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How To Get Insurance To Pay For Varicose Vein Removal

Varicose Vein Treatment Costs And Insurance Coverage

Varicose Vein Treatment | George Anton, MD

Vein ablation for varicose veins is covered by insurance, because it is used to treat venous insufficiency, a medical problem. This means that if you are getting vein ablation, the factor that will have the biggest influence on your out of pocket costs is the terms of your insurance coverage. If you have a low deductible and copay, your out-of-pocket costs may be quite small if your copay and deductible are higher, you may pay a significant portion of the costs out-of-pocket.

Typically, patients who only have small varicose veins that they would like to get rid of must pay for the cost of sclerotherapy out-of-pocket. Sclerotherapy is considered a cosmetic procedure, so most insurance plans do not cover it.

The varicose vein treatment is determined on a case-by-case basis, depending on the number of varicose veins and the severity of the codition. After your consultation, Dr. Sterling or his vein coordinators will discuss the anticipated costs of treatment. The office can also contact your insurance company on your behalf to inquire about coverage.

Dr. Keith Sterling would be happy to meet with you about your vein health. During your consultation, you will also have the opportunity to discuss the potential cost of treatment. Call us today at 703-824-3228 or click the link below and well get back to you as soon as possible.

Costs If You Dont Have Insurance

If you dont have coverage, then you do not have to meet any medical necessity requirements, but you will be paying for the procedure out-of-pocket. Fortunately, Inovia Vein offers payment plans and self pay discounts to help you cover these expenses.

For spider veins, our staff may recommend sclerotherapy. For people with no coverage, this procedure typically costs around $350-500 per session. This may vary by state and is linked to the cost of living. For example, Oregon generally has a higher cost of living than Mississippi. Therefore, procedures are likely to be more in cities.

It is not uncommon to need multiple sessions, especially if both legs need to be treated. Your provider can estimate the number of sessions you need during your consultation, so you have no surprises. Multiple sessions could mean several $1000 for more severe cases.

Some of the more advanced procedures include Varithena foam injection, which may range from $2000 to $3000 and a ClosureFast Radiofrequency Ablation , which may cost $3000 to $5000. Costs vary depending on the number and size of veins to be treated. After a vein evaluation, we can help you by providing a detailed estimate of the costs in advance of treatment.

How Do You Get Rid Of Spider Veins

There are two frequently used methods of treating spider veins: sclerotherapy and endovenous laser treatment. In sclerotherapy, the doctor injects a chemical solution on the spider veins that scars and closes off the veins. The veins then are eventually reabsorbed by the body. Depending on the extent of spider veins, multiple sessions may be needed, but sclerotherapy is generally very effective.

Endovenous laser treatment uses the same principle as sclerotherapy, except it uses heat through laser to scar and close off veins. This procedure is generally less effective than sclerotherapy, especially on larger veins. After spider vein treatment procedures, the spider veins take a few weeks to fade away.

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How To Determine If Your Sclerotherapy Costs Are Covered By Insurance

Sclerotherapy is used to treat spider veins, as well as smaller varicose veins. In most cases, sclerotherapy cost is not covered by insurance, because the procedure is considered cosmetic. In some cases, however, insurance coverage may be available. Below, we will take a look at how to determine whether your sclerotherapy costs are covered by insurance.

How Sclerotherapy Works

Sclerotherapy is a minimally invasive procedure which is effective for both spider veins and smaller varicose veins. During this procedure, the doctor injects each of the diseased veins with a small amount of a medication known as a sclerosant. The medication causes the veins to become inflamed and scar, but does not affect other nearby tissues. As a result, the veins close off.

Once the veins are closed off, the body reabsorbs them over the next few weeks, converting them to fibrous tissue. At the same time, healthy veins continue to carry blood in the area, so overall blood flow is unaffected.

Sclerotherapy can be performed in an outpatient setting, and typically takes less than an hour to perform. After the treatment, patients can return to most of their normal activities immediately, although it is recommended that patients wear compression stockings and walk on a regular basis as instructed by the physician.

How Are Varicose Veins Treated


Previous generations had limited options for varicose vein treatment. Most had to see a vascular surgeon for invasive vein stripping surgery. Today, there have been significant advances in treating varicose veins. Your vein specialist can offer a variety of minimally invasive, highly effective procedures that can be completed on-site at your varicose vein and spider vein clinic.

The newest vein treatments use heat, laser energy, medication, or vein glue to permanently close unhealthy veins. Blood automatically reroutes to other, healthier veins, and tissue from the sealed veins is reabsorbed by your body. The most common options include:

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How Much Does It Cost To Remove Varicose Veins

Multiple sessions could mean several $1000 for more severe cases. Some of the more advanced procedures include Varithena foam injection, which may range from $2000 to $3000 and a ClosureFast Radiofrequency Ablation , which may cost $3000 to $5000. Costs vary depending on the number and size of veins to be treated.

