I am 23 and I've had droopy eyelids for as long as I can remember and it just seems to be getting worse. It's mainly my right eye that droops the worst and sometimes I notice that my right eyebrow is lower than my left eyebrow. Judging from my picture.. do you think it's at all possible I will qualify for insurance coverage? Would I be better off just getting botox? Thank you!
Answer: Will I Qualify for Insurance Coverage on a Blepharoplasty Procedure?
Sorry to say there are so many hoops to jump through and additional out of pocket expenses that it may not be worth the effort. First which health insurance plan do you have? HMO or EPO or PPO, are there restrictions to upper lid surgery? What are you deductibles? What are you co pay numbers. Second you will need a visual fields examination, a pre determination letter, photos from the eye doctor to the insurance company. This is not usually covered by the insurance plan as to the letter and your co pays. So you most likely will be spending 50% of the costs to do the operation to try and get it approved. With that caveat the OK is very hard to obtain. Better you pay for the upper lid blepharoplasty and live your life because the time and effort it would take to TRY an obtain this coverage could be months. Good luck
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CONTACT NOW Answer: Will I Qualify for Insurance Coverage on a Blepharoplasty Procedure?
Sorry to say there are so many hoops to jump through and additional out of pocket expenses that it may not be worth the effort. First which health insurance plan do you have? HMO or EPO or PPO, are there restrictions to upper lid surgery? What are you deductibles? What are you co pay numbers. Second you will need a visual fields examination, a pre determination letter, photos from the eye doctor to the insurance company. This is not usually covered by the insurance plan as to the letter and your co pays. So you most likely will be spending 50% of the costs to do the operation to try and get it approved. With that caveat the OK is very hard to obtain. Better you pay for the upper lid blepharoplasty and live your life because the time and effort it would take to TRY an obtain this coverage could be months. Good luck
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CONTACT NOW Answer: 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.
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CONTACT NOW Answer: 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.
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March 19, 2013
Answer: Insurance Coverage for Upper Eyelid Blepharoplasty
Insurance companies have placed upper eyelid surgery squarely in the automatic challenge list. The pre-approval process has become so onerous for the Physician that it has become very hard to justify use of resources for this category of treatment. At age 23, you face a Herculean task in getting your procedure approved. Botox is a wonderful option in chemically raising the brow, but requires ongoing maintenance.
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Answer: Insurance Coverage for Upper Eyelid Blepharoplasty
Insurance companies have placed upper eyelid surgery squarely in the automatic challenge list. The pre-approval process has become so onerous for the Physician that it has become very hard to justify use of resources for this category of treatment. At age 23, you face a Herculean task in getting your procedure approved. Botox is a wonderful option in chemically raising the brow, but requires ongoing maintenance.
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March 15, 2013
Answer: Insurance coverage for blepharoplasty II can't speak for other areas of the country but the NY insurers put blepharoplasty on their hit lists more than 20 years ago. Barring multiple sclerosis, a stroke, myasthenia gravis, etc., they will not cover the procedure. You do not have sufficient impairment of the visual fields. Upper lid blepharoplasty is an inexpensive, short procedure that can even be performed under local anesthesia in an office based OR. Botox will not offer you the degree of improvement that is indicated. Best wishes.
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Answer: Insurance coverage for blepharoplasty II can't speak for other areas of the country but the NY insurers put blepharoplasty on their hit lists more than 20 years ago. Barring multiple sclerosis, a stroke, myasthenia gravis, etc., they will not cover the procedure. You do not have sufficient impairment of the visual fields. Upper lid blepharoplasty is an inexpensive, short procedure that can even be performed under local anesthesia in an office based OR. Botox will not offer you the degree of improvement that is indicated. Best wishes.
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March 15, 2013
Answer: Medical qualifications for a blepharoplasty
Each insurance company has different criteria for medical coverage related to a blepharoplasty. To qualify for an insurance company to pay for a medically related blepharoplasty, a consultation, physical examination, photographs, and visual field obstruction tests need to be submitted to your insurance company. The insurance company will then preThe-authorize the procedure or not. Most insurance companies require at least 30% of your entire field of vision to be obstructed from the excess skin on the upper lid to considered for it to be medically related.
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Answer: Medical qualifications for a blepharoplasty
Each insurance company has different criteria for medical coverage related to a blepharoplasty. To qualify for an insurance company to pay for a medically related blepharoplasty, a consultation, physical examination, photographs, and visual field obstruction tests need to be submitted to your insurance company. The insurance company will then preThe-authorize the procedure or not. Most insurance companies require at least 30% of your entire field of vision to be obstructed from the excess skin on the upper lid to considered for it to be medically related.
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