Policyholder Services

Does OMIC’s policy extend coverage for cosmetic procedures?

Yes. OMIC’s policy is designed to cover (within the appropriate coverage classification) all oculofacial plastic surgery procedures considered ordinary and customary for the specialty. Although it would be nearly impossible to list every procedure covered, procedures covered include (but are not limited to) the following. Please refer to OMIC’s Coverage Classification descriptions to determine which procedures are permissible under your coverage classification.

  1. Autologous fat/dermis transfer to the face (transfer to areas other than the face requires underwriting review)
  2. Biopsy or excision of skin or superficial soft tissue masses (anywhere on the body)
  3. Blepharoplasty
  4. Blue light acne treatment (with or without use of photodynamic therapy)
  5. Botulinum toxin injections for treatment of cosmetic indications of the face and neck (use for cosmetic indications on other areas is subject to underwriting review), dystonia and other approved spastic disorders, headaches, and hyperhidrosis
  6. Brow lift
  7. Cellulite reduction using radio frequency/light energies
  8. Chemical peels (peels using Phenol Acid in concentrations greater than 15% require underwriting approval)
  9. Chin augmentation, including implants, mentoplasty, and genioplasty
  10. Dermabrasion
  11. Earlobe repair
  12. Epilation (electrical, mechanical, or photo)
  13. Endoscopic sinus surgery
  14. Eyelash extensions
  15. Facial reanimation
  16. Forehead lift (lifts limited to the upper 1/3 of the face)
  17. Frontal sinus obliteration
  18. Full facelifts for cosmetic purposes (lifts involving the lower 1/3 of the face)
  19. Hair removal using a laser, ILP, or radio frequency/light energies
  20. Hair transplantation (for alopecia or cosmetic purposes) and other approved medical/surgical treatments for alopecia
  21. Harvest of bone graft, including harvest of rib graft
  22. Harvest of ear cartilage
  23. Implantation of eye jewelry
  24. Implants for facial features other than the chin (e.g., malar augmentation, nasolabial folds, temple, etc.)
  25. Injections/implantation of FDA-approved soft tissue fillers
  26. Laser tattoo removal
  27. LatisseTM (prescribing or dispensing of)
  28. Lip augmentation
  29. Liposuction
  30. Microdermabrasion
  31. Micropigmentation (“permanent makeup”)
  32. Mid-face lifts, including excision of redundant skin around the eyelids and ears
  33. Neck lift
  34. Orbital decompression
  35. Orbital reconstruction, including bone maneuvers and soft tissue maneuvers
  36. Osteoplastic reconstruction of facial deformities
  37. Otoplasty
  38. Placement of arch bars on teeth
  39. Platysmaplasty
  40. Post-Mohs reconstruction surgery (above the clavicle)
  41. Prescription of Retin-A
  42. Removal/repair of facial skin cancers
  43. Removal of nasal polyps
  44. Repair/reconstruction of facial fractures, including orbital fractures
  45. Rhinoplasty
  46. Scar revision, including injections of antimetabolite agents or steroids to scars
  47. Septoplasty
  48. Skin bleaching
  49. Skin resurfacing, rejuvenation, or tightening using lasers, IPL, radio frequency, plasma energy, and/or ultrasound
  50. Teeth whitening
  51. Treatment of spider veins or varicose veins using sclerotherapy, IPL, or lasers


If you intend to perform a procedure not listed above and would like to confirm whether coverage is available under the OMIC policy and if any additional application or review is required, please contact an underwriting representative at (800) 562-6642.

Updated 5/29/2018

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