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Which Rhinoplasty Procedures Will My Insurance Cover?

Rhinoplasty is amongst the top five most popular cosmetic procedures in the U.S., with over 220,000 patients receiving the surgery each year – but the operation comes at a cost. Rhinoplasty can is done for two reasons, medical or aesthetic, and this distinction is what determines whether or not insurers will cover a nose job.

If the nose’s internal or external structures are causing breathing issues, medical distress, or are a result of trauma, then insurance will generally cover the surgery. On the other hand, if a patient seeks rhinoplasty purely for aesthetic purposes, insurers will usually not cover this procedure.

Here, leading rhinoplasty surgeon Dr. Jose Barrera of Jose Barrera Plastic Surgery & Medspa in San Antonio, Texas, discusses the difference between a medical and aesthetic rhinoplasty, their costs, and why insurers will cover one and not the other.

Medical Rhinoplasty

A medical rhinoplasty is performed when a patient’s health and well-being are impaired or compromised by problems with their nose. Such rhinoplasty surgeries may include sleep apnea/snoring treatments or sinus/nasal surgeries.

These problems manifest as breathing issues or repeated sinus infections and are often caused by obstructions in the nasal passage or abnormalities from birth, which worsen over time.

Because these problems impair the patient’s daily life from a medical and health perspective, medical rhinoplasty is considered to be an essential procedure. The patient is compelled to undergo surgery to maintain a quality standard of living, so insurers will generally pay for such operations.

Cosmetic Rhinoplasty

Cosmetic rhinoplasty is performed when a patient is displeased with the external shape and appearance of their nose. While this can be frustrating, there is no immediate health concern associated with a bulbous nose or a prominent nose bridge, and as such, these are considered non-essential procedures. These procedures often include revision rhinoplasty or ethnic rhinoplasty. If surgery is non-essential, insurers will not cover the cost.

How Much Does Rhinoplasty Cost?

The precise cost of rhinoplasty surgery depends on the location of the clinic and the specific type of rhinoplasty surgery. Realself.com advises that basic medical or aesthetic rhinoplasty costs approximately $7,450.00.

Rhinoplasty surgeries that require extensive structural modification, such as septoplasty or the use of ear or rib cartilage to replace cartilage, cost considerably more. Furthermore, the cost of revision rhinoplasty in San Antonio is around $9500.

Patients are required to undergo extensive medical examinations before getting rhinoplasty treatment to determine surgery’s nature. Insurers will expect to see doctors’ reports and specific categories of evidence before agreeing to cover a medical rhinoplasty’s expenses.

Next Steps

Whatever your reason for considering rhinoplasty, Dr. Jose Barrera, a board-certified facial plastic surgeon in San Antonio, TX, brings extensive experience, training, and knowledge to his practice. To discuss your rhinoplasty options with one of the countries leading plastic and reconstructive surgeons, please reach out to Dr. Barrera at (210) 468-5426 or by filling out his online form.