Will Insurance Cover My Ear, Nose, or Throat Treatment?
Written By: Emma Squillace
If you are one of the tens of millions of people in the United States that suffers from problems with your ears, nose, or throat, you likely want relief. Part of relief comes from choosing an expert physician to diagnose and treat you. You may also be wondering whether insurance will cover your treatment. Today we’ll review some of the common treatments we offer, and how insurance generally handles these cases.
Allergy testing & allergy treatment
Allergies can develop at any age, so we see young patients for allergy testing – as well as older patients that worry they’re now developing allergies for the first time. Allergies can be frustrating because their symptoms may mimic the symptoms of a common cold. Medical testing for allergies is the only accurate way to figure out if your coughing, sneezing, runny eyes or hives are due to allergens. In many cases, allergy tests are skin tests, and sometimes they are blood tests. Often, insurance does cover allergy tests although remember you may need to pay a co-pay or deductible. Insurance also covers most allergy treatments including allergy shots. However, not all insurances cover immunotherapy, which is a convenient and innovative at-home allergy treatment. We can help you understand the cost of each treatment we recommend to you, as well as what your insurance will cover.
Septoplasty for a deviated septum
A deviated septum is a surprisingly regular condition. In fact most of us have a septum that is deviated to some degree. However, a small percent of the population has a septum that is deviated so much that it causes problems. Your septum is the thin wall that separates your nostrils. If this area is crooked, or deviated, to a large degree, it can interfere with breathing. Some people with deviated septums can have nosebleeds, difficulty breathing out of one of their nostrils, facial pain, and recurring sinus infections. For people with these types of symptoms, insurance will often cover the cost of surgical repair to the septum (a septoplasty). While some patients ask us if insurance will also cover the cost of straightening a crooked nose (rhinoplasty) the answer is ‘no’ in many cases. Straightening a crooked nose is generally considered a cosmetic procedure, while straightening a deviated septum is often seen as a medically necessary procedure. As a general rule, insurance rules out cosmetic procedures, and covers those deemed medically necessary. However, there are exclusions and exceptions.
A balloon sinuplasty is a procedure available to patients who battle ongoing sinus infections. While we try to treat sinus infections with medications, this is not enough for some people. In those cases, we offer a highly successful treatment called balloon sinuplasty. This procedure uses a small balloon to help restructure the inside of the nasal passages. It also allows for enlargement of the sinus passages. In many cases insurance will cover the cost of balloon sinuplasty. However, there are still some insurances that will not. You can contact your insurance company to ask if this is a procedure they cover. You can also speak with our office, since we have insurance experts on our team.
We offer a range of testing and treatment for people with hearing difficulties. These are as simple as ear wax removal, and as substantial as cochlear implants. In most cases insurance will cover the cost of hearing tests. Sometimes insurance will cover treatments for hearing loss. Unfortunately, often private medical insurance does not cover hearing aids. If hearing aids are a good option for you, we can go through your options and help you understand the costs, specifically what your insurance will cover, and what financing options are available.
At West Medical, we offer a wide range of treatments for people with ear, nose, and throat conditions. Our expert ENT team is happy to work with you on not only finding a diagnosis, but also recommending the best treatment options. Our team includes insurance experts who can educate you about which treatments your insurance will cover. The first step is to come in and have a consultation, so you have an accurate diagnosis. From there we can help you understand your treatment, insurance, and/or financing options. If you’d like to talk to our experts, give us a call today at (855) 690-0565.