Get the real deal on beauty treatments—real doctors, real reviews, and real photos with real results.Here's how we earn your trust.
Eyelid surgery may be covered by insurance if there is an issue that affects the function of the eyelids or affects vision. One of the most common procedures that may be covered by insurance would be upper eyelid surgery when the droopy skin impairs the field of vision. An eye exam is needed to determine if there is a visual field defect due to the upper eyelids.
Generally speaking, insurance only covers an eyelid surgery thatis deemed medically necessary. If the droopiness of your eyelids is impairingyour vision or is otherwise affecting the functionality of your eyes, it ispossible that your insurance may cover all or some of the cost of your blepharoplastyprocedure. If you are seeking surgery for cosmetic or aesthetic reasons, on theother hand, it is likely that insurance will not cover any portion yoursurgery.
Simple answer to your question is yes. However, for "functional" or "medical" reasons and not for cosmetic reasons. Upper eyelid surgery is covered when peripheral or upper visual fields are affected. They can also be covered if contributing to a watery eye, however, certain criteria need to be satisfied. I published a paper describing this indication of "upper eyelid wick syndrome" (see in any search engine).Lower eyelids are covered when contributing to either watery eyes or dry eyes, either by significant laxity or retraction. Lastly, both upper and lower eyelids are covered for the indication of medical conditions such as thyroid eye disease, facial palsy etc but again, this is for the rehabilitation to restore eyelid functions such as normal eyelid closure (even blink) and symptoms and signs of watery eye, dry eye, corneal exposure etc People with artificial eyes often are covered in order to allow correct fitting of an artifical eye.