Dr. Tansavatdi takes pride in providing a high level of service and expertise in facial plastic and reconstructive surgery and serves as an out-of-network provider for major PPO plans. She will work with you to develop the best care plan at the most reasonable cost to you.
The expenses connected with cosmetic surgery (surgeon’s fees, operating room expenses and supplies, anesthesia fees, laboratory tests including EKGs, etc.) most likely will not be covered by medical insurance. Occasionally, cosmetic surgery is done in conjunction with a procedure which is designed to improve function or is reconstructive in nature. Although our staff will be happy to assist you with your application for any reasonable insurance coverage, please note that even in cases that are clearly functional or reconstructive in Dr. Tansavatdi’s opinion, we cannot guarantee that your particular insurance company will agree with her findings and cover your procedure. How a health insurance plan defines what is “cosmetic” and what is “medically necessary” is very subjective, and there is wide variability from plan to plan.
You must realize that health insurance is a contract between you and your insurance company. Tansavatdi Cosmetic and Reconstructive Surgery is not a party to this contract. If your insurance company declines any of the fees associated with our services to you, even those billed as medically necessary but which were declined by your insurer as being cosmetic, medically unnecessary or an uncovered preexisting condition, you, the patient, are ultimately responsible for all charges incurred.
Where insurance coverage is being contemplated for any portion of a patient’s procedure, we encourage patients to review their insurance policy first and to discuss their case directly with their insurance company. In this manner, the patient can ensure all necessary requirements for coverage, such as satisfaction of any preexisting condition waiting periods, precertification letters, photo documentation, second opinions and the like are known and met.