Insurance

Infant ear molding is covered by most all insurance companies because the ear deformity is considered a congenital deformity. We work with parents to obtain insurance approval before the first office visit, when the mold is applied.

Insurance Authorization for Ear Molding

Email us the following information below. We will respond within 1-3 business days.

 
  1. Newborn Name
  2. Newborn Date of Birth
  3. Newborn Gender
  4. Parent Names
  5. Parent Address
  6. Insurance
  7. Insurance Policyholder Name & Date of Birth
  8. Photo of your newborn’s ears from both sides of the head, from the front, and from the back.
  9. Photo of insurance card, front and back.

Avoid Future Ear Surgery (Otoplasty) at Out of Pocket Cost

When ear molding is performed early, future surgery can be completely avoided. Ear pinning surgery, known as otoplasty, is usually performed when a child is 5-6 years old, before other kids start to mock and make fun of ear deformities. Otoplasty usually requires general anesthesia and has an extended recovery. In addition, otoplasty results can often look overdone and abnormal, and about 20% of otoplasties fail due to a stitch breaking.

Infant ear molding is covered by insurance as it is considered a congenital deformity. However, when a child undergoes an otoplasty at a later age, insurance companies consider it cosmetic at that time and it is therefore not covered by insurance. Otoplasty is a cosmetic out of pocket cost.

Dr. Shareef Jandali works with most insurance companies to obtain approval and authorization for newborn ear correction with ear molding. Call our office for more information.

Through the NY business, Dr. Jandali does not participate with any commercial insurance plans and is an “out-of-network” provider. Our NY office will work on getting an in-network (gap) exception approved so that the ear molding procedure is covered at an in-network level.

Through the CT business, Dr. Jandali participates and is an “in-network” provider with Medicaid/Husky, Anthem, BCBS, and Connecticare. With all other commercial insurance plans, he does not participate and is an “out-of-network” provider. Our CT office will work on getting an in-network (gap) exception approved if we are out-of-network, so that the ear molding procedure is covered at an in-network level.