
If you're considering keloid removal, you're likely wondering if insurance will cover the cost. In some cases, insurance may cover keloid removal treatments, but it depends on the specific circumstances.
The type of keloid removal treatment you need will play a significant role in determining insurance coverage. For example, if you need surgical excision, insurance may cover a portion of the costs, but if you opt for laser treatment, it may not be covered at all.
In order to get insurance coverage for keloid removal, you'll need to have a pre-existing condition, such as acne or eczema, that has led to the formation of keloids. This is because insurance companies often consider keloids a symptom of an underlying condition rather than a standalone issue.
Insurance coverage for keloid removal can vary depending on your location and the specific insurance provider you have. Some insurance plans may cover keloid removal as an elective procedure, while others may only cover it as a medically necessary treatment.
See what others are reading: What If My Insurance Doesn't Cover Zepbound
Insurance Coverage
Insurance coverage for keloid removal surgery can be complex, but it's essential to understand the options available to you.
Insurance may cover keloid removal surgery if it's deemed medically necessary, but it's crucial to review your policy and consult with your insurance provider.
You may be eligible for direct reimbursement if your insurance covers the procedure, which means the insurance company will directly reimburse the healthcare provider for the treatment costs.
Some policies may partially or fully cover the procedure, while others may not cover it at all, so it's essential to review your policy carefully.
Certain healthcare providers may accept insurance coverage or offer discounts for cash-paying patients, which can make the procedure more accessible and affordable.
You can discuss these options with your healthcare provider to find a payment solution that works best for you.
The L91.0 code used for keloids and hypertrophic scars might be the best chance for reimbursement, according to Dr. Siegal.
Explore further: Does My Insurance Cover Plan B
However, if a claim is denied, there's usually a reason provided for denial, and you can try to challenge a claim if you have the data to support it.
Keep in mind that insurance compensates by the number of injections, not the size of the lesion, which can affect reimbursement for medical management of keloids.
Cost and Expenses
The cost of keloid removal can vary significantly, and it's essential to understand the factors that influence the price. The size of the keloid is a major factor, with larger keloids requiring more extensive surgical procedures and increasing the overall cost.
Differences in skin color can also impact the cost, as certain treatments may be more suitable for specific skin types. For example, if you have darker skin, you may require a specific type of treatment that can be more expensive.
Keloid removal surgery may not always be covered by insurance, and even if it is, the out-of-pocket expenses can still be substantial. According to some estimates, the costs can vary based on the treatment method chosen, with surgical removal being the most expensive option.

Here are some typical expenses associated with common keloid treatments:
- Surgical Removal: More expensive, and requires expert skill.
- Laser Therapy: Multiple sessions could accumulate higher costs.
- Cryotherapy: Budget-friendly but may need further treatment for success.
It's also worth noting that insurance coverage can depend on the specific policy and the reason for the keloid removal. If the keloid is causing pain or limiting movement, it may be considered a medical necessity and therefore covered by insurance.
Out-of-Pocket Expenses
Out-of-Pocket Expenses can be a significant concern for those considering keloid removal surgery. Many health insurance plans treat keloid scar treatment as cosmetic, so coverage may not be available.
If your insurance doesn't cover keloid removal, you can expect to pay out-of-pocket. The costs vary based on the treatment method and healthcare provider's fees.
To avoid unexpected charges, it's essential to request a detailed cost breakdown from your healthcare provider. This will give you a clear understanding of the expenses involved.
Here's a rough estimate of the costs associated with each treatment method:
Keep in mind that these costs are only estimates, and the final bill may vary depending on your specific situation. It's always best to consult with your healthcare provider to get a more accurate estimate of the costs involved.
Cost-Effective Scar Alternatives
Cost-Effective Scar Alternatives are a viable option for those looking to manage keloid scars without breaking the bank.
Silicone-based products, available as gels or patches, offer a non-invasive way to manage keloid scars.
Consistent use of silicone-based products can flatten and fade keloids over time.
Pressure garments or silicone sheets can also serve as an economical approach to keloid scar removal.
These cost-effective alternatives may not provide immediate results, but they can be effective if used regularly.
Treatment and Procedure
Keloid removal surgery can be a complex process, and the cost can vary depending on the treatment method chosen. Surgical removal is often the most expensive option, requiring expert skill.
There are various treatment options available, including surgical excision, steroid injections, cryotherapy, laser therapy, and pressure dressings. Each treatment has its own set of benefits and drawbacks, and the choice of treatment depends on the size, shape, and location of the keloid, as well as the patient's specific needs and goals.
Insurance coverage for keloid removal surgery can vary depending on the insurance policy and the specific circumstances of the case. Generally, insurance companies may provide coverage for some or all of the treatment costs if the keloid removal is deemed medically necessary.
Here are some of the common treatment options for keloid removal:
- Surgical Excision: This involves cutting out the keloid and stitching the wound closed.
