My Eyelids Are Closing Because of Droopy Upper Lids and I Was Wondering if Medicare Will Pay Surgery?

Medicare and other insurances will cover upper eyelid ptosis repair and blepharoplasty if certain criterion are met.  First, the margin of the upper lid needs to be a certain distance away from the center of the pupil, usually less than 2mm.  Second, visual field testing must demonstrate significant visual field restriction due to the drooping lids.  Finally, some insurance companies will also want to see photographs.  An experienced oculoplastic surgeon should be able to tell you whether your insurance will cover the procedure prior to having it done.

Unless it's for health reasons, insurance doesn't usually cover eyelid surgery since it's considered cosmetic.  

Hello! Thank you for your question! Surgical procedures for aesthetic
purposes, to improve appearance, are not covered by insurance.
Typically, these as well as complications resulting from such procedures
are the responsibility of the patient. Procedures that are meant to
correct functional issues and those which cause health-related issues
should be covered by your insurance as a medical necessity, with proper
examination and documentation. Some insurance plans have exclusion
criteria for certain procedures. Also, it is an obligation of the
surgeon not to attempt to authorize purely cosmetic procedures through
insurance.  Often times, MediCare will not cover.  Detailed description of your complaints, testing, examination, and photographs will be requred.  The other issue is that MediCare will not preauthorize, and if they do not cover, the entire costs will be placed on you.  Discuss your issues and
complaints with a board-certified plastic surgeon to discuss these as
well as to examine and assist you in deciding which procedure(s) will be
the best for you. A discussion of the advantages and disadvantages will
take place along with the risks and benefits. Insurance companies will
vary on coverage and is always reasonable to discuss your issues with
your surgeon and primary care. It would behoove you to get as much
information as possible and even call your insurance yourself.
Certainly, pay in advance prior to your surgical procedure and options
such as financing are available if you qualify. Hope that this helps!
Best wishes!