Health Insurance and Nose surgery: Will it cover my nose job ?

vhi_healthcareaviva quinn

Health Insurance generally covers your nasal surgery if …
1. It is a cosmetic or Functional problem arising from trauma. The mode of injury is not relevant.
2. You have Functional problems arising as a result of long-standing nasal defects.
3. Sinus pathology 
Where a septal deformity causing nasal obstruction has occurred as a result of trauma, the  costs of septoplasty surgery may be covered. 
How to find out if you will be covered ?
Attend your GP and request a referral to arrange an appointment with a Nose surgeon
The Nose surgeon ascertains what intervention may be required.
Procedure Codes that may be applicable in your case are provided to you
Contact your health insurer and confirm if you will be covered for the procedure.
Cosmetic surgery that is medically not necessary is generally not covered by insurance.

Rhinoplasty & Nose surgery in Children. Our publications in this area …ABOUT US


Cashman EC, Farrell T, Shandilya M.
Int J Otolaryngol. 2010;2010:752974. Epub 2010 Dec 19.
PMID: 21197394
Free PMC Article
Facial Plast Surg. 2007 Nov;23(4):259-66.
PMID: 18085500 [PubMed – indexed for MEDLINE]
Shandilya M, Den Herder C, Dennis SC, Nolst Trenité G.
Facial Plast Surg. 2007 Nov;23(4):245-57.
PMID: 18085499 [PubMed – indexed for MEDLINE]

Septoplasty failure: The common causes

Septoplasty is one of the most successful operations when used for the right indication.

Septoplasty is a nose surgery that is aimed at plastic repair of nasal septum … the party wall between the two sides of the nose. It is performed either on its own or as a part of other functional and cosmetic nasal or sinus surgeries. 

In adequately evaluated cases its results are very gratifying.

Failure of Septoplasty in improving the airway and improving the perceived comfort of breathing can result from :

1. Inadequate correction (very common). Posterior obstructive spurs are often left behind and use of endoscopic Septoplasty allows excellent visualization to tackle such problems.
2. Allergic Rhinitis (if its role is not established early)
3. Nasal valve compromise (failure of identification or failure to address it)
4. Physical obstruction from nasal mass or polyps 
5. Septal adhesions / synechiae