Financing

Introduction

Plastic Surgery Payment Options

At Craig Baldenhofer, MD Plastic Surgery, we believe every patient deserves clear, straightforward information about the cost of care. Our team offers several payment and financing options to help make medically necessary and elective plastic surgery procedures more accessible. Before your procedure, we will review the anticipated costs, available payment methods and any insurance benefits that may apply to your treatment plan.

Insurance Coverage for Plastic Surgery

Most cosmetic plastic surgery procedures are considered elective and are not covered by health insurance. However, insurance may provide coverage when a procedure is deemed medically necessary and meets the requirements established by your specific plan. In some cases, patients are able to use insurance coverage to reduce their self-pay portion of a cosmetic procedure or combinations of procedures. 

Procedures that may qualify for insurance coverage include:

  • Breast reduction
  • Panniculectomy
  • C-section scar revision (mini tummy tuck)
  • Excess skin removal following significant weight loss

Insurance approval generally requires documented proof of medical necessity. Depending on the procedure and your insurance plan, this may include medical records, physician referrals, photographs, documentation of symptoms and evidence that conservative treatments have been attempted without sufficient relief. Our team will help you obtain the necessary documentation to submit to your insurance company.

Our practice is in network with Local 1199. We have also helped patients with out-of-network benefits obtain coverage through a variety of insurance providers, including:

  • Aetna
  • Anthem Blue Cross
  • Cigna
  • EmblemHealth
  • GHI
  • MagnaCare
  • NYCE PPO Plan
  • NYSHIP
  • Oxford
  • UnitedHealthcare

Insurance benefits and requirements vary by plan. Coverage is not guaranteed, even when a procedure may be medically necessary. Our team can help you understand the authorization process and determine what documentation may be required, but patients are responsible for confirming their individual benefits, deductibles, coinsurance and out-of-pocket costs directly with their insurance provider.

Self-Pay Options

For elective cosmetic procedures and services that are not covered by insurance, Craig Baldenhofer, MD Plastic Surgery accepts the following forms of payment:

Cash payments are accepted for surgical and non-surgical services.

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