Will I Qualify for Insurance Coverage on a Blepharoplasty Procedure? (photo)

You do exhibit interference of the brow fold with the eyelid.  Your fold actually rests on the upper eyelid margin.  There was a time when this would be covered by insurance.  Now this is almost universally regarded as a cosmetic issue.  You are an excellent candidate for a very conservative upper blepharoplasty.  You can see examples of this type of work on my website.  The key is not removing all of the upper eyelid fold.  One only wants to remove enough of the fold to expose a uniform strip of the eyelid platform.  One should preserve essentially all of the upper eyelid fullness.  Less is more.  A microdroplet cosmetic botulinum toxin treatment also lifts the eyebrow and will reduce the heaviness of the upper eyelid fold but this only lasts a few months.  Yours is basically a surgical problem but too much upper eyelid surgery will rob you of your upper eyelid fold which is a very important aspect of your youthful appearance. 

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.

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.