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Is Functional Rhinoplasty Covered by Insurance in New York?

Functional Rhinoplasty in Syracuse, Rochester, and Ithaca, NYWhile many plastic surgery procedures are considered cosmetic by insurance companies because they typically are undergone for solely aesthetic reasons, rhinoplasty is one of the few that can be deemed medically necessary. Colloquially known as a nose job, functional rhinoplasty can be performed for a myriad of medical benefits. So how do you determine whether your rhinoplasty will be covered by insurance?

There is no easy answer to this question. While it mostly depends on the insurance company, our office is happy to provide a list of tips that may prove useful in getting as much help from your insurance as possible.

What Does ‘Medically Necessary’ Mean?

Most insurance companies will state that they only cover procedures and treatments that are considered medically necessary. They will also have a definition of what that entails. Do your research and find out how your procedure could potentially fall under their requirements.

Make sure you have all required documentation and that any necessary exams are performed. This will provide both you and your insurance company proof of any condition that may require a functional rhinoplasty to cure. Patients who suffer from difficulties breathing while sleeping or exercising may qualify for a functional rhinoplasty. This could include conditions such as sleep apnea, snoring, or a blockage in the nasal canal.

Find the Right Surgeon

One of the best ways to ensure your insurance will cover, if not all, at least part of the procedure, is by choosing the right plastic surgeon. Patients will find that having a surgeon who is willing to work with them and their insurance companies makes the whole process much easier.

Our office, led by board-certified plastic surgeon Dr. Sang W. Kim, is always happy to help where we can and are proud to offer our support throughout the whole of your journey.

Get a Second Opinion

The only thing more useful than one doctor’s opinion is two, and it is much harder for an insurance company to dispute a claim with multiple opinions. Having both a qualified surgeon and your family doctor or physician supporting a specific treatment will improve your chances of having the procedure covered.

If you have any more questions about how our office could help you, contact us and schedule your complimentary consultation at any of our Syracuse, Rochester, or Ithaca, NY locations today.


Dr. Sang W. Kim

Harvard Trained, Double Board Certified Facial Plastic Surgeon

Sang W Kim, MD is a double board-certified facial plastic surgeon who specializes in cosmetic and reconstructive facial plastic surgery, nasal/sinus surgery, and hair restoration surgery.

I was working in Central New York and had an upcoming event and needed to get 2 areas of Dystport done. They were able to accommodate my schedule( as it was short notice) Dr. Kim’s entire staff was so friendly and welcoming!! During the procedure , even Nurse Dan held my hand and kept me smiling the whole time!! I was incredibly impressed with Dr Kim as he made sure he took the time to explain the process as well as not “ being rushed” something I have experienced with previous Doctors. I live in Florida but will be seeing Dr Kim from now on, and will be recommending their office to my fellow New Yorkers! It’s been almost 2 weeks since my appointment and the results are amazing!!! So happy! Thank you so much Dr Kim, Mary and the rest of the staff !

- michele goodwin

Dr. Kim is a world-class facial plastic surgeon. I’ve been to the top surgeons in the country from Beverly Hills to Miami and I found Dr. Kim to be superior. His face and neck lift were flawless and so natural that no one could tell I had anything done, but everyone said I looked ten years younger. As Syracuse is a discreet location, I would highly recommend anyone who wants a top notch face and neck lift to fly in. His bedside manner is as fantastic as his work. I can’t recommend Dr. Kim enough. I think he is the best Facial plastic surgeon in the country.

- Shelly Cohen

I am very happy with Dr. Kim and all of his staff. Not only did I have a surgical procedure done but I also go there every week for allergy shots and they couldn't be nicer. And Dr. Kim is awesome - - great bedside manner! I highly recommend them!!!

- Sheila Guenette

57 years old and wanted to start my new path in life retired...not looking tired! I did extensive research and sought out 5 surgeon recommendations. I was extremely impressed with Dr. Sang Kim for several reasons: 1 - He specialized in and only performs /neck surgeries, 2 - Dr. Kim is younger and probably more newly established, but there was no doubt that he is a perfectionist and a professional in his field, 3 - He is patient and really listens. I felt confident and trusted that he was giving me his best recommendation for my concerns, 4 - He didn't try to push unnecessary or extra procedures, 5 - I was impressed by how obvious it was that Dr. Kim's administrative and medical staff liked him and respected his work. But most of all, I am extremely satisfied with the results of my face lift!

- Shannon F

I can't say enough good things about Dr. Kim. He is the most patient, professional, and personable physician I have ever had the pleasure of seeing. Instead of being rushed through the practice, every member of his staff made me feel welcome and important from the moment I walked through the door. He wouldn't perform a single procedure on me until he fully answered every minute question I had (all of which he eloquently and candidly answered); you can tell that his formal training was exceptional. His bedside manner and skilled technique easily make him one of the best kept secrets in Syracuse. I have referred numerous friends to him who have also, in turn, referred their friends. Make the consult and see for yourself... you won't be disappointed!

- Deanna Hillman

Dr. Kim and his staff were incredible. I had a face lift done this past summer and I was treated with dignity and respect by everyone. Dr. Kim is an exceptional surgeon and one of the nicest and kindest doctors I have ever met. I had a wonderful experience and I would highly recommend Dr. Kim and his entire staff. I recently went back to Dr. Kim for injections. Again my experience was wonderful. He explains everything he is going to do and what to expect. I didn't bruise and I love the fact that he doesn't overdo. He and his staff are just incredible. If I could give more than 5 stars I would.

- Debbie Ely

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