Practice Policies

Insurance

Plastic surgery covers a broad area of medicine, which includes both reconstructive procedures and cosmetic procedures. Reconstructive plastic surgery, such as trauma, reconstructive breast surgery, scars, skin cancer, congenital deformity, and some post-massive weight loss surgery are typical areas where health insurance applies. If your procedure is medically indicated, some portion of the cost may be covered.

This office accepts Anthem, Harvard Pilgrim, MVP, Aetna, Cigna, other commercial carriers, and Medicare and Medicaid.

All co-payments are payable at the time of your visit when you check in at the front desk.

In addition to cash, we accept VISA and Mastercard.

What’s Covered

In assessing whether the procedure will be covered by your insurance contract, the carrier looks at the primary reason the procedure is being performed: is it for relief of symptoms or for cosmetic improvement? Insurance companies often require prior authorization or approval before the surgery is performed and/or extra documentation after surgery to determine how much of the cost of your care they will cover.

There are a number of “gray areas” in coverage for plastic surgery that sometimes require special consideration by an insurance carrier. These areas usually involve surgical operations which may be reconstructive or cosmetic, depending on each patient’s situation. For example, eyelid surgery (blepharoplasty) – a procedure normally performed to achieve cosmetic improvement – may be covered if the eyelids are drooping severely and obscuring a patient’s vision.