Can Insurance Cover My Septoplasty?

The short answer is yes—provided you have symptoms of nasal blockage that haven’t improved with medication. If, during your examination, I find evidence of a deviated or crooked septum, surgical repair (septoplasty) is often the recommended course of action.

Regarding the financial aspect, it is important to note that our practice does not accept or process insurance payments. We operate as a fee-for-service office, meaning all fees are handled out-of-pocket at the time of surgery.

However, you may still be able to utilize your benefits:

• Self-Billing: You have the option to bill your insurance company directly after the procedure to attempt to get reimbursed.
• Documentation: We will provide you with the clinical documentation and diagnosis codes confirming the medical necessity of the repair. You will then submit this paperwork yourself.
• Cost Offset: Whatever reimbursement you receive from your carrier will go directly to you, helping to offset your surgical expenses.

Please be aware that we do not handle pre-authorizations. As the patient, you are responsible for understanding your policy’s specific requirements, restrictions, and the likelihood of reimbursement.