At Hudson Plastic Surgery, we believe every patient deserves clear, transparent guidance regarding surgical costs, insurance benefits, and financial options. While elective cosmetic treatments are not covered by health insurance, many reconstructive procedures performed to restore function, repair trauma, or reconstruct tissue following disease or cancer removal may qualify for coverage.
Our experienced patient navigation team works closely with you to help verify benefits, submit necessary documentation, and ensure your care journey is as smooth and stress-free as possible.
Understanding how insurance providers evaluate surgical procedures helps clarify your potential coverage:
Category | Insurance Coverage Status | Common Examples |
|---|---|---|
| Reconstructive Procedures | Often covered (subject to network & plan terms) | Mohs defect repair, nasal facial reconstruction, soft tissue tumor removal, breast reconstruction, keloid removal, scar revision for functional limitation |
| Elective Cosmetic Procedures | Out-of-pocket (Not covered by insurance) | Facelift, cosmetic rhinoplasty, breast augmentation, liposuction, non-surgical MedSpa treatments |
Prior to your reconstructive surgery, our team checks your out-of-network benefits and policy requirements.
We compile and submit clinical documentation, diagnostic images, and physician letters to advocate for your coverage.
For cosmetic procedures or remaining out-of-pocket balances, we partner with reputable healthcare financing providers (such as CareCredit) to offer manageable monthly plans.
Coverage depends on your specific health plan, out-of-network benefits, deductible, and copays. While reconstructive procedures meet medical necessity criteria, out-of-pocket requirements vary by policy.
For combination procedures (such as a functional septoplasty combined with cosmetic rhinoplasty), insurance may cover the functional portion, while the elective aesthetic component is handled out-of-pocket. We provide detailed line-item quotes prior to surgery.
Contact our patient care coordinators at 212-287-7211. Have your insurance card ready, and we will happily assist in reviewing your coverage details.
Monday - Thurs: 9AM - 5:00PM, Friday: 9AM - 3:00PM
