Frequently Asked Questions - Insurance

WILL YOUR INSURANCE COMPANY PAY FOR COSMETIC SURGERY?

Insurance companies only pay for surgery if it is not considered cosmetic surgery. Your doctor can give your insurance company documentation about your condition. This is a partial list of procedures that may be covered by insurance:

ABDOMINAL SURGERY, WHEN IT IS PERFORMED TO:

alleviate health problems such as back pain, sores, hernia, rashes
restore the ability to walk normally.

BREAST SURGERY, WHEN IT IS PERFORMED TO:

correct congenital asymmetry;
reduce overly large breasts that are causing health problems (shoulder grooving, neck and back pain etc.);
reconstruct a breast lost to disease;
correct congenital absence of breast;
reduce over-developed male breasts - gynecomastia.

EAR SURGERY, WHEN IT IS PERFORMED TO:

correct congenitally deformed ears;
reconstruct ears that are deformed by disease or injury.

EYELID SURGERY, WHEN IT IS PERFORMED TO:

correct drooping of upper eyelids that are obscuring vision;
correct out-turned or in-turned lower eyelids.

FACIAL SURGERY, WHEN IT IS PERFORMED TO:

correct an asymmetrical appearance caused by facial paralysis;
treat conditions affecting the facial muscles lips and cheeks
treat traumatic deformities;
correct head and neck deformities.

HAND SURGERY, WHEN IT IS PERFORMED TO:

treat carpal tunnel syndrome;
correct Dupuytren's contracture, treat tendon & nerve injuries
correct syndactyly (fused fingers) and other congenital deformities .

NASAL SURGERY, WHEN IT IS PERFORMED TO:

correct deformities resuming from birth defects or disease;
treat injuries or nasal deformities that may affect breathing

This list was developed with information obtained from the The American Society of Plastic Surgeons (ASPS).