Does insurance cover nose fracture rhinoplasty?

Rhinoplasty for broken nose is called functional rhinoplasty that was towards the deviation of the nasal bones and in some cases is covered by insurance.  The coverage is variable from insurance to insurance any need to check with the own insurance carrier.Evening cases of severe injury to the nose it can be restored significantly to achieve a great aesthetic improvement.RegardsDr. J

Dear KoolKid101,Generally, insurance pays for nasal surgery when there is a breathing disorder. In addition, it will typically cover surgery after nasal trauma when the nose is broken, displaced (move into an abnormal anatomic position), causes an airway obstruction or a psychological issue.  If an ENT doctor told your parents that you would likely need surgery (safe after you complete puberty), then your insurance will likely cover it.  The way to be sure is to 1. have a consultation with a facial plastic surgeon trained in ear, nose and throat medicine and surgery: 2. have photos taken for documentation; and 3. have the surgeon request preauthorization from your insurer.I hope this helps!Best of luck,Dr. Michelle Yagoda

 When the nose is crooked and patients would like it straightened, there is no medical necessity to have this paid for by medical insurance company. A crooked nose is usually paid for by the patient and is considered cosmetic.

 is difficult to know exactly what you mean by a nose fracture rhinoplasty.  If you asking if the insurance covers setting a broken nose, the answer it is generally yes.  If however, for asking they offer cosmetic rhinoplasty is, the answer is generally no.    The middle case however is much more difficult, and those are the patients who had a broken nose some time ago, and now have a deformity.  They need a rhinoplasty to fix it because he cannot simply set the bone anymore at that point.  Some insurance companies will cover these late cranioplasties but frankly, and unfortunately, most of them do not.

Each insurance company is different with regards to what they will cover.  Some will cover septal issues. They will not cover the cosmetic improvement of the nose.

The short answer is yes. You have to have insurance coverage and a documented injury with an X-ray or a CAT Scan showing nasal bone fracture and displacement. The insurance company will pay their usual and customary fee. You are responsible for deductibles and co-payments. Most surgeons will ask for payment of their fee in advance and provide you with the codes so that you can file the insurance claim and get payment. Make sure that you consult with a surgeon certified by the American Board of Plastic Surgery who is experienced in rhinoplasty surgery and septoplasty surgery and can show you before and after pictures in his gallery. The procedure involves breaking the bones and reshaping them. Sometimes additional procedures are necessary such as a nasal septoplasty to correct any breathing obstruction. 

Insurance policies and benefits are not uniformly the same for everyone.You have to make an inquiry, from the claims department, called a "predetermination of benefits". The insurance company will want information about your injury and any documentation of that injury, along with a description of the proposed surgical treatment.