Varicose Vein Treatment Costs

Our Patient Choice Advocacy Program at Advanced Vein Institute of Arizona is designed to cover your medical treatments using your health insurance benefits while limiting your out-of-pocket expense. We practice medicine based on our belief in maintaining the highest level of patient care, not based on insurance company guidelines. We are a contracted provider with many health insurance plans to minimize your out-of-pocket expense.

Dont avoid seeking varicose vein treatment because you feel it will be cost prohibitive. In fact, Advanced Vein Institute of Arizona currently offers a free vein screening because we are so confident in our ability to provide superior care in treating your varicose veins.

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Will Insurance Cover Vein Ablations

The typical procedure for removing varicose veins is ablation . For insurance to cover these procedures, they usually require an authorization. Insurance companies have different requirements to grant an authorization, but they typically require that your specialist documents the following:

  • Failure of conservative therapy using compression stockings
  • A minimum size of the veins along with an ultrasound study and report
  • Failure of pain treatment with non-prescription drugs

Our office makes sure this documentation is covered and processes the authorizations. Once you have authorization, your procedure should be covered. Again, its important to check with your insurance company about what you owe for deductibles, co-pays, co-insurance, etc.

Have You Already Tried Conservative Management And The Conservative Management Has Not Completely Resolved Your Vein Condition

Medical Center: Varicose Veins Treatment Cost | Best Vein Specialist New York, 10016
  • Compression socks/stockings and at least two or more of the following have worked for me
  • Elevating the legs
  • a reduction in body weight
  • Ibuprofen or another nonsteroidal anti-inflammatory drug
  • ice or heat packs
  • Vascular or over-the-counter supplements like horse chestnut or grape seed extract can be used as venoactive medications.

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Which Medical Insurers Are You Registered With

Aviva, AXA, Bupa, Cigna, Simply Health, Vitality, WPA, Aetna, Allianz, Bupa International, Groupama, Healix, Health Now, Health-on-Line

Before you call your insurance company please follow the link below to learn how to obtain authorisation to see one of our consultants. If your insurer is not listed, please contact our Patient Advisers if youd like advice on how to obtain authorisation.

Is Excision Of Spider Veins Covered By Insurance

Are You a Good Candidate for Spider Vein Treatment? You should be able to assess if you are a suitable candidate for spider vein removal procedures based on the information contained in this article. However, you should visit a spider vein specialist in New York or New Jersey to assess the necessity of spider vein removal in your individual instance.

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Medically There Has To Be Proof That Your Vein Disease Is Bad Enough To Treat

Unfortunately, regardless of how much your physical symptoms bother you, this alone wont qualify you for treatment. Your insurance company will want the type of concrete measurements that only an ultrasound exam can provide. During your exam, your Registered Vascular Technician will take the following measurements:

  • Vein size, specifically vein diameter. Ultrasound can be used to take a slice image of a vein will look like an O on the ultrasound screen. This allows your RVT to measure the width of a diseased vein. Anything above 5 millimeters, which is slightly less than the diameter of a pencil, will qualify.
  • Degree of venous reflux. This refers to the amount of blood thats flowing in the wrong direction, back down the leg. If this reversed flow lasts longer than ½ second then youll qualify for treatment.

If youve got physical symptoms then your ultrasound exam will usually be covered. Similarly, its also highly likely that the exam will demonstrate that treatment is medically necessary. If you think that your symptoms are bad enough to treat theres a good chance that your insurance company will pay for treatment. All in all, its really no different than proving that treatment is medically necessary for other conditions.

How To Get Insurance To Pay For Varicose Vein Removal

Does Health Insurance Cover Varicose Veins

Date last updated: November 28, 2018 During your initial session, inquire about insurance coverage and payment choices with your vein expert. You may be surprised to learn that many varicose vein treatment methods are covered by insurance when judged medically essential. In addition, most vein clinics accept a number of payment methods for procedures that are not covered by insurance.

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Is Chronic Venous Insufficiency Covered By Insurance

The short answer is that it depends on your insurance company and specific policy. However, most insurance companies will cover at least some of the costs associated with chronic venous insufficiency . CVI often requires long-term treatment and can be costly. So, it’s no surprise that many patients want to know if their insurance will cover CVI treatment.

Therefore, it is best to contact your insurance company directly. They will be able to provide you with the most accurate information regarding your coverage.

What Does Medically Necessary Mean

Most insurance companies have certain criteria to distinguish between medical versus cosmetic treatment of veins. They look at the patients symptoms, the physicians exam, and if any underlying venous disease is detected on a venous ultrasound. All of these factors are evaluated when determining if treatment will be considered medically necessary. Most insurance companies also require patients to try conservative measures before approving any procedures. These typically include wearing compression socks, elevating your legs, and taking over the counter medication for pain relief.

