How To Get A Nose Job Covered By Ohip?

1713370785 Cow 3788367 960 720.jpg

OHIP, or the Ontario Health Insurance Plan, is the provincial government’s health care plan for residents of Ontario. While OHIP covers many medical procedures, elective cosmetic surgeries such as nose jobs are typically not covered. However, there are some circumstances in which OHIP may cover a nose job. Here’s how to get a nose job covered by OHIP:

1. Medical Necessity

OHIP will only cover a nose job if it is deemed medically necessary. This means that the surgery must be required to correct a functional issue, such as breathing problems or a deviated septum. If you are experiencing health issues related to the structure of your nose, you may be eligible for OHIP coverage.

2. Consultation with a Specialist

In order to determine if your nose job is medically necessary, you will need to consult with a specialist, such as an ear, nose, and throat (ENT) doctor or a plastic surgeon. They will assess your condition and provide documentation to support your case for OHIP coverage.

3. Referral from a Physician

Your family doctor or primary care physician will need to provide a referral to a specialist for a consultation regarding your nose job. This referral is necessary in order for OHIP to consider covering the procedure.

4. Submitting a Request for Prior Approval

Once you have consulted with a specialist and received a referral, you will need to submit a request for prior approval to OHIP. This request should include all relevant medical documentation and a detailed explanation of why the nose job is medically necessary.

5. Wait for Approval

After submitting your request for prior approval, you will need to wait for OHIP to review your case. This process can take some time, so be patient. If your nose job is approved for coverage, you will be able to schedule the surgery with a specialist who accepts OHIP.

Getting a nose job covered by OHIP can be a complex process, but with the right documentation and support from medical professionals, it is possible. If you believe that your nose job is medically necessary, be sure to follow these steps to increase your chances of getting coverage from OHIP.