Plastic surgery is many times considered a medical necessity, and not only concerned with mere appearance and beauty. Consider the following examples which may possibly be covered by insurance and deemed as medically necessary or essential.
Deviated Septum Correction
Individuals who’re born with a deviated septum may experience breathing issues, frequent sinus infections, or heavy snoring. Occasionally the procedure to fix the issue combines an internal nasal procedure with a cosmetic procedure that guarantees the nose looks correct when finished.
Particular Reconstruction Surgeries
If you have a body part damaged after an accident or following certain surgeries, your insurance coverage and doctor may deem plastic surgery to be medically necessary. For instance, in the event you endure from a dog bite or are in a vehicle accident and have the potential for substantial scarring, cosmetic procedures to reduce the scarring and restore your previous appearance may be necessary. Also, numerous individuals who’ve had mastectomies for breast cancer may be able to have reconstruction procedures carried out under insurance coverage as considered medically essential.
Birth Defects
Kids born with certain kinds of birth defects might benefit from plastic surgery, and this may be deemed medically necessary. For instance, kids born with a cleft palate and disfigured upper lip may not be able to nurse or suck because of their birth defect. A cosmetic surgeon can reconstruct the lip and assist the kid learn the natural way to eat and drink. Children who are born with webbed toes or fingers can have the webbing removed to restore a more natural appearance. Those born with facial bone defects might be able to have reconstructive procedures to restore their look, and often this really is regarded as medically essential simply because the facial defects interfere with the person’s capability to eat, talk, or otherwise function properly. These are just a few of the many birth defects that might qualify for medically necessary cosmetic procedures.
Eyelid Procedures
Typically, eyelid cosmetic procedures aren’t regarded as medically necessary. However, some patients who’ve excessively drooping eyelids may qualify for medically essential plastic surgery because their condition is affecting their ability to see. Within this case, insurance might pay for the condition.
Considerations
If your goal in determining whether or not or not a process is medically necessary is to get insurance coverage for your procedure, speak to your surgeon. Doctors often know how to code a specific plastic surgery to make sure that it’s covered. Your doctor’s staff might also have the ability to negotiate with your insurance provider on your behalf. If not, call your insurance coverage provider, and make a case for the necessity of one’s procedure. Read your explanation of advantages carefully, and be prepared to argue in favor of your procedure if you require to. With the doctor on your side along with a true medical condition to repair, you most likely can get insurance coverage for the next cosmetic procedure.