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
Answer: Functional nasal surgery and cosmetic rhinoplasty are two completely separate procedures Functional nasal surgery can be performed at the same time as cosmetic rhinoplasty when needed. Functional nasal surgery is usually performed to improve airflow through the nose such as a septoplasty, turbiate surgery, or spreader grafts for valve collapse. It's important to have medical necessity documented prior to the surgery. Functional nasal surgery can then be billed to the patient's medical insurance. A cosmetic rhinoplasty is paid for separately than the functional surgery and is much more difficult and takes longer to perform. Patients are expected to pay for the cosmetic component themselves. Even with functional nasal surgery, co-pays and deductibles will still apply. For more information and many examples of rhinoplasty, please see the link and the video below
Helpful
Answer: Functional nasal surgery and cosmetic rhinoplasty are two completely separate procedures Functional nasal surgery can be performed at the same time as cosmetic rhinoplasty when needed. Functional nasal surgery is usually performed to improve airflow through the nose such as a septoplasty, turbiate surgery, or spreader grafts for valve collapse. It's important to have medical necessity documented prior to the surgery. Functional nasal surgery can then be billed to the patient's medical insurance. A cosmetic rhinoplasty is paid for separately than the functional surgery and is much more difficult and takes longer to perform. Patients are expected to pay for the cosmetic component themselves. Even with functional nasal surgery, co-pays and deductibles will still apply. For more information and many examples of rhinoplasty, please see the link and the video below
Helpful
