Will Eyelid Surgery for congenital ptosis be covered by insurance now, or not?

Typically congenital ptosis Irvine should be covered by insurance. You must have appropriate documentation from your plastic surgeon including pictures as well as rationale for sure and how the surgery affects your medical well-being. 

It depends on your insurance. Most insurance companies will not cover ptosis or blepharoplasty unless your vision is affected. You need a peripheral field exam and if you have enough affected you might get covered. This can be precertifed so you know in advanced to the surgery.

Usually Ptosis surgery will be covered by insurance if the peripheral visual field is being blocked by the drooping eyelid.  I would suggest evalution by an oculoplastic Surgeon and visual field testing.  The surgeon should then be able to let you know if it will be covered.

In general, insurance companies will only cover operations to correct ptosis or droopy upper eyelids if the condition interferes with vision. Your surgeon might be able to send a letter to your insurance company to determine whether or not this would be covered.