I recently had Mohs surgery on my right nostril for basal cell carcinoma. In addition, I have always wanted rhinoplasty to change the shape of my nose. The scar (more like a chunk out of my nostril)is still very visible three years later. Will insurance cover a rhinoplasty since I have had skin cancer? Also, can a rhinoplasty be done using local anesthetic?
April 13, 2011
Answer: Insurance may cover a portion of post cancer nasal reconstruction
Insurance plans allow a predermination letter to be sent by the doctor to a medical reviewer within the insurance company. This letter (accompanied by photos) would describe the anatomic problem and cancer history as well as the proposed surgical manoevers. Often times in your situation insurance plans will cover reconstructive procedures to address scarring and disfigurement.
Other areas of your nose that you separately have always wanted to enhance/change would be considered cosmetic non-insurance covered procedures.
The good news is that if the insurance company decides to cover your scar revision, then the cost for additional cosmetic procedures may be less since the insurance company is already covering a portion of the cost for the operating room and the anesthesia.
Speaking of anesthesia- rhinoplasty is almost never performed under local. There are just too many invasive manoevers that would be too much for a patient under local. Either "twilight sedation" or general anesthesia is typically utilized for rhinoplasty.
Good luck!
Helpful
April 13, 2011
Answer: Insurance may cover a portion of post cancer nasal reconstruction
Insurance plans allow a predermination letter to be sent by the doctor to a medical reviewer within the insurance company. This letter (accompanied by photos) would describe the anatomic problem and cancer history as well as the proposed surgical manoevers. Often times in your situation insurance plans will cover reconstructive procedures to address scarring and disfigurement.
Other areas of your nose that you separately have always wanted to enhance/change would be considered cosmetic non-insurance covered procedures.
The good news is that if the insurance company decides to cover your scar revision, then the cost for additional cosmetic procedures may be less since the insurance company is already covering a portion of the cost for the operating room and the anesthesia.
Speaking of anesthesia- rhinoplasty is almost never performed under local. There are just too many invasive manoevers that would be too much for a patient under local. Either "twilight sedation" or general anesthesia is typically utilized for rhinoplasty.
Good luck!
Helpful
May 6, 2011
Answer: Rhinoplasty not covered by medical insurance
Rhinoplasty is a procedure whereby the entire tip, bridge, and alar areas can all be addressed by changing them. This is done under a general anesthesia. A rhinoplasty is never covered under medical insurance since it is cosmetic in nature and not medically related. Even a simple scar revision will not be covered under insurance unless it is creating a functional breathing problem.
Helpful
May 6, 2011
Answer: Rhinoplasty not covered by medical insurance
Rhinoplasty is a procedure whereby the entire tip, bridge, and alar areas can all be addressed by changing them. This is done under a general anesthesia. A rhinoplasty is never covered under medical insurance since it is cosmetic in nature and not medically related. Even a simple scar revision will not be covered under insurance unless it is creating a functional breathing problem.
Helpful