Reader Question~ Insurance

From Katie:

Dr. Bashioum,

I am interested in upper eyelid surgery because I am noticing more hanging of the skin on my upper eyes.   When I spoke with my family physician about it, he has recommended that I have it done by an ophthalmic surgeon, as I may be eligible for insurance coverage.   I am sensitive to having facial surgery by anyone other than a plastic surgeon.   Will you accept insurance for this procedure?

The demand for cosmetic surgery in my office has allowed me to opt out of third party reimbursement.   In other words, patients directly pay for any of the cosmetic surgery done in my office.   I do not believe that cosmetic eyelid surgery or any elective cosmetic surgery should be covered by insurance.   There remains considerable disagreement as to whether these cosmetic procedures should be submitted for insurance reimbursement.

2 Responses to “Reader Question~ Insurance”

  1. drbillmackin Says:

    I really interested in your post. Actually I posted a similar related article in my blog regarding this issue. What is your opinion about it?


  2. nipntuck Says:

    Thank you for your interest. I believe insurance premiums should not be burdened with non functional surgical problems. Facial aging, minor nose trauma and scars can leave undesirable physical changes. Physicians frequently associate these changes with functional problems out of compassion for the patient. The doctor wants to be the patient’s insurance advocate. I am not convinced this is the best choice.



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