The skin is the most important organ of the human body to protect and manage. So, therefore the best thing you can do is to find out the truth about what causes skin problems or diseases and how they can be treated. You need to make it your mission to study facts about acne and skin from un-bias sources like dermatologists, doctors or skin care specialists, none of whom sell their own products. Blue Cross Blue Shield of North Carolina (BCBSNC) Corporate Medical Policy for Cosmetic and Reconstructive Surgery.
Cosmetic procedures are those services intended to improve appearance, and not primarily to restore bodily function or to correct significant deformity resulting from disease, trauma, or previous therapeutic process. Reconstructive procedures are performed on structures of the body for the purpose of improving/restoring bodily function or correcting significant deformity resulting from disease, trauma, or previous therapeutic process. BCBSNC will not provide coverage for cosmetic procedures as defined above. BCBSNC will provide coverage for Reconstructive Procedures when they are determined to be medically necessary because the medical criteria and guidelines shown below are met.
Benefits Application
Please refer to Certificate for availability of benefits. Benefits may vary according to benefit design, therefore certificate language should be reviewed before applying the terms of the policy. Some certificates limit coverage of reconstructive surgery following trauma or injuries occurring while a member.
When Cosmetic or Reconstructive surgery is covered
Cosmetic surgery is not covered, however reconstructive surgery is covered for either of the following indications:
- The procedure is intended primarily to improve/restore bodily function or to correct significant deformity resulting from disease, trauma, or previous therapeutic process.
- The procedure is intended to correct congenital or developmental anomalies that have resulted in significant functional impairment.
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