Requirements for blepharoplasty insurance coverage in Canada? (Photo)

Question

Do you think I would qualify for blepharoplacy coverage? Who should I see first to get the process going: a family doctor, an optometrist, or a surgeon?

Stephanie Dreckmann, MD · Answer

Blepharoplasty is rarely covered by provincial insurance and based on the photo, I don't think it would likely qualify but can't say for certain. It is an insured service generally only if there is so much excess upper lid skin that it is causing a significant obstruction of vision. In some provinces, visual field reports issued by a specialist are required to confirm that there is "enough" visual obstruction. To get the process going, a good starting point is your family doctor as many specialists may require a referral from your primary care provider.

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