CosmetAssure

Complications Insurance For Cosmetic Surgery -

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Coverage Requirements

coverage-requirements

Patients must be enrolled prior to surgery. If a patient has a complication within the first 45 days following their surgery, CosmetAssure will cover the cost of treating the complication within the Maximum Limits.

CosmetAssure coverage is provided to all participating surgeon’s patients having one or more Covered Procedures. CosmetAssure will pay usual and customary medical expenses incurred by the patient, up to the applicable Maximum Limits (shown below) if the following requirements are met:

  • Surgical Event is registered in CosmetAssure Member Services (CMS)
  • Covered Complication (listed below) occurs within 45 days of the original Surgical Event with the exception of Capsular Contracture*** which must occur within 18 months of a primary breast augmentation
  • Treatment of Covered Complication(s) takes place at a Hospital, ER or other Accredited Facility*

Covered Complications

Cardiopulmonary Related

  • Arrhythmia
  • Cardiac Arrest
  • Deep Vein Thrombosis
  • Fluid Overload
  • Hypoxia
  • Myocardial Infarction
  • Pulmonary Dysfunction
  • Pulmonary Embolus
  • Rule Out Deep Vein Thrombosis
  • Rule Out Myocardial Infarction
  • Rule Out Pulmonary Embolus
  • Shock

Surgery Related

  • Capsular Contracture***
  • Hematoma**
  • Hemorrhage
  • Infection**
  • Rule Out Infection**

 Anesthesia Related

  • Severe Hypotension (systolic BP equal to or less than 80, three hours after the Covered Procedure)
  • Severe Hypertension (systolic BP equal to or greater than 200 or diastolic BP equal to or greater than 100, three hours after the Covered Procedure.)

*Accreditation requirements include JCAHO, AAAHC, AAAASF or Medicare approval.

**Infections and hematomas that are related to the Covered Procedure.

*** Capsular Contracture covered if diagnosed within 18 months and treatment completed within 24 months from date of primary breast augmentation.

For More Information

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*Coverage is underwritten by Lone Star Alliance, Inc., a Risk Retention Group, rated "A" by A.M. Best.

About

Overview
Covered Procedures
Coverage Requirements
Maximum Limits

For the Surgeon

Overview
Enroll Today
Statistics
Testimonials

For the Patient

Overview
Questions to Ask your Surgeon
Tell Your Surgeon

Contact us

CosmetAssure
1000 Urban Center Dr. Suite 625
Birmingham, AL 35242

Ph: 855.874.1230
F: 610.362.8556

Info@CosmetAssure.com

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