Does Medicare pay for Eyelid Surgery?

There are two different types of upper eyelid visual problems due to obstruction: 1. A large hood of excess droopy SKIN that actually blocks part
of your peripheral vision; and 2. The other is true
ptosis (low hanging eyelid) of the lid which is due instead to a weak or detached muscleRegardless, both must be documented by a visual field test from your
ophthalmologist. Even in the best case, Medicare may NOT covered the surgery. The problem is that Medicare won't tell us until after the surgery is over. At that point, they may write us a letter and say, "you know what, that wasn't truly necessary and we won't pay you." For this reason, most eyelid surgeons now have you pay them first, and place the burden on trying to collect from Medicare on you, after the surgery. Hope this makes sense, because it certainly doesn't to any of us.....

Its purely a gamble that most surgeons are not willing to take. All sorts of documnetaion is needed including peripheral visual fileds. Good luck

Medicare does not provide preauthorization or a letter of agreement to pay even with evidence of upper lid ptosis.  Therefore the surgeon may do the procedure and then not be reimbursed.  It is a difficult situation for surgeons to be in thus many prefer not to take the risk.  Not to mention the low reimbursement if it is covered.