Will insurance cover varicose vein treatment?

Yes, varicose veins are covered by many insurance plans, if you meet the medical necessity criteria. Each insurance company has its own standards for determining medical necessity. Fortunately we’ve been treating varicose veins for over 20 years, and have lots of experience with this.

The most important things that insurance carriers want to know is if you have pain and swelling from your veins, and how they affect you. Basically they want to know if you have:

If you want to obtain insurance coverage for your veins:

The information that you provide on your medical history form, and the information the physician can document in your medical chart will determine if you meet the guidelines for coverage. If you already have a history of the required information, we may be able to proceed immediately with treatment. If not, the conservative treatment will need to be followed for at least 3 months after your initial visit to the office.

In general, varicose vein treatment is deemed to be medically necessary if the following statements apply to you and your legs (this is directly from an insurance policy):

The patient has significant medical problems or symptoms directly related to the varicose veins, which include:
1) Severe and persistent leg pain and swelling which interferes with your normal activities or cause you to alter your daily routine to accommodate the symptoms (eg. Putting your legs up for an hour instead of going to the mall).
--AND--
2) Conservative measures have been attempted for at least 3 or more months and have failed to control your problem.

We also want to point out, that some insurance polices have started including exclusions for varicose vein treatment and/or very strict policy rules. The best solution is to get a definitive diagnosis from a physician and check the specific rules of your policy. We do this as a complementary service during your consultation.