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Will Insurance Cover Plastic Surgery in Miami?

Submitted by Bernabe Vazquez on April 30, 2013

2The reality of the governance of the insurance industry in relation to the medical community is here to stay. Each procedure has its own coordinating list of recommendations and requirements and each case is treated independently. Insurance companies are not likely to look favorably on a purely aesthetic or cosmetic reason for doing plastic surgery, as elective cosmetic surgery that is performed to reshape normal structures of the body in order to improve an individual’s appearance and self-esteem is not considered a medical necessity. However, there are instances where the surgery is recommended to assist with an obstruction. As each case is considered individually, it is important to consult with your physician and to become familiar with the terms of your insurance policy.

Tummy Tucks

Everyone wants a flat tummy. Perhaps you have had two or three children or you have lost or gained a significant amount of weight and your abdomen is not responding to dietary restrictions or exercise. If you have seen your physician and the visits and dietary recommendations have not resulted in weight loss, and there is medical reason for the surgery such as continuous rashes or infection under the skin folds then perhaps your insurance company will consider partial payment for the surgery. In the event of documented physician’s visits for back pain due to the distended abdomen and insignificant weight loss after dieting, an insurance approval might also be forthcoming. If there is an underlying issue of a ventral hernia and the documentation of the placement and size is forthcoming, most insurance companies will approve of this portion of the procedure.

Eyelid Surgery

Drooping eyelids can be more than a nuisance; they can be responsible for reduced eyesight. Peripheral vision may be impaired as a result of drooping eyelids. Your physician will need to provide documentation from certain tests and attest to the fact that the blephoplasty will improve your ability to see. The medical reason needs to be documented as this surgery is primarily considered cosmetic surgery.

Nose Jobs

Rhinoplasty is typically an elective surgery performed to enhance one’s looks. Perhaps you feel that your nose is too large for your face or the bump on your nasal bridge is unattractive or that your nose is off center due to a previous injury. If it is determined that your breathing capacity is being effected adversely by a deviated septum or any other obstruction, then the corrective part of the surgery would be covered and the cosmetic portion would be the patient’s responsibility.

Whatever your plastic surgery needs are, you will want to be certain that you are in the hands of a board certified plastic surgeon. In the Miami area, Dr. Bernabe Vazquez of Bayshore Cosmetic Surgery is a premier plastic surgeon that has performed thousands of plastic surgeries in his in-house surgical facility in Miami. It is recommended to schedule a consultation with Dr. Vazquez in order to determine what your plastic surgery will entail insurance wise. In the event that your plastic surgery is not fully covered or covered at all, we offer CareCredit, which allows patients to arrange for special financing with low monthly payment options and no prepayment penalties.

We look forward to addressing your concerns regarding insurance and your plastic surgery in a confidential consultation, which you can arrange for by calling our office at (305) 858-8222.