Magazine article USA TODAY

Poor Coverage for Kids' Plastic Surgery

Magazine article USA TODAY

Poor Coverage for Kids' Plastic Surgery

Article excerpt

In a survey conducted by the American Society of Plastic and Reconstructive Surgeons, more than half of its members who were polled reported insurance denial or trouble obtaining coverage of procedures for deformities, disfigurements, and congenital defects in children. According to the ASPRS survey, the most often denied procedures are associated with nose reshaping for congenital nasal deformities related to cleft lip and craniofacial deformity, repair of an abnormally small outer ear, and cleft lip repair.

"Insurance coverage denial for pediatric plastic surgery procedures is a symptom of the broader issues plaguing the state of medical care in this country today. From decreased hospital stays to increased insurance denials for procedures traditionally covered, insurance companies, rather than medical professionals, are determining the quality of patient care," says ASPRS president Dennis Lynch.

The American Medical Association has passed a resolution stating that treatment of a minor child's congenital or developmental deformity or disorder due to trauma or malignant disease should be covered by all insurers. …

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