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Will Insurance Cover My Rhinoplasty Procedure?

dr. roberto garcia | 02/26/2020

Most patients often wonder if their health insurance will cover the cost of a nose job. The answer to that question depends on two variables focused on the patient’s insurance provider and the type of rhinoplasty procedure they need. If your primary goal is to change the outer shape of the nose for cosmetic reasons, also known as cosmetic rhinoplasty, it is not typically covered by insurance. however, if it is necessary to modify the interior passages of the nose to improve breathing or correct a deviated septum, also known as functional rhinoplasty, then insurance may cover the cost of the procedure. In some cases, men and women are even considering a nose job to address a functional issue, but also have cosmetic issues they’d like to address at the same time. At Contour Facial Plastic Surgery, we do not accept insurance for rhinoplasty, medical, or cosmetic procedures.

Reading: When is a nose job covered by insurance

Whether out of medical necessity or solely for cosmetic reasons, people considering rhinoplasty should speak openly with a plastic surgeon like dr. robert garcia for answers. Both men and women in the Jacksonville area who are considering a nose job can turn to board-certified facial plastic surgeon Dr. Garcia and his team at Contour Facial Plastic Surgery located in Ponte Vedra Beach, FL.

What is the difference between cosmetic and medical rhinoplasty?

Rhinoplasty is one of the five most popular cosmetic procedures performed each year in the United States. For some Jacksonville men and women, a nose job is purely for cosmetic reasons to enhance their profile and help them feel more confident about how they look. however, some people have a medical need for their rhinoplasty surgery. The main difference between a cosmetic and functional rhinoplasty is whether a person has full function of their nose prior to the procedure. Patients who are struggling to breathe properly due to a deviated septum or damage to the nose due to accident or injury have a medical need for the nose job procedure. Read on to learn more about both types and how insurance coverage depends on why a patient may need this type of plastic surgery.

What are the aesthetic reasons for rhinoplasty?

Cosmetic rhinoplasty can help change the shape, size, and overall appearance of a person’s nose. The nose is one of the most predominant features of a person’s face. When a person feels their nose is disproportionate or distracting from their other facial features, consideration of a nose job or rhinoplasty procedure goes to the top of the list. Some common cosmetic requests for a nose job are:

narrow the bridge of the nose

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remove a lump on the bridge of the nose

narrow or widen the nostrils

ยท reshape the tip of the nose

straight a crooked nose

alter the angle between the nose and the upper lip

what are the medical reasons for a rhinoplasty?

In some cases, people have a deformity in the nasal passage that is significant enough to obstruct the airway. A functional or medical rhinoplasty procedure can permanently alleviate or eliminate this problem. Common medical reasons for a nose job are:

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deviated septum

birth deformity or cleft palate

Trauma or injury to the nose

nasal inflammation due to chronic allergies

How do I know if my nose job is covered by insurance?

In general, cosmetic rhinoplasty procedures are considered elective surgery and are not covered by insurance. if there is a functional or medical component, such as a problem with breathing or another cause, that part of the procedure may be covered by the person’s insurance plan. Most insurance providers generally reimburse patients for the cost of a rhinoplasty procedure if it corrects or improves breathing due to structural damage or deformity. All insurance providers have medical criteria and parameters to determine a patient’s medical coverage for surgical procedures. If patients are unsure of what type of rhinoplasty procedure they need, then begin the process by consulting with a double board certified facial plastic surgeon, such as Dr. Garcia, is the first step.

A rhinoplasty procedure can address a host of issues, from straightening the profile of the nose, correcting asymmetry, improving the shape, reducing the volume of the nose, and improving the airway for better breathing. Rhinoplasty procedures in general make people feel better about how they look, and finding out if your insurance plan will cover it is part of the process. dr Garcia will listen to your concerns, assess what you need, and answer any questions during a one-on-one private consultation. If you are considering undergoing a rhinoplasty procedure, we invite you to call Contour Facial Plastic Surgery in Ponte Vedra Beach, FL and let our experienced staff assist you every step of the way.

rhinoplasty before & after

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