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Are Procedures to Remove Vericose Veins Covered by Most Insurance Providers?
asked 10 months ago by MGrenter in Seattle, WA
Latest answer by Vivek Bansal, MD
Question viewed 127 times
Tags: coverage, insurance
They do not bother me, aside from the fact that I hate having them on my legs. They've gotten really bad since I had a baby six months ago.
7 answers to Are Procedures to Remove Vericose Veins Covered by Most Insurance Providers?
+2
Insurance coverage for Varicose Veins
Most insurance providers have policies in place to address treatment of symptomatic varicose veins and venous disease. The key word is symptomatic. Insurance coverage is based on Medical Necessity. For most insurance companies the following are necessary for coverage: 1] Symptomatic varicose veins 2] Visible varicose veins on standing digital photographs 3] Ultrasound demonstration of venous reflux or blood flow in the wrong direction...
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James E. White, MD
Chattanooga General Surgeon
Chattanooga General Surgeon
+1
Vein Treatment
Many insurance companies we deal with do not cover the vein treatment unless a vascular surgeon assess the area and deems it to be medically necessary, and even then sometimes it is denied depending on the carrier. With lupus, vein removal must be done with great care as things could get worse in some cases. See a Board Certified Dermatologist for this treatment.
Vivek Bansal, MD
Danville Plastic Surgeon
Danville Plastic Surgeon
+1
Varicose Veins and Insurance, Venous Reflux, VNUS Closure
Like most questions on this site, it depends. Chronic venous insufficiency, of which varicose veins are one consequence, is the most common disease in North America. In fact, if you add up diseases 2-5, they don't exceed CVI. It affects one in eight Americans, with over half being symptomatic.
Symptoms occur often and can range from pain, fatigue in the legs, bursting feelings, itchiness, burning and swelling all the way up to ulceration and skin breakdown.
Seeing a vascular...
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Jeffrey W. Kronson, MD
Los Angeles General Surgeon
Los Angeles General Surgeon
+1
Symptomatic varicose veins are covered
If your veins are not bothering you (not painful, itchy, tender, achy, etc), then it is unlikely that insurance will cover for treatment of these veins. I have had good success in getting my patients' varicose veins treatment covered by insurance ompanies as long as they satisfy the insurance company's criteria. Every insurance varies but generally they include:
1) have moderate to severe symptoms;
2) failing a trial of conservative therapy for 1-3 months (pain...
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Margaret Mann, MD
Cleveland Dermatologic Surgeon
Cleveland Dermatologic Surgeon
+1
Insurance coverage for Varicose Veins.
Some insurances do cover varicose vein treatment but not spider veins. A patient must have a significant venous disease to qualify for treatment coverage
Victoria Karlinsky, MD
Manhattan General Surgeon
Manhattan General Surgeon
+1
Varicose veins medically covered?
Most insurance carriers require pre certification for this problem. Depending on the procedure being perfomed. Usually testing such as an ultrasound needs to be performed to confirm the veins are varicose before treating them. It has been my experience that many insurance carriers do cover this surgery.
Ariel Ostad, MD
New York Dermatologic Surgeon
New York Dermatologic Surgeon
+1
Most insurance will not cover "cosmetic" treatments.
Most insurance plans have specific exclusions for cosmetic procedures. Each plan may use different language, but the end result is the same. Unless you are having a lot of pain that interferes with your daily activities, your insurance plan will probably consider any treatment for varicose veins as cosmetic, and as such it will not be covered. It sounds as though you would not qualify for insurance reimbursement - regardless of how ugly they are.
Robert Swanson, MD
Bay Area General Surgeon
Bay Area General Surgeon