Quote:
Originally Posted by manaboutown
I believe blepharoplasty, rhinoplasty and vein ablation can be nonessential surgeries done by plastic surgeons.
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"Can be" and "are" are different things though.
If you have a deviated septum, or your nose was broken and is now badly misshapen, or you were born with a deformity in the nose and can't breathe out of it properly, then a rhinoplasty would be the medically appropriate solution. You do need your nose, and fixing it isn't always exclusively a cosmetic thing.
The same for a blepharoplasty - a relative had that done because his eyelids were sagging so far down that he was having trouble seeing and the eyelashes were turning inward and irritating his eyeballs. He had the excess skin removed and a few weeks later, all was well again.
On the other hand, getting an eyelid lift just because you want to look younger - shouldn't be covered in the first place. And getting a nose job just because you don't like how it curves outward at the ridge - is also a cosmetic thing and shouldn't be covered.
For things like that, it's important to know WHY there's a recommendation for a procedure. If it's medically necessary, it should be covered. If not, then no. A pre-auth is really a matter of paperwork UNLESS you're dealing with an insurance company that typically rejects pre-auths.