Is Nasal Polyp Surgery Covered By Insurance?

Yes, polypectomy (removal of nasal polyps) is a common surgery that is covered by almost all health insurance plans. For further information about your coverage, speak with your doctor or insurance.

If you or a loved one is suffering with Nasal Polyps, contact one of our patient care coordinators at 212-288-2222 right once!

How much does nose polyp surgery cost?

What Is the Price of a Nasal Polypectomy? The price of a Nasal Polypectomy on MDsave ranges from $2,725 to $3,457. Those with high deductible health plans or those who do not have insurance might save money by purchasing their procedure in advance with MDsave.

Does insurance cover sinus surgery?

Functional endoscopic sinus surgery, vocal chord surgery, oral and throat caner, as well as adenoid and thyroid-related therapies are all covered under the cashless policy.

Does insurance cover nose reconstructive surgery?

The cost of rhinoplasty for cosmetic reasons will not be reimbursed by insurance. However, functional rhinoplasty or septoplasty, which is intended towards treating functional difficulties, may be partially or totally covered. Patients who were born with a deviated septum or an extremely thin nose, have undergone nasal damage from an accident or sports injury, or have other functional problems may benefit from functional rhinoplasty (to restore the inner tissues of the nose and create free airflow).

Functional rhinoplasty isn’t technically cosmetic surgery because it’s done to treat a medical problem with your nose. Although functional rhinoplasty does not usually result in apparent changes to your nose’s look, the nasal contours can be modified to a more pleasing shape if desired. Consult an experienced plastic surgeon, ideally one who specializes in reconstructive surgery, about your surgical goals. This will help you get excellent results by enhancing both your breathing and the shape of your nose.

Functional rhinoplasty improves your breathing and allows you to enjoy life more. Nasal obstruction, if left untreated, can have a negative impact on your quality of life. Rhinoplasty can help with the following issues:

Before making any coverage assumptions, always check with your health insurer. The boundary between what is considered medically necessary and what is not can be difficult to draw in many circumstances.

If you are unable to receive coverage via your health insurance or are worried about cost management for your half of the payment, you may want to investigate the following options:

Credit Card: If you have a low-interest credit card, you might want to consider using it to cover your rhinoplasty charges. Some plastic surgeons accept credit cards designed expressly for medical or cosmetic procedures.

FSA (Flexible Spending Accounts): If your workplace offers a flexible spending account, you may be able to use it to pay for some or all of your rhinoplasty expenses. Inquire with your plan administrator about the rules that apply to your plan.

HSA (Health Savings Account): These savings accounts are available to people who have high-deductible health insurance or catastrophic coverage. Participants in the plan pay for medical care using their pre-tax health savings account until they reach their high deductible. Parts of your procedure that are medically required may be covered. If you have any questions concerning the rules, contact your plan administrator.

How painful is nasal surgery?

For the first few days after surgery, you should expect some nasal and sinus pressure and pain. A sinus infection or a dull aching in your sinuses may be the result. For minimal post-operative discomfort, extra-strength Tylenol is often all that is required. Aspirin and nonsteroidal anti-inflammatory drugs (NSAIDs) such as Motrin, Advil, and Aleve should be avoided (see below). If Tylenol does not relieve your pain, you should take the post-operative pain medicine that your doctor has prescribed.

Is deviated septum covered by health insurance?

Septoplasty is a surgical treatment used to rectify a deviated septum, a condition in which the septum is displaced, obstructing the breathing tube and restricting airflow.

Trauma or a congenital condition can also create a deviated septum (compression of the nose during birth). Around 80% of men and women in the globe have a deviated septum, albeit not everyone has the symptoms listed above.

Deviated Septum Surgery / Septoplasty

Many people with deviated septum problems seek deviated septum surgery to fix the condition and enhance their breathing. Septoplasty is an outpatient treatment that is done under general anaesthetic.

The septum is meticulously trimmed and relocated by a qualified rhinoplasty surgeon (the center portion inside the nose dividing the two nostrils). After that, the septum is straightened and adjusted to give a proportionate breathing passage between the two nostrils. Due to the nature of a deviated septum, turbinate reduction may be performed in conjunction with septoplasty to repair the internal turbinate, which may become larger or collapsed.

Incisions are made inside the nose during septoplasty to avoid obvious scarring. Splints and packing may be utilized in rare circumstances to help stabilize the nose during recuperation. A cast is placed over the top of the nose to keep it in place while it heals, and gauze is taped beneath the nostrils to absorb any bleeding that may occur in the first 3-4 days after surgery.

Septoplasty Recovery

After about a week, splints, casts, and packing are usually removed, and a saline irrigation program is recommended for recovery. Swelling and bruising are frequent and usually remain for two to four weeks. Patients who have a septoplasty should not blow their nose for at least two weeks following the procedure and should exercise extreme caution for the first few months, as the nose is quite delicate.

Patients report significant improvements in breathing after septoplasty, as well as better sleeping habits and fewer sinus infections.

