By Daniel Petkevich
Nov 18, 2022
Difficulty breathing and nosebleeds are just two of the potential health risks caused by a deviated septum. So can Medicare help cover the surgery to straighten your nose? If the surgery is determined to be medically necessary, then yes. Otherwise, Medicare will not offer coverage for cosmetic procedures.
Let's talk more about what goes into this determination.
A deviated septum is when the thin wall of cartilage that separates the nostrils in your nose shifts to one side. This can lead to an obstruction of airflow and make breathing difficult. It's estimated that 80% of people have some degree of a deviated septum, with severe cases causing difficulty sleeping, headaches, and sinus infections.
The causes of a deviated septum can vary but include congenital issues or trauma such as a broken nose.
Common symptoms of a deviated septum include difficulty breathing, poor sense of smell, frequent nosebleeds, sinus infections, and snoring. Sometimes the obstructed nasal airway can lead to nasal polyps, benign growths in the sinus that can further impede your breathing.
In order to diagnose the condition properly, your doctor will ask you questions about your medical history and conduct a physical exam that may include a rhinoscopy (an examination using an endoscope that is passed through the nostrils).
The surgery to correct a deviated septum is known as septoplasty. In this procedure, the doctor will straighten and reposition the septum to improve airflow. The surgery is typically done under general anesthesia in an outpatient setting and may involve other procedures, such as sinus resection or turbinate reduction.
Septoplasty is usually regarded as minor procedure. Most operations take only 30-90 minutes, with recovery lasting for a couple weeks on average. These are among the most common medical procedures performed by ear, nose, and throat doctors. Before your procedure, you might be asked to stop taking certain medications that can increase the risk of bleeding during surgery.
The cost of septoplasty can vary depending on the complexity of your case, but the cost can range from $6,000 to $30,000.
As mentioned earlier, Medicare will only help to cover the cost if the procedure is deemed medically necessary. But if that is not the case, you still have some options for reducing the cost of your surgery. For example, you can talk to your doctor about financing options and paying in installments.
What does Medicare cover for treating a deviated septum?
For Medicare to offer coverage for any type of surgery, it must be deemed medically-necessary. Medicare Part B may cover the costs associated with a septoplasty if it is deemed to be medically necessary. However, they will not cover cosmetic procedures. In order to determine if you qualify for coverage, your doctor must present documentation of the medical necessity of the procedure. The documentation should include the diagnosis, a description of the procedure, and a plan for post-operative care.
If you meet all of the criteria, Medicare Part B will cover 80% of the costs associated with the septoplasty. You will be responsible for the remaining 20%, although a Medicare Supplement Plan can help cover the remaining 20%.
Deviated septum surgeries are covered by Medicare if they are determined to be medically necessary. If not, there are other ways to cover the costs, such as working with a doctor on financing options. No matter what route you take, it's important to speak with a medical professional about any questions or concerns you have before making major decisions. This content is for informational purposes only. If you have any questions about your Medicare coverage, give us a call today at 1-888-376-2028.
How Much Does Open Heart Surgery Cost with Medicare?
How Much Does Xeljanz Cost with Medicare?
How Much Does Rexulti Cost with Medicare?
How Much Does Trelegy Cost with Medicare?
What Does Medicare Cover for Stroke Patients?
Does Medicare Cover Cervical Disc Replacement?
What Happens to Unused Medicare Set-Aside Funds?
Does Medicare Cover Xiafaxan?
Is Botox Covered by Medicare?
What You Need to Know About Creditable Coverage
Does Medicare Cover Light Therapy for Psoriasis?
Does Medicare Cover Wart Removal?
Does Medicare Cover Qutenza?
Can Medicare Help with the Cost of Tyrvaya?
Does Medicare Cover Iovera Treatment?
Does Medicare Cover Inqovi?
Does Medicare Cover Exercise Physiology?
Does Medicare Cover Bladder Sling Surgery?
Virgil Insurance Agency, LLC (DBA Fair Square Medicare) and www.fairsquaremedicare.com are privately owned and operated by Help Button Inc. Medicare supplement insurance plans are not connected with or endorsed by the U.S. government or the federal Medicare program. This is a solicitation of insurance. A licensed agent/producer may contact you. Medicare Supplement insurance is available to those age 65 and older enrolled in Medicare Parts A and B and, in some states, to those under age 65 eligible for Medicare due to disability or End-Stage Renal disease. Virgil Insurance Agency is a licensed and certified representative of Medicare Advantage HMO, HMO SNP, PPO, PPO SNP and PFFS organizations and stand-alone PDP prescription drug plans. Each of the organizations we represent has a Medicare contract. Enrollment in any plan depends on contract renewal. The plans we represent do not discriminate on the basis of race, color, national origin, age, disability, or sex. Plan availability varies by region and state. For a complete list of available plans please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov. © 2022 Help Button Inc
We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.