Is Acne Surgery Covered by Insurance?
Doctor Answers 25
Acne surgery and insurance
Is acne surgery covered by insurance?
Discuss your issues and complaints with a board-certified plastic surgeon to discuss these as well as to examine and assist you in deciding which procedure(s) will be the best for you. A discussion of the advantages and disadvantages will take place along with the risks and benefits. Insurance companies will vary on coverage and is always reasonable to discuss your issues with your surgeon and primary care. It would behoove you to get as much information as possible and even call your insurance yourself. Certainly, pay in advance prior to your surgical procedure and options such as financing are available if you qualify. Hope that this helps! Best wishes!
Coverage for acne surgery depends from your insurance carrier.
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Acne surgery vs. Treatment of acne scars
While some procedures performed to treat active acne may be covered by insurance, treatment of the scars left by acne including subcision, punch excision, dermal grafting, and laser resurfacing are not covered by insurance.
Insurance Coverage for Acne Surgery
Acne surgery and insurance
Treatment of acute acne by a dermatologist may be covered by insurance. But treatment of the late, dreaded, deep scars caused by acne is not covered.
Acne Surgery Insurance Coverage
Acne surgery including extractions of comedones (blackheads and whiteheads), incision and drainage of pustular or cystic lesions, and steroid (Kenolog) injections into inflamed, cystic acne lesions is usually covered by most insurances. Treatments for discoloration and scarring secondary to acne are considered cosmetic and therefore, are out of pocket expenses. Such treatments include laser treatments, dermabrasion, chemical peeling, electrosurgery and acne scar filling to name a few.
In Canada, acne surgery is not covered by insurance as it's considered a cosmetic issue. Some people who have health spending account can get it covered.
Acne Treatment and Insurance
Acne scars, when treated with surgery, are typically not covered by insurance in my experience. However, there may be exceptions, particularly depending on if there are functional problems, such as around the eye.
Insurance coverage for acne surgery
Acne surgery is covered by some insurance plans when it is to treat active acne lesions. Some plans require that the lesions be symptomatic. You would have to check with your specific carrier. In some cases you may have to come for a separate visit specifically for that procedure. There may also be a deductible, copay or co-insurance.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.