Medi-Cal Acceptance? (For Ptosis)

Do most oculoplastic surgeons accept Medi-Cal when approved? I think I am covered under medi-cal, do I need to get tested under the oculoplastic surgeon or under any general ophtamologist? how long does the approval process take?

Doctor Answers 4

Insurance coverage

Unless it's for health reasons, insurance doesn't usually cover eyelid surgery since it's considered cosmetic. However,you may be able to get it covered if your vision is impaired. This needs confirmation through a vision test.

Toronto Plastic Surgeon
5.0 out of 5 stars 176 reviews

Ptosis and MediCal

If your lids are covering your pupils, this would be a covered procedure.  The problem is finding a physician that would accept M-Cal as payment as it can be a challenging procedure to produce perfect results.  If you are patient, you should be able to find a provider to do this corrective procedure for you.

Curtis Wong, MD
Redding Plastic Surgeon
4.8 out of 5 stars 33 reviews

A University Teaching Hospital Is a Good Choice for You

Suggest contacting the nearest medical school department of ophthalmology and ask for a consultation in the ophthalmic plastic surgery department. UCLA and USC have very active ophthalmic plastic surgery programs and you will be wise to see those superspecialists.

If indeed they feel that surgery can help you, they will help make all the arrangements for you.

Don't worry, no one goes without help.


Robert Kotler, MD, FACS

Robert Kotler, MD
Beverly Hills Facial Plastic Surgeon
4.8 out of 5 stars 85 reviews

Medi-cal pays so very little that many doctors can't accept it.

However, if you are a resident of Los Angeles, the Los Angeles County Hospitals do accept Medi-Cal. These hospitals are well staffed and have the subspecialty care you need. Although the setting is not posh, you will get excellent medical attention.

Kenneth D. Steinsapir, MD
Beverly Hills Oculoplastic Surgeon
4.9 out of 5 stars 26 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.