If something goes wrong and I end up in an ER as a result of a breast augmentation surgery, who will pay for the ER's cost? I asked my insurance company, and they said because it's cosmetic surgery based reason, they don't cover the cost. I called my surgeon's office and the receptionist said if insurance doesn't cover, it would be on me. Really? Then how much I need to be prepare myself for this worst scenario?
Answer: Who pays for the cost of emergency room after surgery if it becomes necessary? Hello! Thank you for your question! Surgical procedures for aesthetic purposes, to improve appearance, are not covered by insurance. Typically, these as well as complications resulting from such procedures are the responsibility of the patient. Procedures that are meant to correct functional issues and those which cause health-related issues should be covered by your insurance as a medical necessity, with proper examination and documentation. Some insurance plans have exclusion criteria for certain procedures. Also, it is an obligation of the surgeon not to attempt to authorize purely cosmetic procedures through insurance. This is often true, depending on the reason for the visit or surgery. You should discuss this with your insurance prior and clarify. 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!
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Answer: Who pays for the cost of emergency room after surgery if it becomes necessary? Hello! Thank you for your question! Surgical procedures for aesthetic purposes, to improve appearance, are not covered by insurance. Typically, these as well as complications resulting from such procedures are the responsibility of the patient. Procedures that are meant to correct functional issues and those which cause health-related issues should be covered by your insurance as a medical necessity, with proper examination and documentation. Some insurance plans have exclusion criteria for certain procedures. Also, it is an obligation of the surgeon not to attempt to authorize purely cosmetic procedures through insurance. This is often true, depending on the reason for the visit or surgery. You should discuss this with your insurance prior and clarify. 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!
Helpful
February 13, 2012
Answer: Cosmetic Surgery and Emergency Room Visit
Complications following cosmetic plastic surgery is extremely rare when performed by a Board certified Plastic Surgeon. Most health insurance companies will not cover the cost of ER visits from cosmetic surgery. We offer all our patients CosmetAssure to give everyone the peace of mind about their cosmetic surgery. However, if you are considering cosmetic surgery, make sure that your Plastic Surgeon is a “real Plastic surgeon”. There is a huge difference between Plastic Surgeons and Cosmetic Surgeons. Do your homework you sign the contract.
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February 13, 2012
Answer: Cosmetic Surgery and Emergency Room Visit
Complications following cosmetic plastic surgery is extremely rare when performed by a Board certified Plastic Surgeon. Most health insurance companies will not cover the cost of ER visits from cosmetic surgery. We offer all our patients CosmetAssure to give everyone the peace of mind about their cosmetic surgery. However, if you are considering cosmetic surgery, make sure that your Plastic Surgeon is a “real Plastic surgeon”. There is a huge difference between Plastic Surgeons and Cosmetic Surgeons. Do your homework you sign the contract.
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February 11, 2012
Answer: Going to the ER after breast augmentation
Although this is very unlikely, I've heard of it happening and yes, you would likely be responsible for your bills.
Be informed that there are companies, CosmetAssure is one example we carry, that provide insurance specifically for the procedure you are having. It's a one-time fee paid at the time you sign up for surgery and covers you in case there are problems.
It's like purchasing travel insurance, you don't think you are going to get sick or injured in a foreign land; but if you do, aren't you really glad you bought it instead of being stranded in Timbuktu. (No offense intended to the kind residents of Timbuktu, Mali. Yes, it is a real place).
I hope this helps.
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February 11, 2012
Answer: Going to the ER after breast augmentation
Although this is very unlikely, I've heard of it happening and yes, you would likely be responsible for your bills.
Be informed that there are companies, CosmetAssure is one example we carry, that provide insurance specifically for the procedure you are having. It's a one-time fee paid at the time you sign up for surgery and covers you in case there are problems.
It's like purchasing travel insurance, you don't think you are going to get sick or injured in a foreign land; but if you do, aren't you really glad you bought it instead of being stranded in Timbuktu. (No offense intended to the kind residents of Timbuktu, Mali. Yes, it is a real place).
I hope this helps.
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February 10, 2012
Answer: Who Pays for the Cost of Emergency Room After Surgery if It Becomes Necessary?
It is so rare, it probably is not worth worrying about!! In almost 20 years of practice, I have never had one patient that needed the ER after Breast Augmentation. And as has been suggested, always call your surgeon before going to an ER...And some insurance companies will cover emergencies, just not anything elective...But you really should not need it....
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February 10, 2012
Answer: Who Pays for the Cost of Emergency Room After Surgery if It Becomes Necessary?
It is so rare, it probably is not worth worrying about!! In almost 20 years of practice, I have never had one patient that needed the ER after Breast Augmentation. And as has been suggested, always call your surgeon before going to an ER...And some insurance companies will cover emergencies, just not anything elective...But you really should not need it....
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February 9, 2012
Answer: Costs of Unexpected Care after Cosmetic Surgery Should Always be Considered
Hi there-
The information you have been given so far is accurate- health insurance carriers will not cover the costs of complications arising as a result of cosmetic surgery, no matter the severity of the complication.
Some surgeons do offer Cosmetassure, which is essentially insurance that does cover these problems, but it also increases the costs of your surgery...
The best way to protect yourself from unwanted complications and unplanned expenses is to choose your surgeon in the very most careful way possible. Ask how often (if ever) they have patients need unexpected medical care, if a patient has ever needed an ER visit, etc... For an experienced, skilled surgeon, these occurrences should be extremely rare.
This is, unfortunately, another example of one of the many reasons you do not want to make the mistake of believing that we are all created equal and you should therefore shop for the lowest price. Your happiness and safety (not to mention your money) depend on you finding the best, most experienced, talented, and ethical surgeon you can.
Helpful
February 9, 2012
Answer: Costs of Unexpected Care after Cosmetic Surgery Should Always be Considered
Hi there-
The information you have been given so far is accurate- health insurance carriers will not cover the costs of complications arising as a result of cosmetic surgery, no matter the severity of the complication.
Some surgeons do offer Cosmetassure, which is essentially insurance that does cover these problems, but it also increases the costs of your surgery...
The best way to protect yourself from unwanted complications and unplanned expenses is to choose your surgeon in the very most careful way possible. Ask how often (if ever) they have patients need unexpected medical care, if a patient has ever needed an ER visit, etc... For an experienced, skilled surgeon, these occurrences should be extremely rare.
This is, unfortunately, another example of one of the many reasons you do not want to make the mistake of believing that we are all created equal and you should therefore shop for the lowest price. Your happiness and safety (not to mention your money) depend on you finding the best, most experienced, talented, and ethical surgeon you can.
Helpful