Is There Any Way to Get Rhinoplasty Covered by Insurance?

I was just wondering?

Doctor Answers 20

Insurance and Rhinoplasty

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Septoplasty is often paired with rhinoplasty, however they are two different procedures.Typically septoplasty is covered when medically necessary i.e. you're experiencing trouble breathing, is covered by insurance. However if there are no problems with the septum and rhinoplasty is being performed for cosmetic purposes only, insurance more than likely won't cover the rhinoplasty.

Bloomfield Hills Plastic Surgeon
4.8 out of 5 stars 29 reviews

Insurance and rhinoplasty

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Rhinoplasty to improve the function of the nose (make you breath better) is generally covered by insurance.  Rhinoplasty to improve the shape and appearance of the nose is considered cosmetic and not covered by insurance.  Tip work or dorsal humps are almost never covered unless they are from a recent trauma.  Old trauma is very difficult and unlikely to be pre-authorized.

Sirius K. Yoo, MD
San Diego Facial Plastic Surgeon
5.0 out of 5 stars 28 reviews

Post Traumatic Deformities May Be Covered.

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It’s not unreasonable to seek prior authorization from insurance carriers for rhinoplasty when the nasal deformity results from trauma. Post traumatic nasal deformities may be caused by significant injuries and are therefore often covered by insurance.
Under these circumstances, rhinoplasty is viewed as a restorative procedure. When this situation arises, it’s reasonable to seek prior authorization and nothing is lost if the insurance carrier doesn’t cover the expense. Under these circumstances, the procedure can still be performed as a cosmetic rhinoplasty.

Rhinoplasty insurance

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Insurance generally covers procedures that are to improve function and your health, but not those that are just for aesthetic purposes.  

Is there any way to get rhinoplasty covered by insurance?

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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.  A rhinoplasty is typically cosmetic in nature and should not b covered?

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!

Lewis Albert Andres, MD
Scottsdale Plastic Surgeon
5.0 out of 5 stars 28 reviews

Insurance Coverage for Rhinoplasty

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Insurance will usually cover functional problems such as breathing obstruction, repeated nasal or sinus infections, or intermitant nasal bleeding. They will not pay for any cosmetic changes.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 42 reviews

Insurance covers what is medically necessary, not cosmetic

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Insurance will only cover a broken nose that has recently been broken, an old broken and twisted nose that is causing a breathing problem, or simply a deviated septum and/or turbinate surgery for breathing problems. Medical insurance also pays for sinus surgery. A rhinoplasty is considered cosmetic and is not covered by any medical insurance.

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 155 reviews

Insurance doesn't cover cosmetic surgery

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It's very simple. If you are making your nose look better, it is not covered. You don't have a medical problem. If you are fixing a medical problem, usually a breathing problem, then insurance should cover it. Sometimes, you are doing both so insurance will cover part of the procedure  Good luck!

Parham Ganchi, PhD, MD
Wayne Plastic Surgeon
4.8 out of 5 stars 172 reviews

Rhinoplasty and insurance

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Insurance will cover work on the septum to correct breathing problems. They will not cover any cosmetic work to the nose. Many times both procedures can be done at the same time, but the anesthesia and operating room fees for the cosmetic portion of the case will be your responsibility. Good luck, /nsn.

Insurance will only cover nasal surgery for a breathing problem.

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 If by rhinoplasty you mean cosmetic, the answer is no they won't. If the septum and or nose is deviated and causing a breathing problem, thsy may cover the part that is functional-not cosmetic.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
4.8 out of 5 stars 36 reviews

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.