Insurance Reimbursement Assistance
Cosmetic surgeries typically require upfront payment, but some procedures may qualify for partial insurance reimbursement when addressing approved medical conditions.
We’re Here to Support You
Our team manages the entire insurance navigation process, handling all communications and paperwork to simplify and facilitate your potential reimbursement.
Step-by-Step Reimbursement Process
Step 1. Initial Consultation
Our team will help you evaluate the medical necessity of the procedure and review the insurance policy details.
Step 2. Treatment
Some procedures that are potentially eligible for insurance coverage include breast reduction, capsulectomy, hernia repair, nasal reconstruction, and functional eyelid surgery.
Step 3. Reimbursement
Your claim is processed by the insurance provider. Reimbursement typically takes 4-8 weeks, but may take up to 12 months or longer. Your expected reimbursement percentage will depend on your specific insurance plan.
Which Procedures are Eligible for Reimbursement?
Procedures may qualify for coverage if they:
- Address a legitimate medical condition
- Provide clinical treatment beyond aesthetic improvement
- Follow accepted medical practice standards
Potentially Covered Procedures
Eyes
- InserUpper blepharoplasty (with documented vision impairment)
Nose
- Septoplasty
- Turbinate procedures
- Nasal implants/spreader grafts
Breast
- Reduction (addressing neck/back pain)
- Reconstruction
- Revision procedures
- Post-breast cancer treatments
Body
- Umbilical hernia repair
- Panniculectomy
- Scar revisions
- Complex wound excisions and closures
- Advanced wound coverage
Medicare and Medi-Cal Patients
These plans have specific restrictions. Consult our insurance team for detailed coverage information.
Medical Necessity Criteria
A procedure qualifies when it:
- Evaluates, diagnoses, or treats a medical condition
- Follows established medical standards
- Provides clinically effective care
- Represents a cost-effective treatment option
Next Steps
Contact our office to discuss your specific procedure and potential insurance coverage.
Our team will guide you through the entire process.
Our team will guide you through the entire process.
