A member asked:

Is cosmetic surgery covered by insurance?

28 doctors weighed in across 6 answers

Insurance coverage: Cosmetic surgery is usually not coverd by insurance unless there is a functional component or the surgery is actually a reconstructive one such as following an accident or trauma. A doctor needs to have it evaluated and submit request for prior authorization.

Answered 7/26/2021

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Insurance for cosmet: If the surgery is re3constructive ie replace a missing breast or do burn scar reconstruction then insurance will usually pay but if it is merely to look better then it is not covered.

Answered 11/9/2012

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Dr. James White answered

Specializes in Cosmetic Surgery

No: Cosmetic surgery is not covered by insurance. Reconstructive surgery maybe covered by some insurance if medical necessity requirements are attained. Cosmetic surgery is usually completed to address a cosmetic defect in a normal healthy person. Cosmetic surgery is elective and very effective for realistic patients...But not covered by medical insurance.

Answered 2/8/2017

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No: Cosmetic surgery is considered not medically necessary, according to insurance companies. Therefore, cosmetic surgery is usually not covered by those policies. Patient seeking to improve their appearance with cosmetic surgery have several financial options including: savings for surgery, borrowing money, or financing.

Answered 3/21/2021

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Cosmetic surgery: Is usually not covered by insurance.

Answered 10/22/2017

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It depends: Some procedures that are medically necessary, such as a breast reduction for back and neck pain, but which can also improve the appearance of your breasts, are often covered by insurance. Eyelid surgery that removes excess skin that causes visual obstruction can also provide cosmetic enhancement to your eyelids, and are often covered by insurance.

Answered 12/21/2016

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