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August 08, 2006 at 04:08 PM
Empire State health insurers may not have to pay for liposuction or ordinary nose jobs, but they should pay for plastic surgery that is medically necessary.
The New York State Insurance Department has tried to make that point in new regulations adopted on an emergency basis.
In the regulations, department officials try to spell out when health insurers can automatically deny requests for plastic surgery and when they must consider arguments about medical necessity.
Officials have put requests for coverage for skin peels, hair transplants, correction of inverted nipples, ear piercing and minor work on the tip of a patient’s nose on a long list of procedures that can trigger automatic denials.
