Could any of my nose reshaping be covered by UHC Choice PPO insurance w/medically necessary septoplasty & sinoplasty?(photo)

Question

Currently in +3rd month of severe sinus infection that is not going away with medications & this has happened before. *Summary attached, CT scans from 2011, current CT was done this month. I'm a twin mom w other surgeries needed due to major weight loss so cost & some shaping is very important. Are there any surgeons nearby (Frisco, TX) that are in-network AND has experience getting approval for all 3 procedures in one? (dorsum/tip) OOP & Deductible met

Steven M. Denenberg, MD · Answer

... but really, it tends not to help a lot if there are cosmetic changes to make. But every little bit, right?See the "Web reference" link, just below my response. I made a computer morph of your nose, and an animation of the morph, to show the changes that are possible for your nose in truly expert hands.I elevated the tip , and lowered the bump on the bridge of your nose. The airways can be addressed at the same time as the cosmetic concerns.You should understand that the changes I demonstrated in the morph require advanced techniques, techniques that most plastic surgeons cannot handle.  Be sure to read the section in the "Web reference" link on how to stay out of trouble while searching for a rhinoplasty surgeon.
Your nose is also a good example of why computer imaging is mandatory in rhinoplasty. You need to know exactly what the surgeon is planning to accomplish -- what features he'll change, and by how much he'll change them -- so you know whether it's enough to be meaningful to you, and whether he understands your wishes enough to address all of your priorities. Then, he must show you before and after photos to prove that he can actually accomplish what he draws on the computer.

Colin Pero, MD, FACS · Answer

Rita,It is common to address both cosmetic and functional sinus/nasal issues at the time of the same surgery.  Many times it is at least partially covered by insurance plans but that obviously depends on each individual patient's needs and their insurance plan.  I would recommend you see a Facial Plastic surgeon that is double board certified in Facial Plastic & Reconstructive Surgery as well as Otolaryngology to discuss this further.

Jose Barrera, MD · Answer

Insurance coverage is commonly performed for medically necessary procedures such as septoplasty and sinus surgery. A cosmetic rhinoplasty would be billed separately. You may elect to have the sinus surgery separate due to the need for nasal splinting.

Sandy Sule, MD · Answer

it is entirely common and practical to address both the functional and cosmetic needs of your nose. Depending on your insurance plan, usually the septoplasty and sinus issues can be addressed via your insurance. Make sure you find a surgeon with experience in addressing both the functional and cosmetic needs of the nose.

Jay Calvert, MD, FACS · Answer

If the septum is moderately to severely deviated and you are symptomatic, the chances are good that your operation will be covered by insurance.  Check with your online benefits or call your company to see.

Could any of my nose reshaping be covered by UHC Choice PPO insurance w/medically necessary septoplasty & sinoplasty?(photo)

Answers (6)

Answer: Yes

Answer: Yes

Answer: Septoplasty and Insurance

Answer: Septoplasty and Insurance

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Everything you need to know about Septoplasty

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Could any of my nose reshaping be covered by UHC Choice PPO insurance w/medically necessary septoplasty & sinoplasty?(photo)

Answers (6)

Answer: Yes

Answer: Yes

Answer: Septoplasty and Insurance

Answer: Septoplasty and Insurance

Browse related questions

Recommended reading

Everything you need to know about Septoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.