Most Insurances Accepted
When performed for medical reasons, varicose vein treatment is covered by many insurance companies. The removal of spider veins, usually done for cosmetic reasons, is not generally covered by insurance. Check with your insurance company to determine which treatment options are covered under your plan.
Most carriers (including Medicare) provide coverage for our procedure. In the event that your carrier does not cover a procedure, you may find it helpful to contact your carrier’s customer service representative. They may be able to answer this question for you. If a written request is needed, Tri-State Vein Centers will provide an introductory letter for this purpose. One of our goals is to assist patients in obtaining coverage for your procedure and give resolution of venous reflux disease. Coverage for your procedure is subject to the terms of your coverage policy. Co-payments and deductibles may be applied.
Frequently Asked Insurance Questions
Q: Will insurance cover the Vein procedures for everyone?
A: No. Carriers will cover the Vein procedures only when medically necessary. Patients must demonstrate symptomatic venous reflux disease. That is:
1. Pain, swelling, leg cramps, ulcers, bleeding from varicosities
2. Presence of reflux on ultrasound scans
Q: If I have symptoms of venous reflux disease, are there any other criteria that must be satisfied before I can get coverage?
A: Most carriers require a period (3-6 months) of conservative therapy (compression, elevation of legs, possibly weight loss) before providing coverage for the VenaCure EVLT procedure.
Q: What should I do if the claim is denied?
A: You should begin by reviewing the ‘explanation of benefits’ (EOB) for a reason for the denial. If the EOB does not explain the reason for denial, you should contact the claims department and request an explanation. All insurance carriers and payers have an appeals process. Inquire into the process for appeal, including where and to whom the appeal should be sent.