Will insurance cover Varicose Vein Surgery? Pain is getting worse..

Varicose Vein Surgery . 8 answers . 3 years ago

I have spider veins and varicose veins. Will my insurance ppo bluecross pay for it?

I was told by my insurance co they would pay if it is medically necessary, they hurt and are getting worse, I am a nurse.

ANSWERS FROM DOCTORS


3 years ago by General Vascular Surgery Group

Generally most insurance companies will cover treatments for the larger varicose veins. Spider veins are generally cosmetic in nature and treatments for these are not covered in my experience.
Michael Ingegno, MD

3 years ago by General Vascular Surgery Group (View Profile)

Generally most insurance companies will cover treatments for the larger varicose veins. Spider veins are generally cosmetic in nature and treatments for these are not covered in my experience.
Michael Ingegno, MD


3 years ago by Angelo N. Makris MD

If you are symptomatic with significant reflux documented by ultrasound, most insurance companies will cover the treatments.

3 years ago by Angelo N. Makris MD (View Profile)

If you are symptomatic with significant reflux documented by ultrasound, most insurance companies will cover the treatments.


3 years ago by VeinCare Centers of Tennessee

Every insurance company has different rules. Generally, continued pain, tenderness, swelling, or advanced skin changes of venous insufficiency which have not resolved over a course of conservative treatment may qualify a patient for some treatment. Many insurance companies have specific coverage rules for specific procedures as well. You need to see your vein specialist to sort out your needs.
Stephen F. Daugherty, MD, FACS, RVT, RPhS

3 years ago by VeinCare Centers of Tennessee (View Profile)

Every insurance company has different rules. Generally, continued pain, tenderness, swelling, or advanced skin changes of venous insufficiency which have not resolved over a course of conservative treatment may qualify a patient for some treatment. Many insurance companies have specific coverage rules for specific procedures as well. You need to see your vein specialist to sort out your needs.
Stephen F. Daugherty, MD, FACS, RVT, RPhS


3 years ago by Atlanta Access Care Vascular and Interventional Specialists

With the symptoms you have, if ultrasound demonstrates insufficiency of the greater or lesser saphenous vein, insurance will likely pay for treatment. However, your insurance company may require you to wear compressions stockings for several months (time varies by company), without adequate relief, to cover the treatment.

3 years ago by Atlanta Access Care Vascular and Interventional Specialists (View Profile)

With the symptoms you have, if ultrasound demonstrates insufficiency of the greater or lesser saphenous vein, insurance will likely pay for treatment. However, your insurance company may require you to wear compressions stockings for several months (time varies by company), without adequate relief, to cover the treatment.


3 years ago by Vein Specialists

Yes, most insurance companies will cover treatment of venous insufficiency
(manifest as painful varicose veins or other symptoms such as skin changes,
swelling, pain , restless leg syndrome) as long as you have documented
symptoms, history of conservative therapy with elevation compression hose
and analgesics for 3 months or more and an ultrasound which documents the
location and severity of the insufficiency. They may require a letter of
preauthorization or predetermination from your Doctor documenting all of the
above. Injections sclerotherapy is something I reserve for treatment of
cosmetic small varicose veins and spider veins and usually wait for at least
one month after the other veins have been treated with endovenous techniques
as some of the spiders in the lower leg may resolve after the abnormal
saphenous veins are sealed.

3 years ago by Vein Specialists (View Profile)

Yes, most insurance companies will cover treatment of venous insufficiency
(manifest as painful varicose veins or other symptoms such as skin changes,
swelling, pain , restless leg syndrome) as long as you have documented
symptoms, history of conservative therapy with elevation compression hose
and analgesics for 3 months or more and an ultrasound which documents the
location and severity of the insufficiency. They may require a letter of
preauthorization or predetermination from your Doctor documenting all of the
above. Injections sclerotherapy is something I reserve for treatment of
cosmetic small varicose veins and spider veins and usually wait for at least
one month after the other veins have been treated with endovenous techniques
as some of the spiders in the lower leg may resolve after the abnormal
saphenous veins are sealed.


2 years ago by Vanish Vein and Laser Center

Most insurance companies will cover laser vein treatment provided reflux is demonstrated and you meet the requirements of the PPO. Sclerotherapy, on the other hand, may not be covered since this is often times considered to be a cosmetic procedure. However, this varies from company to company so you should check with your insurance company and plan.

2 years ago by Vanish Vein and Laser Center (View Profile)

Most insurance companies will cover laser vein treatment provided reflux is demonstrated and you meet the requirements of the PPO. Sclerotherapy, on the other hand, may not be covered since this is often times considered to be a cosmetic procedure. However, this varies from company to company so you should check with your insurance company and plan.


3 years ago by Advanced Varicose Veins Treatments of Manhattan

Blue Cross plans do often pay for varicose vein procedures. They have guidelines that are plan specific, which allow payment based on medical necessity. For example, if the patient has pain, which is worsening and affecting their activities of daily living. They also have requirements based on the size of the varicose veins and which veins are the source of the problem, which is determined by an ultrasound examination.

