Does insurance cover varicose veins treatment?

Posted on April 6, 2015 · Posted in Blog

Dealing with insurance companies can be frustrating for both patients and doctors. There is more confusion in the case of vein disease since it is thought to be a cosmetic issue, and hence, not covered by insurance companies. However, the truth is, that vein disease treatment is covered by health insurance, when performed for medical reasons. First, clear proof and verification is needed for the medical condition causing the patient certain symptoms that could be treated. In order to document this, an ultrasound of the veins in the legs is required and performed at our clinic. The ultrasound study will show if you have venous insufficiency which is the leading cause behind the symptoms experienced by the patient. Treatment of venous insufficiency can be performed at our clinic to reduce the symptoms. After proving the existence of a venous disease that can be treated, the documentation is sent to the insurance company to request pre-authorization for the treatment.

In most cases, your insurance company will require for you to take conservative measures to relieve the symptoms, such as wearing compression stockings and OTC medicines like Ibuprofen or Advil. Each insurance company has its own requirements, which will be gladly explained at the time of your visit.

As soon as we get the approval from your insurance company, we will contact you to schedule your appointment. One important point to remember is that, even though your insurance states your treatment to be medically necessary and covered by your plan, you may still be responsible for out of pocket costs. These costs may vary depending on your deductible, co-insurance, and specialist office visit copayment. Before scheduling your appointment, once you provide us with your insurance information, we will be able to check your eligibility and insurance details.

Out of pocket costs depend on the health insurance plan you have purchased. The factors that affect these costs include the type of service received, the place, and whether or not the doctor you’re seeing is in or out of network with your insurance provider. Before obtaining an appointment at our clinic, we will apply for preauthorization for your procedure. You can also contact your insurance company to inquire about your out of pocket costs.