If you plan to get plastic surgery, you might be thinking about how much it will cost. The good news is your health insurance may pay the bills for you, given certain conditions.

Dr. Zaydon’s in-office surgical facility has been serving patients for over 20 years. He offers high-quality yet affordable surgical options for patients who need plastic surgery for cosmetic, functional, and workers’ compensation purposes.

Click here for the complete and updated list of accepted insurance providers.

Will my insurance cover cosmetic or plastic surgery procedures?

The answer to this question depends on whether or not the surgery is necessary and justified by medical reasons. The insurance company evaluates the need for surgery. If you will get it for purely aesthetic reasons, your insurance provider will not pay for it.

However, cosmetic and plastic surgery procedures performed to improve the function of a body part and prevent complications are medically necessary so they can be covered by insurance.

If the injury that needs plastic surgery was sustained while performing your job, the cost may be shouldered by your employer’s workers’ compensation insurance.

Here are the common plastic surgeries that may be covered by your insurance provider:

Abdominoplasty

Abdominoplasty is the surgical removal of excess fat and skin in the abdomen. Also known as “tummy tuck,” this procedure aims to make the abdomen firmer and thinner. Although it is generally a cosmetic procedure, it is also being performed on patients with excess abdominal skin after losing a lot of weight.

Does insurance cover abdominoplasty?

Abdominoplasty may be covered by insurance if:

• It is done to prevent a recurring or chronic rash or skin infection
• The excess skin is limiting a person’s mobility
• It is done as a part of breast reconstruction surgery, wherein the tissues removed from the breast during mastectomy are replaced with tissues from the abdomen

Otoplasty

Otoplasty refers to the surgical repair of the outer ear. In the case of torn earlobes, earlobe reshaping, a type of otoplasty, is often performed to repair torn skin or reduce the size of stretched earlobes.

Does insurance cover otoplasty?

Otoplasty may be covered by insurance if:

• It is performed to correct a congenital defect
• It is essential to restore or improve hearing
• The earlobes were injured on the job

Blepharoplasty

Blepharoplasty, also known as an eyelift, refers to the surgical repair of eyelid defects and deformities. This procedure usually entails the removal of excess skin and fat from the eyelids. There are two types of blepharoplasty: upper eyelid blepharoplasty and lower eyelid blepharoplasty. 

Does insurance cover blepharoplasty?

Because lower eyelid blepharoplasty surgery is often performed for cosmetic reasons, it is not usually covered by insurance.

However, according to the American Academy of Ophthalmology (AAO), your insurance may cover the cost of upper eyelid blepharoplasty if:

• The upper eyelid is obstructing your peripheral vision (side vision)
• The droopy eyelids hinder you when doing daily activities
• A vision test confirms that your sagging eyelids interfere with your line of sight

How to know if insurance will cover the surgical cost of plastic surgery?

The best way to find out if your health insurance will pay for all or part of the surgery is to talk to Dr. Zaydon, a plastic surgery consultant in Miami. During your consultation, Dr. Zaydon will create a personalized treatment plan based on your needs.

Through history taking, physical examination, imaging tests, and other assessment methods, Dr. Zaydon can determine if a functional surgery is needed for your condition.

What if my insurance doesn’t cover the cost of surgery?

If your insurance provider doesn’t consider it medically necessary for you to undergo plastic surgery, you can choose from payment plans we have made available for patients. Feel free to contact us for more information.

Learn more about Dr. Zaydon – Plastic Surgery Consultant in Miami

Dr. Zaydon is certified by the American Board of Plastic Surgery and is a member of the American Society of Plastic Surgeons.

He is also a fellow of the American College of Surgeons. Dr. Zaydon serves as a workers compensation plastic surgeon and a plastic surgery expert witness on liability cases around the country. He has reviewed many cases and has served as an expert witness for both plaintiff and defendant. 

For inquiries, please Contact Us.

The material contained on this site is for informational purposes only and DOES NOT CONSTITUTE THE PROVIDING OF MEDICAL ADVICE, and is not intended to be a substitute for independent professional medical judgment, advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare providers with any questions or concerns you may have regarding your health.