Many insurance companies will cover sclerotherapy treatments as part of a treatment plan for venous disease or venous insufficiency. This means that if on venous ultrasound the patient is diagnosed with underlying venous disease (disease of the larger trunk veins underneath the spider veins), then sclerotherapy may be covered along with treatments to address the trunk veins.

Published on Jul 11, 2012

Mostly sclerotherapy is considered cosmetic treatment for spider veins on the surface and isn't eligible for coverage. Some carriers and plans do allow treatment if there are symptoms such as pain, spontaneous bleeding, ulceration, etc. Also, some cover ultrasound-guided sclerotherapy of deeper veins or areas of venous stasis ulcers. Medicare does not cover any sclerotherapy and many carriers are following suit. So, for asymptomatic spider veins, you will not be eligible for coverage.

Published on Jul 11, 2012

Insurance companies do not cover costs associated with spider veins because they are considered to be cosmetic in nature.

Published on Jul 11, 2012

Coverage may be dependent in the area in which you live. In our experience sclerotherapy is not covered for treatment of telangiectasias or spider veins. Sclerotherapy may be covered as an adjunctive treatment for symptomatic refluxing tributary vessels or varicosities after treatment of the deeper refluxing great or small saphenous vein.

Published on Jul 11, 2012

Since sclerotherapy is considered a cosmetic procedure, it is usually not covered by insurance. Sometimes, when sclerotherapy is combined with other procedures such as a closure procedure for varicose veins, then insurance may cover the sclerotherapy portion. Sclerotherapy alone, however, is not an insurance covered procedure.

Published on Jul 11, 2012