I need some functional things done to help my breathing, but also want cosmetic rhinoplasty. The repairs I need are nasal valve (cartilage graft), turbinate reduction, senechiae, and I have a deviated septum. The total Surgery including cosmetic plus those repairs has been quoted at 11-13,000 by Beverly Hills physicians. I have an HMO insurance through LA Care. If I use a surgeon in network, what’s an estimate cost?? Does anyone have experience with the insurance covering a portion and anesthesia time?
January 26, 2018
Answer: The Reality of Insurance and Rhinoplasty Hello,Because modern rhinoplasties that involve structural supporting cartilage grafts require septoplasty, it is really part of the 'cosmetic' portion of the surgery, and to bill insurance for this is, in my opinion is fraud. The other potential part of the 'functional' surgery known as turbinate reduction requires about ten minutes of operative time, not worth insurance billing. Through airway studies conducted over the last decade or so, we now know that form and function go hand in hand, and the things we do to make your nose prettier also make airflow better, e.g. spreader grafts, lower lateral batton grafts, lower lateral cartilage repositioning, rim grafts, and internal valve grafts. Finally, for a surgeon to reduce his cosmetic fee because he is billing insurance is also fraud, because in essence, the insurance company is supplementing his cosmetic fee. Be sure your surgeon is an ABPS certified/ASAPS member surgeon (or AAFPRS equivalent) who specializes in rhinoplasty. Best of luck!
Helpful
January 26, 2018
Answer: The Reality of Insurance and Rhinoplasty Hello,Because modern rhinoplasties that involve structural supporting cartilage grafts require septoplasty, it is really part of the 'cosmetic' portion of the surgery, and to bill insurance for this is, in my opinion is fraud. The other potential part of the 'functional' surgery known as turbinate reduction requires about ten minutes of operative time, not worth insurance billing. Through airway studies conducted over the last decade or so, we now know that form and function go hand in hand, and the things we do to make your nose prettier also make airflow better, e.g. spreader grafts, lower lateral batton grafts, lower lateral cartilage repositioning, rim grafts, and internal valve grafts. Finally, for a surgeon to reduce his cosmetic fee because he is billing insurance is also fraud, because in essence, the insurance company is supplementing his cosmetic fee. Be sure your surgeon is an ABPS certified/ASAPS member surgeon (or AAFPRS equivalent) who specializes in rhinoplasty. Best of luck!
Helpful
January 27, 2018
Answer: What is the cost of a rhinoplasty at the portion is covered by insurance? Medical necessity must first be documented with the functional component to improve airflow through the nose. Preauthorization with your insurance most also occur prior to the surgery. Co-pays and deductibles will also be associated with this functional surgery. A rhinoplasty is considered cosmetic, and must be paid for by the patient. The cosmetic component of the surgery will take much longer than the functional component. There will be differences in cost based upon your insurance plan, geography, and whether or not the surgeon is in-network, or out of network. Choose quality over Price, since the nose is the most central feature on your face, and you want to get it done right the first time. For many before and after rhinoplasty examples and our current price list, please see the link and the video below
Helpful
January 27, 2018
Answer: What is the cost of a rhinoplasty at the portion is covered by insurance? Medical necessity must first be documented with the functional component to improve airflow through the nose. Preauthorization with your insurance most also occur prior to the surgery. Co-pays and deductibles will also be associated with this functional surgery. A rhinoplasty is considered cosmetic, and must be paid for by the patient. The cosmetic component of the surgery will take much longer than the functional component. There will be differences in cost based upon your insurance plan, geography, and whether or not the surgeon is in-network, or out of network. Choose quality over Price, since the nose is the most central feature on your face, and you want to get it done right the first time. For many before and after rhinoplasty examples and our current price list, please see the link and the video below
Helpful
