Amiya Prasad, MD

In most cases, the simple answer is no. In the case of vision blockage due to ptosis or excess skin, there are very specific vision tests that insurance companies will demand as well as photo documentation before approving such a surgery. There are times a procedure can be approved because of medical necessity. That said, if it is approved, the insurance company will have an amount that they deem normal for the procedure and the area it is performed in. Often times, in a private cosmetic practice, that covered amount is a fraction of the actual cost of surgery. Insurance companies rarely account for the specialty involved in these surgeries.

My advice would be to deal with your insurance company first. Get approval from them.  Submit it all your i's dotted and t's crossed and then knock on wood and cross your fingers that the claim will process.