What Cosmetic Surgery Procedures Are Covered By Insurance? – Dr. Aric Aghayan
As with most things we buy or do in life, cost is a factor. the same goes for plastic surgery. If you’re considering having a cosmetic procedure, it’s natural to wonder what financial obligations you’ll have and whether or not part of the procedure might be covered by insurance. The expert team at après plastic surgery in portland o is dedicated to providing the most exceptional level of care, including helping you decipher the sometimes confusing world of insurance coverage that applies to cosmetic surgery.
Can my insurance cover my cosmetic surgery?
The answer to this question is not necessarily black or white. Whether or not a procedure is covered by insurance largely depends on a number of factors. Often the deciding factor is whether the insurance company deems the procedure medically necessary. purely cosmetic procedures are therefore not covered. For example, a patient who desires a facelift to treat cosmetic signs of aging would not be eligible to have the procedure covered by insurance.
Reading: What cosmetic surgery does insurance cover
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There are some instances, however, when even cosmetic surgeries may be considered necessary for health or function. for example, many people suffer from vision problems as a result of excess eyelid skin falling into their field of vision. In this scenario, a blepharoplasty, or eyelid lift, may be partially covered by an insurance company. Another surgery that can sometimes be shown to be medically necessary is a panniculectomy, or excision of the excess skin in the lower abdomen (pannus). For some patients who have lost weight, this sagging skin severely affects their mobility and even leads to chronic skin rashes, irritation, and infections.
Which cosmetic surgeries are usually covered by insurance?
It is difficult to say that a specific procedure is “often” covered by insurance because coverage details and decisions can vary widely from case to case. Again, the determining factor of whether or not a procedure is covered by insurance usually comes down to the reason the surgery is being performed. Some of the more common cosmetic procedures that have justifiable benefits for consideration for insurance coverage include:
- rhinoplasty: in case of breathing or sleeping problems
- blepharoplasty: in case of vision problems
- removal of breast implants: in case of disease associated with breast implants
- skin removal surgery: in case of chronic rash, infection or other condition
- breast augmentation or reconstruction: in the case of mastectomy for breast cancer
- Document your condition with photos and records.
- Keep detailed records of every visit to a doctor, hospital, or other facility related to your condition. this includes any purchase of products or therapies.
- be able to show that you have exhausted all your options to treat your condition and that surgery is the last resort.
- obtain statements from your physician and other medical professionals recommending that the desired surgery be performed for medical/functional reasons.
- select a qualified, board-certified, and reputable surgeon and treatment center.
Can insurance cover my nose job?
Rhinoplasty, commonly known as a nose job, is an interesting case in which patients often undergo the procedure primarily for medical/functional reasons, but receive the cosmetic benefits of the surgery secondarily. A large number of men and women undergo rhinoplasty to treat a deviated nasal septum, small nostrils, or other mechanical defect that obstructs nasal airflow and can lead to breathing problems, difficulty sleeping, and even sleep apnea. In many of these cases, rhinoplasty will be considered a necessary procedure and, in turn, will be covered by the patient’s insurance. As a result of the manipulation required during rhinoplasty, the patient may also achieve a more attractive nasal contour, although the procedure was not intended as cosmetic.
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During your initial consultation at après plastic surgery, one of our exceptional board-certified plastic surgeons will thoroughly assess your situation, discuss your goals and concerns, and give you a realistic idea of what results are possible with your intended procedure and whether there is an opportunity to receive any insurance benefits.
How can I get insurance to cover my plastic surgery?
In the end, whether or not your surgery is covered by insurance is up to your insurance provider. however, there are some things you can do to give yourself the best possible chance of being considered for coverage and showing that your surgery is medically necessary, including:
The caring team at Après Plastic Surgery knows how frustrating it can be to have a real condition but not be able to get coverage for treatment. If you think you may need medically necessary plastic surgery and are interested in learning more about whether or not insurance may cover your procedure, the first step is to be evaluated by one of our surgeons. Call our convenient portland office to schedule your après plastic surgery consultation today, and let us help!