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I have some friends who've had varicose and spider veins treated, some with surgery and some with injections. Some people said that insurance covered it but others said that it didn't. What determines insurance coverage for vein treatments?
Cosmetic procedures are not covered by most insurances. Procedures for symptoms are generally covered. Spider veins injections are generally for appearance and are generally not a covered service.
Varicose veins are part of a medical condition known as venous insufficiency and when sypmtomatic are usually covered by insurance. Spider veins are considered cosmetic and are typically not covered.
Varicose vein treatment is usually covered by insurance provided that you meet the insurance requirements. Laser vein ablation which is the gold standard of treatment is usually covered if reflux is demonstrated, you have symptoms and a trial has been done of conservative treatment. Spider vein treatment, on the other hand, may or may not be covered depending on your insurance policy.
Coverage by the insurance companies is specific to their own guidelines and your policy. Commonly, there is coverage for symptomatic varicose veins (once conservative treatment has been done). Sclerotherapy for spider veins is usually a non-covered service as it is considered cosmetic by most payers.
Varicose veins are part of a medical condition known as venous insufficiency and when sypmtomatic are usually covered by insurance. Some people may not even be aware of that some very common symptoms such as leg fatigue, tingling or restless is the legs and or swelling in the legs can be caused by venous insufficiency.
The only way to know if you have venous insufficiency is to have an Ultrasound evaluation. Spider veins without any symptoms are considered cosmetic and are typically not covered by insurance.