Plastic Surgical Procedures Covered by Insurance
When it comes to payment options, most patient usually ask their doctors if a certain plastic surgery procedure is covered by insurance. The general rule is that, if the procedure is more than elective or necessary for treatment, then the procedure is most likely covered by the insurance. Here are the procedures covered by health insurance policies according to the American Society of Plastic Surgeons (ASPS).
Breast surgery is only covered by insurance if it is meant to treat medical conditions such as neck and back pain. Other conditions such as breast asymmetry, loss breast, breast defects during birth, and enlarged male breast or gynecomastia which require surgery are also covered by insurance. Patients are required by insurance companies to submit documentation from their general physician or surgeon before patients can have get assistance from them.
Ear surgeries meant to treat birth deformities such as microtia (malformation of external part of the ear) and atresia (total absence of external ear canal) are covered by insurance. Because these conditions can affect hearing or cause ear infection, ear surgeries are more than just elective options. Patients should discuss with their surgeon whether the procedure will be covered by the insurance.
Eyelid surgeries can also be covered if meant to correct deformities such as drooping eyelids. One of the most common eyelid surgeries in LA plastic surgery clinics is blepharoplasty. It involves the removal of excess tissue or subcutaneous fat in the eyes. Discuss with your surgeon if other surgical procedures such as canthectomy and tarsorrhaphy are covered by your insurance policy.
Most insurance companies cover corrective facial surgeries such as septoplasty, rhinoplasty, and cleft lip and palate repair. Septoplasty is a procedure to correct breathing problems by straightening the septum. Rhinoplasty is a procedure to reconstruct a nose damaged from an accident. Aside from consulting a Los Angeles cosmetic surgeon, patients may also submit a free insurance verification form online to determine if the procedure is covered by their insurance.
Hand surgeries to correct congenital defects such as syndactyly can also be covered by insurance only if these conditions cause detrimental effects to the patient. Some hand congenital defects only need cosmetic changes and do not cause any harm to the patient. In order for the procedure to be covered in full (or at least partially), documentation from a Los Angeles cosmetic surgeon must be submitted to the insurance company.
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