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Get Rid Of My Varicose Veins

Question: WHAT CAN I DO TO GET RID OF MY VARICOSE VEINS? Answer: There are numerous options to treat varicose veins. Some are considered medically necessary, while others are strictly cosmetic. Larger veins are treated in a myriad of ways depending on the provider you consult with and their proficiency in a given intervention. The

American Hospital Association Disclaimer

Get GREAT legs: Lynch Vein and Aesthetics on treating varicose veins

The American Hospital Association has not reviewed, and is not responsible for, the completeness or accuracy of any information contained in this material, nor was the AHA or any of its affiliates, involved in the preparation of this material, or the analysis of information provided in the material. The views and/or positions presented in the material do not necessarily represent the views of the AHA. CMS and its products and services are not endorsed by the AHA or any of its affiliates.

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Does Private Health Insurance Cover Varicose Veins

Do you have private health insurance? If you do, and you have extras cover, there is a chance you are eligible for a rebate on products which help reduce the symptoms of varicose veins. But does that also include treatment? Does private health insurance cover varicose veins? Its a complex subject, however, below are some guidelines on what generally is and isnt covered.

How We Can Help With Varicose Vein Treatments

Here at Inovia, we specialize in varicose veins and offer several state-of-the-art, minimally-invasive options to meet your unique needs. That means less down-time and better results.

You may need Closurefast, which is Radiofrequency Ablation . In this procedure, we apply gentle and targeted heat to close the large saphenous veins, which are contributing to your varicose veins. Once closed, blood will re-route itself through healthier veins.

But not all veins will be responsive to the above method, so we have other tools to help you achieve your leg goals.

Varithena vein treatment is an exciting treatment for those with smaller visible veins. As a form of Sclerotherapy, Varithena involves the use of a foam, which we inject into the smaller visible veins. This causes the blood to re-route, and then the vein dissolves.

Venaseal vein treatment is one of the latest solutions to become available. It is an ultrasound-guided procedure that involves using medical grade adhesives to cause lower extremity superficial truncal veins to close permanently.

Each of these procedures is office-based and only require local anesthesia, helping you achieve your leg goals for less cost and will less downtime than other options.

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Are Spider Vein Treatments Covered By Insurance

The insurance coverage of spider veins, also called telangiectasia, is slightly more complicated. In many cases, spider veins are considered a cosmetic issue and are typically not covered by insurance. However, they should not be dismissed as merely an aesthetic problem. Spider veins can sometimes develop as a result of an underlying condition, such as venous insufficiency. In such cases, most insurance providers will cover the cost of your procedure, as it will likely be determined medically necessary for your health. If you have noticed the development of spider veins on your face or legs, it is crucial to undergo a vein examination to check whether medical treatment is required and ensure there is no further risk posed to your health.

How To Get Help Paying For Varicose Vein Treatments With Medicare


Medicare may cover your varicose vein removal or treatment. Although you may still have out-of-pocket expenses, including deductibles, coinsurance, and copayment costs. Depending on the treatment type and how often you must go some require more than one session these costs can add up. Thats why having a Medicare Supplement is so important.

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Find the most affordable Medicare Plan in your area

Medigap helps to pay for the gaps left by Medicare. Give us a call at the number listed and talk to one of our agents about the best policy for you. Our team of experts can help you find the most suitable options. We compare rates and plans in your area at no cost to you. Cant call? Fill out the online rate comparison form and get the process going now!

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Vein Treatment Costs And What Insurance Does Not Cover

Spider vein treatment may only be covered only if you are experiencing pain, or if the spider veins are affecting your quality of life. Certain insurance criteria must be satisfied for spider vein treatment coverage. Spider vein treatments considered cosmetic are not covered by insurance.

While it is common for spider veins to be considered cosmetic its important to note approximately 25% of people with spider veins have underlying signs of vein disease. If this is the case, and confirmed through medical evaluation, removing your spider veins will be covered by insurance.

If you are interested in having sclerotherapy, or another vein care treatment, its important to find out what insurance does and does not cover, so you dont receive unexpected medical bills. The vein care specialists at Carolina Vein Clinic have extensive experience in the diagnosis and treatment of varicose veins and spider veins and we look forward to restoring the skin on your face, legs, ankles or feet.

The Medical Adhesive That Causes The Undesirable Veins To Close

An adhesive is used in this operation to seal the vein. The medical adhesive is dispensed from a syringe during the surgery into the dispensing gun of the VenaSeal closure system, which is linked to a catheter. Under ultrasound guidance, the catheter is inserted into the affected vein. The clinician inserts the catheter into particular locations along the sick vein and pulls the trigger repeatedly to administer the medicinal adhesive.

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Same Pain New Location

Im having the same pain that I had before my ablation procedure, except it is in a different new location. How long will this go on? Question: Its been 2 months since my GSV endovenous laser ablation procedure. I have the same pain that I had before the procedure, except its in a new location.


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