- Steroid Injections: Corticosteroid injections are used to reduce the size and relieve symptoms associated with keloids.
- Cryotherapy: This involves freezing the keloid to reduce its size and relieve symptoms.
- Laser Therapy: This involves using a laser to remove the keloid and promote healing.
- Pressure Dressings: This involves applying pressure to the keloid to flatten it and reduce its size.
It's essential to consult with an experienced healthcare practitioner who specializes in keloid treatment to determine the most suitable approach for your specific case. They can assess the characteristics of your keloid and recommend the most effective treatment options to achieve optimal results.
Procedure Complexity
Procedure complexity can significantly impact the cost of keloid removal.
A keloid's size and treatment complexity can influence the total cost.
Some keloids may require additional steps, such as tissue grafting or flap reconstruction, to achieve optimal results. These additional procedures can increase the complexity of the surgery and subsequently impact the cost.
The complexity of the procedure can be a major factor in determining the overall cost of keloid removal.
Surgical removal, for instance, is more expensive and requires expert skill.
Here's a breakdown of the factors that can contribute to procedure complexity:
- Tissue grafting
- Flap reconstruction
Anesthesia, Facility Fees, and Post-Operative Care
It's essential to understand the various factors that can affect the cost of keloid removal surgery. The size and location of the keloid can impact the complexity of the procedure and subsequent costs.
The complexity of the procedure itself can also influence the overall cost, with additional steps or specialized techniques increasing the price.
Geographical location can also play a role, with regional differences in costs contributing to the total expenses.
Additional fees associated with anesthesia, facility usage, and post-operative care can also add up. These factors can vary depending on the healthcare provider, so it's crucial to discuss and clarify them during the initial consultation.
Here's a breakdown of the factors that can impact the cost of keloid removal surgery:
Development and Treatment
Keloids are abnormal scars that develop when the body produces excessive scar tissue in response to an injury. They can extend beyond the boundaries of the original wound and vary in size and shape depending on their location.
The treatment of keloids is individualized and depends on several factors, including the size, shape, and location of the keloid, as well as the patient’s specific needs and goals.
There are various treatment options available to address keloids, including surgical excision, steroid injections, and other therapies such as cryotherapy, laser therapy, pressure dressings, and silicone gel sheets.
Surgical excision involves cutting out the keloid and stitching the wound closed, but it's often used for smaller keloids or those that are easily accessible.
Steroid injections are commonly used to reduce the size and relieve symptoms associated with keloids, helping to soften and flatten the keloid by reducing inflammation and inhibiting collagen production.
Other therapies, such as cryotherapy, laser therapy, and pressure dressings, may also be utilized in keloid management to improve the appearance and reduce the discomfort of keloids.
It's essential to consult with an experienced healthcare practitioner who specializes in keloid treatment to determine the most suitable approach for your specific case.
Here are some common treatment options:
Note that treatment may involve a combination of these options, and it's essential to work with a healthcare practitioner to determine the best course of treatment for your specific case.
Development Process

Keloid development is a complex process, but understanding it can help you navigate treatment options. It occurs due to an overactive response of the body's healing process, which leads to excessive collagen production.
Fibroblast cells are responsible for producing collagen, the protein that helps close wounds and form scars. In individuals prone to keloid formation, these cells produce too much collagen, causing the scar to extend beyond the original wound.
Excessive tension on the wound during healing can also increase the risk of keloid development. This is why it's essential to take care of your wounds and follow proper wound care techniques.
A family history of keloids can also increase your risk of developing them. If you have a family member who has keloids, you may want to discuss your risk with a doctor.
Keloids can affect people of all ethnicities and skin types, but they are more common in individuals with darker skin tones. This is an important consideration when discussing treatment options with your doctor.
You might enjoy: Will My Insurance Cover Urgent Care
Frequently Asked Questions
How much does it cost to get a keloid removed?
The cost to remove a keloid scar typically ranges from $2,500 to $4,500, depending on the size, location, and complexity of the procedure. Learn more about the factors that affect the cost and what to expect from the removal process.
When is keloid removal medically necessary?
Keloid removal is medically necessary when it significantly impairs daily functioning and is documented by a healthcare professional. This may involve a consultation to assess the impact of the keloid on your quality of life.
Sources
- https://medicaid.ncdhhs.gov/1-o-3-keloid-excision-and-scar-revision-0/download
- https://www.dermatologytimes.com/view/keloid-care-and-insurers--will-they-or-wont-they-pay
- https://www.thekeloidplasticsurgerycenter.com/blog/costs-of-keloid-removal/
- https://www.cigna.com/knowledge-center/hw/medical-topics/keloid-scars-abp9862
- https://www.medicalbillgurus.com/keloid-removal-surgery-billing/
Featured Images: pexels.com