Septorhinoplasty

Many individuals seeking septoplasty also contemplate rhinoplasty, a cosmetic treatment that improves the shape, side, and projection of the nose. RHINOPLASTY is a condition that affects women.

Septoplasty with Insurance

One of the most common operations covered by insurance is septoplasty. Because a deviated septum can cause major problems such as chronic sinusitis and sleep apnea, insurance companies consider it a medical necessity, therefore it is frequently covered by insurance policies.

Insurance does not cover aesthetic treatments, however it will cover the septoplasty portion of the cost of a septorhinoplasty, which includes surgeon fees and operating room fees. Please fill out our free insurance verification form on the right to discover whether you qualify for septoplasty with insurance.

How much of septoplasty is covered by insurance?

  • Depending on what is included (such as cartilage scoring, contouring, or a replacement/graft), surgery can cost anywhere from $6,000 to $30,000 or more. This type of operation costs an average of $10,219, according to the Agency for Healthcare Research and Quality. The Saint Elizabeth Regional Medical Center in Lincoln, Nebraska, anticipates that septoplasty will cost $7,150 to $26,303 in 2012-13.
  • When surgery is required to correct a medical problem, health insurers usually cover it. Although some patients get both septoplasty and rhinoplasty at the same time, most insurance companies will not cover the cosmetic surgery aspect of these surgeries. Out-of-pocket costs for septoplasty for insured patients often include a specialist copay, perhaps a hospital copay of $100 or more, and coinsurance of 10% – 50% for the treatment, which may exceed the yearly out-of-pocket maximum. The average hospital copay for outpatient surgery is $132 and for inpatient surgery is $232, according to the Kaiser Family Foundation. The typical coinsurance rate is between 17% and 18%.
  • The procedure takes roughly one to one and a half hours and needs either local or general anesthesia. Patients are usually discharged the same day.
  • The surgeon will create an incision inside the nose’s wall, lift the mucous membrane, and shape or remove the cartilage or bone that is causing the issue.
  • After that, the mucus membrane will be stitched, splinted, or wrapped in packing material to return it to its proper position. Within one or two days, the nasal packing must be removed.
  • A cold compress, such as the $5 Ace Reusable Cold Compress, may provide assistance during recuperation, according to the University of Wisconsin-Madison School of Medicine and Public Health. Because patients will have to breathe through their mouths while recovering from surgery, a vaporizer or humidifier may be helpful. A tabletop or room humidifier can cost anywhere from $25 to $100 or more, depending on output, size, and extra features. The Essick Air 2.7 Gallon Tabletop Humidifier, for example, costs $36, has a simple design, and a two-speed motor. The Sunpentown Portable Air Cooler with Ionizer costs $95, and it may be used as a fan, air cooler, or humidifier.
  • Many hospitals offer uninsured/cash-paying patients discounts of up to 30%. Patients without health insurance may be eligible for a 45 percent discount at St. Joseph Hospital in Orange, CA, for example. If they pay within 10 days of getting a bill, they will receive an additional 10% discount.
  • Any major surgery includes dangers, and septoplasty is no exception. It can also cause a change in the curvature of the nose, scarring, and a loss of smell. The National Institutes of Health’s website for patients and their families, MedLinePlus, provides a list of surgery-related questions to ask a doctor.
  • Patients can use the American Academy of Otolaryngology-Head & Neck Surgery’s free search engine to discover doctors.

Is it worth getting nasal polyps removed?

Nasal polyps removal is often quite successful and results in a significant reduction in symptoms. If your nasal polyps are caused by a hereditary or allergy condition, they may reappear and require additional treatment. In certain cases, nasal polyp surgery may provide relief, but it is not guaranteed to be lasting without further treatment.

Is nasal polyps surgery risky?

You’ll most likely return home the same day, however you’ll need a driver. The day after surgery or the next day, you should be able to consume your regular diet.

In order to reduce bleeding, your doctor will likely advise you to avoid the following activities in the days after your surgery:

Shortly after the operation, you should expect some bleeding from your nose. However, if you have a lot of bleeding, you should see a doctor. They can perform a procedure to limit blood loss by sealing blood vessels in your sinuses.

Nasal polyp surgical complications are uncommon, according to deSilva. Injury to your eyeball or brain, as well as lasting changes to your sense of smell, are among them. Before deciding on surgery, be sure you are aware of the dangers.

According to deSilva, you should be able to resume your normal routine within a week. “About 4 or 5 days after surgery, I went back to work,” Black adds.

According to deSilva, it takes around a month to fully recuperate. Expect to see your doctor multiple times during this period to clear debris and maintain your airways open.

Nasal polyps tend to reappear even after successful surgery. By 12 years after having nasal polyp surgery, nearly 80% of patients had developed new polyps, according to a modest but long-term research. More than 36% of those people required additional surgery.

Follow your doctor’s directions and stick to your post-surgery treatment plan to obtain the best outcomes. This may allow you to avoid or postpone another procedure. Medication may be part of your post-surgery treatment strategy.