Will my health insurance pay for Rhinoplasty?

Question

Is it possible that my health insurance pays my rhinoplasty operation? What do I need to do for that?

William Portuese, MD · Answer

Rhinoplasty is considered cosmetic, and medical insurance will not pay for that, because there is no medical necessity. When there is breathing obstruction of the nose such as a deviated septum, and medical necessity has been met, a septoplasty can be submitted to medical insurance for payment. Expect to pay for any cosmetic changes yourself. For more information about rhinoplasty/ septoplasty, please see of the link and video below

John Michael Thomassen, MD · Answer

In the setting of trauma with significant deformity it may be possible to get an insurer to pay.  More than likely they would pay for functional issues like breathing problems related to congenital or traumatic issues.

Julian Rowe-Jones, MBBS, FRCS (Eng), FRCS (ORL) · Answer

Your private health insurance won’t pay for aesthetic rhinoplasty. But if you have a blockage of your nose and that can be corrected with surgery, I’m happy to perform that surgery at the same time as your aesthetic rhinoplasty and your insurance company might pay for the blockage part of your surgery. Of course, we’ll provide all the information they need, so that they can decide whether they can or they can’t. I have to tell them that you are having aesthetic rhinoplasty at the same time, otherwise it might be considered fraudulent if I didn’t and you need to tell them that as well.

Richard W. Fleming, MD (retired) · Answer

Most health insurance policies will consider benefits for the correction of functional problems, such as breathing obstruction, but not any cosmetic work. Each patient and their coverage is different so my staff will help our patients clarify their health benefits.

Will my health insurance pay for Rhinoplasty?

Answers (4)

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