Different Types of Routine Procedures
Within the field of OculoFacial Plastic Surgery, there are different types of procedures that Dr. Lewen routinely performs.
Reconstructive surgery is typically performed on abnormal structures of the body. Such abnormalities can be caused by many different factors such as congenital (birth) defects, developmental abnormalities, trauma, infection, environmental factors, previous surgery, tumors, medical conditions, or disease processes. Reconstructive surgery is generally performed to improve function.
Cosmetic surgery is performed to reshape and rejuvenate normal structures of the body in order to improve its appearance.
Medically necessary surgery is performed when a patient has a condition that is causing significant functional impairment. According to Medicare.gov, “medically necessary” is defined as “health-care services needed to prevent, diagnose, or treat an illness, injury, condition, disease, or its symptoms and that meet accepted standards of medicine.” In any of those circumstances, if your condition produces debilitating symptoms or side effects, then it is also considered medically necessary to treat those. Medically necessary surgery must also meet criteria supplied by local and national coverage determinations. These determinations are made by the federal government (at the national level) and by private Medicare contractors (at the local level). For commercial insurance plans, medically necessary surgery may have other specific requirements, limitations, or exclusions that may be specific to your individual health plan.
Is Surgery Covered by Insurance?
Dr. Lewen is not currently accepting new insurance patients. If you are an existing patient, please speak with us directly to better understand our insurance policies.
Please Note: Reconstructive surgery that is performed to fix a complication of a previous cosmetic surgery is not covered by most health insurance plans. You are responsible for these charges and they will not be billed to an insurance carrier.
Cosmetic surgery is elective, and thus, it is never covered by health insurance plans. Cosmetic surgery is not considered to be a medical necessity. If you are planning to have cosmetic surgery with Dr. Lewen, your surgical fee will depend on the specific surgery that you choose to have, the cost of any required implants or supplies, and the operating time that is involved. At the time of your consultation, Dr. Lewen will review your treatment options, and then Dr. Lewen’s patient coordinator will provide you with an individualized treatment plan with a quotation for the associated costs. The ultimate decision to proceed with the surgery is entirely yours.
Dr. Lewen runs his Practice in an honest and ethical manner, appropriate with community acceptable standard of care. We look forward to helping you meet your aesthetic and reconstructive goals.