I am looking for a surgeon that will once and for all help me correct my hooded upper eyelids. I'm not sure what the criteria is for insurance to pay full-on. I think it's been starting to affect my vision, and I hope that the surgery will help with this issue, along with the benefit if being able to see my actual eye shape. I am in the Pacific NW. Thanks!!
Answer: Lateral eyelid hooding Hooded eyelids in your case is caused by two factors: You have loose "excess" upper lid skin, which is compounded by lateral brow drooping. Lateral brow lift combined with upper blepharoplasty will achieve the optimal results. In yours, it does not appear severe enough to be covered by insurance.
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CONTACT NOW Answer: Lateral eyelid hooding Hooded eyelids in your case is caused by two factors: You have loose "excess" upper lid skin, which is compounded by lateral brow drooping. Lateral brow lift combined with upper blepharoplasty will achieve the optimal results. In yours, it does not appear severe enough to be covered by insurance.
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CONTACT NOW Answer: Insurance blepharoplasty As mentioned in previous responses, a formal visual field needs to be performed, and sent along with exam notes and photographs for preauthorization by insurance company.In recent years this process has become more and more difficult for physicians to perform, with denials becoming more and more common. Furthermore, there have been cases when preauthorization is given before surgery, but once surgery is performed, the claim is then denied for a variety of 'bogus' reasons. This is a business model that insurance companies have started to use to make the process so onerous for surgeons so that they no longer perform this surgery with insurance. In fact, it is working. Many surgeons do not consider it practical to spend hours of office hours to perform a surgery that reimburses minimally as compared to the cost of a cosmetic blepharoplasty.An oculoplastics surgeon will have the best chance of getting this process covered for you.Good luck.
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CONTACT NOW Answer: Insurance blepharoplasty As mentioned in previous responses, a formal visual field needs to be performed, and sent along with exam notes and photographs for preauthorization by insurance company.In recent years this process has become more and more difficult for physicians to perform, with denials becoming more and more common. Furthermore, there have been cases when preauthorization is given before surgery, but once surgery is performed, the claim is then denied for a variety of 'bogus' reasons. This is a business model that insurance companies have started to use to make the process so onerous for surgeons so that they no longer perform this surgery with insurance. In fact, it is working. Many surgeons do not consider it practical to spend hours of office hours to perform a surgery that reimburses minimally as compared to the cost of a cosmetic blepharoplasty.An oculoplastics surgeon will have the best chance of getting this process covered for you.Good luck.
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March 31, 2014
Answer: Upper blepharoplasty for hooded eyelids and insurance coverage The hooded upper eyelids can be corrected with an upper blepharoplasty. The procedure involves removal of a small amount of skin and fat of the upper lids to give a natural contour. The surgery can be performed under local or general anesthesia, but we usually recommended general anesthesia. Insurance coverage for an upper blepharoplasty must meet several criteria. These criteria are different with each insurance company. For potential Insurance coverage, patients must go to an optometrist to get a visual field obstruction test. In our practice we take photographs and physical exam notes and submit all 3 of these items to the patient's insurance company for preauthorization prior to the surgery. Medical necessity must be documented before any insurance will cover the upper eyelid procedure. For many examples, please see the link below to our eyelid surgery photo gallery
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CONTACT NOW March 31, 2014
Answer: Upper blepharoplasty for hooded eyelids and insurance coverage The hooded upper eyelids can be corrected with an upper blepharoplasty. The procedure involves removal of a small amount of skin and fat of the upper lids to give a natural contour. The surgery can be performed under local or general anesthesia, but we usually recommended general anesthesia. Insurance coverage for an upper blepharoplasty must meet several criteria. These criteria are different with each insurance company. For potential Insurance coverage, patients must go to an optometrist to get a visual field obstruction test. In our practice we take photographs and physical exam notes and submit all 3 of these items to the patient's insurance company for preauthorization prior to the surgery. Medical necessity must be documented before any insurance will cover the upper eyelid procedure. For many examples, please see the link below to our eyelid surgery photo gallery
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March 29, 2014
Answer: Hooded eyelid treatment using blepharoplasty An upper eyelid blepharoplasty is a great way to remove excess upper eyelid skin. Insurance may cover this surgery if the excess eyelid skin is severe enough. This is normally documented by a visual field test. An in person exam would also be needed to fully assess your eyelid region. You can read more about blepharoplasty surgery at my web reference link below.
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CONTACT NOW March 29, 2014
Answer: Hooded eyelid treatment using blepharoplasty An upper eyelid blepharoplasty is a great way to remove excess upper eyelid skin. Insurance may cover this surgery if the excess eyelid skin is severe enough. This is normally documented by a visual field test. An in person exam would also be needed to fully assess your eyelid region. You can read more about blepharoplasty surgery at my web reference link below.
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July 17, 2017
Answer: Will insurance cover removal of eyelid hooding For insurance to cover an upper blepharoplasty, the procedure to remove eyelid hoods, and ophthalmologist or optometrist must document a loss of your upper outer visual fields. These test results must be submitted to your insurance company for prior approval.Based on the photographs that you provided I doubt that your visual fields are obstructed significantly by the amount of loose skin above the eyelashes.
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Answer: Will insurance cover removal of eyelid hooding For insurance to cover an upper blepharoplasty, the procedure to remove eyelid hoods, and ophthalmologist or optometrist must document a loss of your upper outer visual fields. These test results must be submitted to your insurance company for prior approval.Based on the photographs that you provided I doubt that your visual fields are obstructed significantly by the amount of loose skin above the eyelashes.
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