Ear nose throat doctor

An ear nose throat doctor is a medical specialist, classified as an otolaryngologist, who diagnoses and treats disorders of the ear, nose, and throat. Most health insurance plans in the United States cover visits to ear nose throat doctors for medically necessary conditions such as sinusitis or hearing loss.

Insurance companies require referrals from primary care physicians before approving specialist visits like those to an ear nose throat doctor under HMO plans, as reported by YourInsurance.info. Common procedures performed by ear nose throat doctors, including tonsillectomies and allergy testing, are typically covered if deemed medically necessary by insurers such as Aetna or Blue Cross Blue Shield.

Out-of-network coverage for ear nose throat doctors often results in higher out-of-pocket costs according to data from Cigna’s 2023 benefits guide. Medicare Part B covers diagnostic exams by ear nose throat doctors when ordered by a physician for specific symptoms like chronic hoarseness or balance issues.

Copays for insured office visits with an ear nose throat doctor usually range from $30 to $75 based on 2024 plan summaries from UnitedHealthcare and Humana. Preauthorization requirements frequently apply for advanced treatments provided by ear nose throat doctors, including sleep apnea surgery or cochlear implants, per Anthem policy documentation.