I'm trying to figure out if there's any way I can save on cosmetic cost while receiving a nose job for functionality (if nessasary). Would it be cheaper/possible to pay extra out of pocket on top of my insurance charges for the surgeons skill/time if I'm already medicated and there for a procedure that my insurance will pay for? Like, would I not have to pay the hundereds to thousands of additional dollars for operating room rentals/anestesia/ect? (Maybe a little for the extra time.)
September 23, 2016
Answer: Cosmetic functional septorhinoplasty Great question, and very common at that. This is actually a complicated matter, as you have hinted, and it really has a lot of moving components. It all starts with your insurance carrier. If you are performing surgery with a doc that accepts your insurance, it will make things easier, as they will cover the cost of the surgery. Now, depending on your insurance and your doc (this is where it meets complicated), they may decide how much is covered depending on where the procedure is performed. Some insurance carriers mandate functional work be performed in a hospital for reimbursement to occur. Others have no issues with surgicenters or office based surgery. Adding cosmetic components to the surgery will come out of pocket, and if performed at a hospital or surgicenter the time spent doing the cosmetic part of the procedure will be billed to you for anesthesia and OR. The best way to find out how to best go about this is to both speak with your insurance carrier and speak with a few doctors in your area. The last option is to get reimbursed from your insurance carrier after going with an out of network provider. I hope some of this helps. Best of luck!
Helpful
September 23, 2016
Answer: Cosmetic functional septorhinoplasty Great question, and very common at that. This is actually a complicated matter, as you have hinted, and it really has a lot of moving components. It all starts with your insurance carrier. If you are performing surgery with a doc that accepts your insurance, it will make things easier, as they will cover the cost of the surgery. Now, depending on your insurance and your doc (this is where it meets complicated), they may decide how much is covered depending on where the procedure is performed. Some insurance carriers mandate functional work be performed in a hospital for reimbursement to occur. Others have no issues with surgicenters or office based surgery. Adding cosmetic components to the surgery will come out of pocket, and if performed at a hospital or surgicenter the time spent doing the cosmetic part of the procedure will be billed to you for anesthesia and OR. The best way to find out how to best go about this is to both speak with your insurance carrier and speak with a few doctors in your area. The last option is to get reimbursed from your insurance carrier after going with an out of network provider. I hope some of this helps. Best of luck!
Helpful
September 23, 2016
Answer: Combined procedures The answer to your question is yes, we do this all the time. Typically the parts of the procedure which are covered by insurance are internal nasal issues, such as a deviated septum or turbinate hypertrophy. This will allow the insurance to cover some of the necessary parts of the cost including the facility fee and part of the anesthesia fee. You must find a surgeon who accepts insurance and your insurance specifically. Best of luck to you.
Helpful
September 23, 2016
Answer: Combined procedures The answer to your question is yes, we do this all the time. Typically the parts of the procedure which are covered by insurance are internal nasal issues, such as a deviated septum or turbinate hypertrophy. This will allow the insurance to cover some of the necessary parts of the cost including the facility fee and part of the anesthesia fee. You must find a surgeon who accepts insurance and your insurance specifically. Best of luck to you.
Helpful
