Hey everyone! I read online that if you have trouble breathing through your nose, you might be able to get insurance to pay for a nose surgery called rhinoplasty. Has anyone had this happen? I don’t think I have a crooked nose or anything, but I do find it harder to breathe through my nose when I’m doing something active, like running. If anyone knows about insurance covering this kind of surgery, please share your experience!
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Insurance may cover functional rhinoplasty if it’s medically necessary to correct breathing issues, unlike cosmetic rhinoplasty, which is for aesthetic purposes. To increase the chances of coverage, consult an ENT specialist or plastic surgeon to diagnose structural problems like a deviated septum, and ensure they document these issues thoroughly. Pre-authorization from your insurance provider is typically required, so check your plan’s specifics regarding coverage and out-of-pocket costs. Persistence and proper documentation are crucial, and many have successfully had their surgery covered for conditions such as a deviated septum or nasal valve collapse.
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Also, to improve understanding, follow these steps for potential insurance coverage of functional rhinoplasty:
- Consult a Specialist: See an ENT or plastic surgeon to diagnose structural issues like a deviated septum.
- Get a Diagnosis: Ensure the specialist documents your condition thoroughly.
- Pre-Authorization: Your doctor will submit medical records and a necessity letter to your insurance for approval.
- Verify Coverage: Check with your insurance provider about your coverage and any out-of-pocket costs.
- Post-Surgery Records: Keep all documents and bills post-surgery for insurance confirmation.
Thorough documentation and following these steps can enhance the likelihood of insurance covering surgery for medically necessary conditions.
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A while back, I had trouble breathing through my nose, especially when running. It turns out, insurance can cover a type of rhinoplasty called septoplasty if it’s for medical reasons like improving breathing, not just for looks.
I talked to my doctor, who confirmed I had a deviated septum, which was making it hard to breathe. My insurance covered the surgery because it was necessary for my health.
I’d recommend seeing a doctor to get their opinion. If they find a medical issue like a deviated septum, there’s a good chance your insurance will cover the surgery.
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Commonly known as a nose job, to correct breathing difficulties caused by structural issues in the nose, insurance coverage for this procedure can vary widely.