hould insurance cover breast augmentation, the procedure commonly known as a boob job?
Most people would say “no, of course not.” That’s a cosmetic procedure, and health insurance shouldn’t pay for a procedure done to make someone look better.
Others seek cosmetic surgery to relieve pain or ease breathing.
Incidences such as accidents, wars, and complications in physical development leave people with low self esteem.
More and more I find myself arguing with insurance companies to cover treatment of my patients’ skin conditions that are seriously affecting their quality of life.
I fill out countless prior authorization forms and regularly talk peer to peer with medical representatives, advocating for my patients.Dunn even felt as though she no longer resembled herself. In an attempt to return her nose back to the nose she was born with, Dunn spent over three times what she spent on her original surgery (Schamberg). Many women pursue cosmetic surgery in the hopes of gaining confidence; however, many are disappointed. The traditional distinction is that cosmetic treatments are merely enhancements that improve appearance, while medically necessary treatments address a disease and are necessary for health or survival. Further complicating matters is the role that health care plays in our lives.One important role, to be sure, is to preserve and extend people’s lives or, in the language of medicine, to reduce mortality and morbidity. But health care should also strive to improve something that’s less easily defined: quality of life.This makes it difficult for people who want to have surgery for conditions that fall in the gray zone between cosmetic and medically necessary, difficult for the doctors who take care of them, and a challenge for insurers whose goal is to minimize their expenses.At the core of this issue is how we define the terms cosmetic and medically necessary.Most people live long lives these days but many of them also develop chronic health problems, despite the pace of medical advances.We are living longer than ever, but not necessarily better.Here’s a common example from my dermatology clinic. When I finally see her, she points out a skin tag in her right armpit.This benign, polyp-like growth has bothered her for years — she often nicks it while shaving, it rubs against her clothes, and it occasionally becomes painful and irritated.