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Financing plastic surgery

After years of being perceived as something only for the rich and famous, plastic surgery is now more prevalent than ever. In fact, almost 700,000 men and women had some type of cosmetic procedure done last year, up almost 10 percent from the year before, according to the Association of Plastic and Reconstructive Surgeons, Wake Forest, Ill.

Patients from all kinds of income brackets are undergoing surgery, too. In fact, according to The Institute for Cosmetic Surgery, Toronto, half of the patients who undergo surgery make about $25,000 a year.

Although it's getting cheaper -- prices on liposuction, vein removal, breast augmentation and hair restoration are falling because there are fewer requirements for overnight hospital stays -- a $9,000 facelift is elective surgery, not a medical necessity, and insurance companies consider you the person responsible for the bill.

What are your options? Well, when you visit your plastic surgeon's office for the first time to discuss the procedure and the fee, you should still bring your insurance card with you. That's right -- even though insurance companies consider cosmetic surgery an appearance enhancer, there are times when you can get insurance coverage for a procedure.

For example, eyelid surgery, which is a procedure normally performed to achieve cosmetic improvement, may be covered if eyelids are drooping severely and obscuring a patient's vision. Or even breast reduction can be covered by insurance if your bra straps are digging into your shoulders causing pain or you have constant backaches. Ask your surgeon to send a pre-authorization letter to your insurance carrier explaining the procedure, and listing the diagnosis and surgical fees. It's possible that your insurance company may give the go-ahead if they determine your procedure is a medical necessity. Of course, deductibles and co-pays may have to be met depending on your insurance policy.

But if you're looking to have a chemical peel ($3,000 average), a nose job ($7,000 average) or liposuction (anywhere from $2,600 to $9,000), it all boils down to appearance, and you're stuck with the entire bill. Most surgeons require you to pay 100 percent prior to surgery, so unless you have Joan Rivers for an aunt, you will have to add a nip or tuck to your bank account or perform a bit of plastic surgery on your credit cards.

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There are financing companies your surgeon can refer you to. Just like getting a car loan or mortgage, you must qualify for the financing. Make sure you understand all the terms -- how long is the loan for, what is the annual percentage rate you're paying, and the total interest costs. Your monthly payment will be determined by the amount of your down payment. If you opted to have a $4,000 rhinoplasty procedure, a no-money down, three-year payback period at 18 percent APR means you'll pay $126 per month. Your total interest costs are more than $500, making the final tab $4,536.

Other things to keep in mind:

Find a surgeon -- and a fee -- you're comfortable with. The American Society of Plastic & Reconstructive Surgeons publishes a Web site listing basic facts and figures about what to expect during your consultation. In addition, they provide a plastic surgeon referral service that gives you the opportunity to find a doctor in your area.

Understand all costs and fees. Do you know exactly what the difference is between a $4,900 tummy tuck and a $7,800 tummy tuck? Ask each surgeon you interview the type of procedure involved, the techniques used, how many sessions and follow-up visits needed, and any other related costs.

Keep copies of all communications. Make a personal file and note every conversation you have with your surgeon along with any communications you have with your insurance company just in case there is a glitch down the road.

-- Posted: May 11, 1999

 

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