My lids are slowly drooping over my eyes, would my insurance cover my Eyelid Surgery? (photo)

Insurances usually cover a procedure if it corrects a "functional" problem.  If your vision is impaired due to excess skin, this is a functional problem.  The insurance company will likely want to see a report from an opthalmologist documenting that you have a visual field defect due to the skin.  Then, whether your insurance pays for the procedure or not depends on what type of insurance coverage you have.  Good luck.

it is never easy to get an eyelid surgery approved by an insurance company.  You will need to see an oculoplastic surgeon as they specialize in this type of surgery.  If you have skin that hangs down over your lashes, they will do a visual field test to see if you have a loss of vision in the superior part of your visual field.  If you do, you can try to get approval to do the surgery.  If not approved, you can then decide if you would like to do it anyway and pay on your own.   

The answer is maybe.  It is getting more and more difficult to get insurance companies to cover upper eyelid droopiness. The medical term for the procedure is upper eyelid blepharoplasty. The droopiness has to be so bad that it interferes with your vision. Insurance companies often want you to go to an ophthalmologist to get what's called visual field testing. If this testing shows that you have peripheral field vision loss and the eye doctor feels that it is due to your excess upper eyelid skin, your insurance company may consider it. It is best to have a conversation with your insurance company to see exactly what they require and then get it pre-approved. Good luck, it is very difficult to get them to give you the OK.

Best to see opthalmologist or oculo-plastic surgeon for a "visual field testing". If positive for decrease field of vision than your health insurance "might" reimburse... 

The primary goal of an upper lid blepharoplasty is to remove hooded skin on the upper  eyelids. For some patients this is cosmetic, but when the skin is completely covering the eyelashes and blocking vision,  medical insurance may cover the functional surgery. Medical necessity  must be documented with visual field obstruction test, physician examination and chart notes, and photographs. All this is submitted to you your medical insurance for preauthorization prior to undergoing the procedure. For many examples of eyelid surgery and more information, please see  the link below

Some doctors may work with insurance companies to help you "cover" an upper lid blepharoplasty but most insurance companies will not cover this.  Good luck.

It is possible that insurance would cover this procedure if you meet their criteria for coverage. You will need formal visual field testing and a consultation. Further, the photos show your eyelids while you're smiling. In some cases, this can pull the brow down and accentuate heaviness in your eyelids. Photos submitted to your insurance company as well as visual field testing are performed with you in a relaxed state. Ultimately, your surgeon does little more than evaluate you and pass on that information to the insurance company. The decision for coverage rests entirely with your carrier regardless of what recommendations the surgeon makes. I hope this information is helpful for you.Stephen Weber MD, FACSDenver Facial Plastic Surgeon

Presently, Insurance companies may cover for upper lid ptosis repair but not for a blepharoplasty. In the past insurance companies covered for upper lid blepharoplasty when the upper lid skin affected the superior visual fields. Ptosis is when the eyelid droops (doesn't open entirely and looks partially closed), not excessive eyelid skin.Hope this helps.

First of all thank you for the pictures.  Insurance companies typically will not cover Blepharoplasty.  It must be determined that the Blepharoplasty is to correct "significant changes that impact on vision or the health of the eyes".  The upper eyelid skin must be extremely baggy and all but obliterating the eyelashes and covering the top half of the pupil.  Otherwise it is considered cosmetic and will not be covered. It does appear that you would benefit cosmetically with an Upper Lid Blepharoplasty due to the Ptosis of your upper lids.  I would recommend calling your insurance company to find out details on whether or not this is a covered procedure and the process. Cosmetically fee's can range from $1900.00-$3,200.00.  As always I would recommend having a consultation for a Cosmetic Blepharoplasty with a Board Certified Plastic Surgeon.  Best of Luck! 

A good opthalmologist can do what is known as a visual field test.If that documents that the excess hooding is physically interfering with your vision it might be covered depending on the type of health insurance you have.From your age and photos though my off the cuff guess would be "probably not.Good luck.Upper lid blepharoplasty can often be done in office under local, and if not covered by insurance is not super expensive.