WHEN DOES INSURANCE COVER VEIN TREATMENT?
MOST VEIN TREATMENTS ARE COVERED BY MAJOR MEDICAL INSURANCES
Table of Contents
- Medically Necessary As Determined By At Least 4 Of The Following Criteria
- Varicose Veins & Spider Veins That Are Considered Cosmetic
- Check Your Insurance Coverage
- Related Articles
Medically Necessary As Determined By At Least 4 Of The Following Criteria
1. Varicose & Spider Veins Must Cause Symptoms Of Vein Disease
To establish the medically necessary nature of the vein treatment, your varicose and spider veins must be causing you some of these symptoms: leg pain, leg heaviness, leg cramps, restless leg syndrome, night time cramping or burning sensation on legs, and frequent swelling. Some other complications caused by vein disease that may indicate the need for treatment include: leg ulcers, recurrent blood clots, and skin discoloration on legs.
Skin Discoloration On Legs
2. Vein Disease Symptoms Affect Your Daily Life & Activities
The collection of symptoms mentioned above have to be recurrent and frequent enough that they start to affect daily life and activities. For example, a nurse might have issues standing for long periods of the day without debilitating leg pain.
3. Conservative Treatments Didn’t Work
Some insurances will request conservative treatments be tried for several weeks before medical vein treatment is approved. Some of these conservative vein treatments include: compression stockings, weight-loss, leg elevation, exercise, or anti-inflammatory medication. If you have tried any of these methods beforehand, be sure to let your vein specialist know so they can make note of it before going through your insurance company.
4. Vein Disease Must Be Demonstrated Through Ultrasound
Once you book your initial consultation with a vein specialist near you, they will perform an ultrasound guided examination to determine if venous reflux is affecting your circulation.
Varicose Veins & Spider Veins That Are Considered Cosmetic
- Varicose veins without any additional symptoms
- Spider Veins without any additional symptoms
Check Your Insurance Coverage
If you find the symptoms above familiar, then it is possible you are experiencing vein disease, and you will need to find a vein specialist near your for a vein treatment consultation. Typically. your vein center or vein specialist of choice will help you communicate with your insurance company to verify coverage before any treatment is performed. You can also call the vein center or vein specialist near you and ask if they accept your insurance type.
Take this quick quiz to find out if your insurance may cover your vein treatment, or fill out your information here to be matched with a vein specialist near you that accepts your insurance type. Make sure you have your insurance card near you!
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