At the Center for Vein Restoration, we know the insurance process can sometimes be daunting. Our expert staff will submit your claim and acquire pre-certification for your procedure, when required by your insurance provider.
Insurance coverage for the treatment of venous insufficiency varies depending on both your insurance provider and your specific policy. In general, most insurance providers separate vein treatments into two categories—those that are deemed “medically necessary” versus those that are “cosmetic” in nature.
As the presence and extent of venous insufficiency is best determined via ultrasound, we encourage anyone thinking about seeking vein treatment—cosmetic or otherwise—to better understand the complete status of their veins through one of our comprehensive ultrasound screenings as, more often than not, venous insufficiency is not readily visible. Most insurance providers cover this initial, comprehensive screening.
Typically, larger veins that are symptomatic (i.e. those that are causing discomfort such as pain, aching, burning, itching, swelling, fatigue, heaviness as well as other symptoms that may be specified by your insurance provider) are usually considered “medically necessary” and are therefore covered by your insurance.
By contrast, procedures that your insurance provider considers “cosmetic” are usually not covered. Treatments such as sclerotherapy for small, non-symptomatic spider veins are typically considered not medically necessary and, as such, require an out-of-pocket payment by the patient.
Center for Vein Restorations accepts insurance from numerous insurance providers such as Aetna, Amerigroup, Anthem, BlueCross & BlueShield, Cigna, MultiPlan, Pomco, United Healthcare, Medicaid, Medicare and many others depending on your specific location. Whether you’re inquiring for yourself or for someone you love, our Patient Services Specialists are available Monday – Thursday 7:30 AM – 6:00 PM and Friday till 5:00 PM to address all your questions and help put your mind at ease.
To best understand the specific details of your policy and its coverage, contact your insurance provider.