Is Rhinoplasty Covered in Michigan by Medicaid with Nasal Passage Correction Procedure?

Question

I live in the state of Michigan, I've always had breathing problems as a kid, and I'm turning 18 in August. I was wondering if I could get Rhinoplasty done with the nasal passage correction procedure and have it all covered? I've gotten hit in my nose quite a few times in my life. It's caused it to be crooked and I have always had a hump. But when I am running I find it difficult to breathe through my nose and even troublesome when sleeping.

Vincent N. Zubowicz, MD · Answer

I can't say whether Michigan Medicaid will cover anything. However airway work is considered functional and not aesthetic.

William Portuese, MD · Answer

A deviated septum is considered functional and is usually paid for by most medical insurance companies. A septoplasty will repair a deviated septum. Documentation of medical necessity will need to be performed by your  physician. Any change related to the outside portion of the nose will need be paid for by the patient themselves and this is considered cosmetic surgery also known as rhinoplasty. A septoplasty and rhinoplasty are 2 completely different operations

Jeffrey Zwiren, MD · Answer

The only way to determine medical necessity for a septoplasty is to be examined by either an ENT or Plastic surgeon.

Pablo Prichard, MD · Answer

Dear Andrea,

	The breathing portion of the procedure, the septoplasty, may be covered.  The cosmetic portion of the procedure, the rhinoplasty, is not covered.

	Best Wishes, 

	Pablo PRichard, MD

Remus Repta, MD · Answer

Hello,

	Thank you for the question.  Most insurance and state health plans only cover nose surgery when the airway and breathing issues are present.  Shaping the nose (rhinoplasty) is considered an elective procedure and is not covered by insurance.

	All the best,

	Dr. Remus Repta

Is Rhinoplasty Covered in Michigan by Medicaid with Nasal Passage Correction Procedure?

Answers (5)

Answer: Is Rhinoplasty Covered in Michigan by Medicaid with Nasal Passage Correction Procedure?

Answer: Is Rhinoplasty Covered in Michigan by Medicaid with Nasal Passage Correction Procedure?

Answer: Breathing issue may be covered by insurance

Answer: Breathing issue may be covered by insurance

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Everything you need to know about Rhinoplasty

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Is Rhinoplasty Covered in Michigan by Medicaid with Nasal Passage Correction Procedure?

Answers (5)

Answer: Is Rhinoplasty Covered in Michigan by Medicaid with Nasal Passage Correction Procedure?

Answer: Is Rhinoplasty Covered in Michigan by Medicaid with Nasal Passage Correction Procedure?

Answer: Breathing issue may be covered by insurance

Answer: Breathing issue may be covered by insurance

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Recommended reading

Everything you need to know about Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.