3 years ago by Advanced Varicose Veins Treatments of Manhattan (View Profile)

Blue Cross plans do often pay for varicose vein procedures. They have guidelines that are plan specific, which allow payment based on medical necessity. For example, if the patient has pain, which is worsening and affecting their activities of daily living. They also have requirements based on the size of the varicose veins and which veins are the source of the problem, which is determined by an ultrasound examination.


3 years ago by Bailey Vein Institute

Yes most insurance companies will pay for treatment. If you have symptoms it is medically necessary.
Sincerely,
Colin E. Bailey, MD, FACS

3 years ago by Bailey Vein Institute (View Profile)

Yes most insurance companies will pay for treatment. If you have symptoms it is medically necessary.
Sincerely,
Colin E. Bailey, MD, FACS


Related Questions for Varicose Vein Surgery

Varicose Vein Surgery - 2 years ago
I am 21 years old and recently I have developed a varicose vein on my penis. The vein gives me slight discomfort. I am not sexually active. How can I fix this vein? Is there any medication or procedure which can fix it? I don't like the look of the vein.
See More
Varicose Vein Surgery - 2 years ago
Had a phlebectomy and VNUS done 4 weeks ago. I have lumps all along where the vein used to be (ranging from pea size to walnut size). They were painful & had them drained twice now. I still have lumps. What can be done? Will these resolve?
See More
Varicose Vein Surgery - 5 years ago
And, are there any options in terms of colors or styles?
See More
Varicose Vein Surgery - 4 years ago
How long should I wait after varicose vein surgery to take an airplane trip, or does it matter?
See More
Varicose Vein Surgery - 2 years ago
My wife had superficial blood clots in leg. They took ultrasound and she just collapsed 13 days ago in my arms and died in the hospital of a blood clot in the lung. She was healthy and young. No history, sickness, fever. How can this happen?
See More
Varicose Vein Surgery - 5 years ago
I had a phlebectomy that was not successful, then laser ablation and sclerotherapy within 2 months of each other. I now have shooting pains in my leg... is this something that is normal?
See More
Varicose Vein Surgery - 1 year ago
I am 21 years old and within the past four years I have developed spider veins and large veins that are visible in my legs. They are also elevated over my shins. Varicose veins run in my family, but is this really all genetic or do I have a health problem?
See More
Varicose Vein Surgery - 5 years ago
Is this a side effect of having varicose veins and can varicose vein surgery effectively treat this condition?
See More
Varicose Vein Surgery - 5 years ago
I am 24 yrs old, and after i had my daughter i noticed my legs are veiny. The veins don't bulge out nor are spidery. i was wondering what are they? How should I get rid of them?
See More
Varicose Vein Surgery - 1 year ago
I am getting ready to have a varicose vein treatment but am afraid that I may develop blood clots and die. What should I do? Thanks.
See More
Varicose Vein Surgery - 2 years ago
This pain occurs after I have been active on my legs. My varicose vein surgery was about five months ago.
See More
Varicose Vein Surgery - 2 years ago
One week after varicose vein surgery I developed a golf ball size swelling on the inside of my ankle that is very sensitive to touch. Is this normal?
See More
Varicose Vein Surgery - 3 years ago
What is the recovery procedure after the vein is removed? For example, do I have to sit and rest it and how long will i need off work?
See More
Varicose Vein Surgery - 2 years ago
I had varicose vein surgery 14 years ago to strip veins from my right leg. I have had severe pain in my groin and lower abdomen for years. Just found out the surgeon left three surgical clips in my groin. They are to be removed. Why would he do this?
See More
Varicose Vein Surgery - 2 years ago
I had a main vein stripped and incisions by knee done 4 days ago. It looks like its healing well, but I am getting a burning sensation. What does this mean?
See More
Varicose Vein Surgery - 4 years ago
I have a large number of varicose veins covering both legs. I want to get them treated but I'm afraid I won't have many veins left! Is there a point where you shouldn't have them all removed/injected because there won't be enough circulation?
See More
Varicose Vein Surgery - 4 years ago
I just had a venus reflux exam indicating I have superficial & deep system reflux which has changed from a year ago. I'm concerned about my leg's future if the superficial cannot be treated because it will put stress on the deep system. Any options
See More
Varicose Vein Surgery - 3 years ago
If someone has had varicose vein surgery, can they come back? At any time? What are the odds of this?
See More
Varicose Vein Surgery - 4 years ago
Is there a difference between PAD & varicose veins, and are there tests to confirm? Also can you have Venous closure surgery done if you have PAD?
See More
Varicose Vein Surgery - 5 years ago
I'm scheduled for weight-loss surgery, and I have large varicose veins on both legs. Will losing the weight change the pressure in my legs enough to make the varicose veins go away, or will I need surgery or other treatments?
See More
Need Help?
Get answers from experienced doctors
Ask Now

Suggested Doctors

Related Articles