
April 29, 2020
Answer: Medically Necessary Nose Surgery - Septoplasty The answer is no. A septoplasty is typically done for medically indicated reasons. Patients usually present with complaints of difficulty breathing thru their nose with no improvement from medical treatment. Because of this, medical insurance usually provides coverage for septoplasty surgery. If you are interested in also having your nose reshaped at the same time, I would recommend you consult with a board certified facial plastic surgeon in your area.
Helpful
July 2, 2009
Answer: Septoplasty for Correcting a Deviated Septum is Functional, Not Cosmetic A septoplasty, is the name for the surgery used to correct nasal obstruction resulting from a deviated (crooked) septum. Because a septoplasty does not change the shape of the nose, it is not considered a cosmetic procedure and is usually covered by health insurance. A septoplasty is performed by making an incision on the inside of of the nose. The nasal lining covering the septum (the midline partition of cartilage and bone that separates one side of the nose from the other) is lifted off of the septum. The portion of the septum that blocks the nasal passage is usually removed or relocated to relieve the obstruction.
Helpful
July 2, 2009
Answer: Septoplasty for Correcting a Deviated Septum is Functional, Not Cosmetic A septoplasty, is the name for the surgery used to correct nasal obstruction resulting from a deviated (crooked) septum. Because a septoplasty does not change the shape of the nose, it is not considered a cosmetic procedure and is usually covered by health insurance. A septoplasty is performed by making an incision on the inside of of the nose. The nasal lining covering the septum (the midline partition of cartilage and bone that separates one side of the nose from the other) is lifted off of the septum. The portion of the septum that blocks the nasal passage is usually removed or relocated to relieve the obstruction.
Helpful
Answer: Septoplasty Vs. Rhinoplasty A septoplasty is a surgery designed to improve breathing and to promote proper airflow to the nose. Meanwhile, a rhinoplasty- or nose job- is performed for aesthetic purposes. It is primarily intended to change the shape or size of the nose so that it fits in with other facial features. For this reason, a septoplasty is not generally considered a cosmetic procedure but rather, like you suggested, a medical requirement.
Helpful
Answer: Septoplasty Vs. Rhinoplasty A septoplasty is a surgery designed to improve breathing and to promote proper airflow to the nose. Meanwhile, a rhinoplasty- or nose job- is performed for aesthetic purposes. It is primarily intended to change the shape or size of the nose so that it fits in with other facial features. For this reason, a septoplasty is not generally considered a cosmetic procedure but rather, like you suggested, a medical requirement.
Helpful
May 15, 2012
Answer: Fixing Deviated Septum
Correcting a deviated septum to improve breathing is generally considered a medically necessary procedure which would be covered by insurance. Ensure that you have the necessary supporting documentation from other physicians to meet your plan's requirements.
Helpful
May 15, 2012
Answer: Fixing Deviated Septum
Correcting a deviated septum to improve breathing is generally considered a medically necessary procedure which would be covered by insurance. Ensure that you have the necessary supporting documentation from other physicians to meet your plan's requirements.
Helpful