Insurance & Out-of-Network Benefits

At Aristocrat Plastic Surgery, Dr. Kevin Tehrani is an out-of-network provider with all insurance plans. While we do not participate directly with insurance companies, many patients are still able to utilize their out-of-network benefits for procedures that are deemed medically necessary. Our experienced insurance team is happy to verify your benefits, determine whether your plan offers out-of-network coverage, and guide you through the process from start to finish.

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What Procedures May Be Covered by Insurance?

Insurance coverage is generally limited to procedures that are considered medically necessary rather than cosmetic. Common procedures that may qualify include:

  • Breast Reduction (Reduction Mammoplasty)
  • Breast Reconstruction following mastectomy or lumpectomy
  • Breast Implant Removal when medically indicated (such as implant rupture or other qualifying medical conditions)
  • Breast Revision Surgery when medically necessary
  • Abdominal Wall Reconstruction
  • Scar Revision for functionally limiting or medically necessary scars
  • Skin Lesion, Cyst, or Lipoma Removal
  • Reconstructive Surgery following trauma or skin cancer
  • Other reconstructive procedures based on medical necessity

Please note that insurance approval is never guaranteed. Coverage is determined solely by your insurance carrier and is based on your specific policy, medical history, and supporting documentation.

How the Process Works

  • Schedule a consultation with Dr. Tehrani.
  • Dr. Tehrani will perform a comprehensive evaluation to determine whether your condition may qualify as medically necessary.
  • Our insurance specialists will verify your out-of-network benefits and obtain any required prior authorizations.
  • Once your treatment plan is finalized, we will review your estimated financial responsibility, including any deductibles, coinsurance, or non-covered services.

Cosmetic Procedures

Procedures performed solely for cosmetic enhancement are not covered by insurance and are considered self-pay. During your consultation, we will provide a detailed quote and discuss financing options to help make your procedure more affordable.

Questions About Your Insurance?

Our team is committed to making the insurance process as seamless as possible. If you have questions about your benefits or would like to schedule a consultation, please contact our office. We are happy to help you understand your coverage and explore all available options.

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