Does Insurance Cover Varicose Vein Removal?

Does Insurance Cover Varicose Vein Removal?

Does Insurance Cover Varicose Vein Removal? 150 150 daniadmin


Varicose veins are an especially common condition, impacting up to 25 million Americans every year. Today’s treatments are fast, effective, and minimally invasive, but many patients don’t seek medical care. They are under the impression that varicose vein removal is not covered by insurance, and they simply can’t afford the cost of correcting what some perceive to be a cosmetic issue.

Unfortunately, in a majority of cases, varicose veins are more than a cosmetic issue. They are a sign of underlying vein disease. If left untreated, serious symptoms can develop.

With most health insurance plans, the answer is yes. Treatment is covered when there is an underlying vein disease such as Chronic Venous Insufficiency (CVI). However, there may be restrictions on which treatment methods are covered, and at what point you are eligible for the procedure. Your vein doctor in New Jersey can help determine the medical necessity for treating your varicose veins and venous insufficiency.

What Is Chronic Venous Insufficiency?

Chronic venous insufficiency develops when the valves within out veins fail.  This can occur for a variety of reasons including prolonged standing, obesity, smoking, and trauma.  The most important determinant is your genetic makeup. When venous insufficiency is present, the veins become less effective in returning blood to the heart and instead, the blood pools in the legs, putting further pressure on the vessel walls and valves.  The increased pressure is known as venous hypertension and can result in visible varicose and spider veins in the legs.

What are the symptoms of venous insufficiency?

Visible varicose and spider veins are the number one reason patients present to vein clinics.  However, the most important reason to consider an evaluation for venous insufficiency can often precede any signs of visible veins.  These symptoms include the following:

  • Leg pain
  • Heaviness
  • Leg cramps
  • Swelling
  • Skin discoloration or leg ulcerations

In severe cases, ulcers form over diseased veins that can become infected or bleed. It is just as important to be aware that varicose veins are not always visible but the symptoms and adverse effects are no different. Because of the serious consequences of untreated venous insufficiency, varicose veins warrant appropriate evaluation at a vein clinic.

How Are Varicose Veins Treated?

Vein doctors in the most advanced centers use minimally-invasive techniques like ablation, foam sclerotherapy, and microphlebectomy to treat even the most complex vein disease.  These procedures are fast, effective and virtually pain-free. Best yet, there is no need for any down-time after the procedure. WIth this in mind, it is absolutely essential to only consider spider vein doctors capable with minimally-invasive treatments. Here is a review of our favorite techniques:

VenaSeal – Catheter-directed delivery of a medical adhesive that fuses the diseased veins closed.

Radiofrequency Ablаtіоn (RFA) –  Catheter-based technology that uses thermal energy to close diseased veins

Endоvеnоuѕ Lаѕеr Ablаtіоn (EVLA) – Catheter-based technology that uses laser energy to close diseased veins

Varithena – Uses a patented formulation of 1% polidocanol mixed with O2 and nitrogen foam to close even the most tortuous and dilated varicose veins

Microphlebectomy– This is an artform mastered by very few vein clinics due to its time-intensive nature.  With this office-based procedure, even the most prominent varicose veins can be removed immediately

Minimally-invasive techniques in the hands of qualified vein doctors can be done without any sedation.  With skilled hands, a local anesthetic alone is sufficient to make the quick procedure virtually pain-free.  At the Princeton Vascular Center, these treatments typically take less than 30 minutes and our patients return to their routine activities.

Is Varicose Vein Removal Covered by Insurance?

Treating venous insufficiency is best left in the hands of varicose vein specialists.  Given the precision needed to perform these procedures well and the modern advancements in technology to keep patients out of the operating room, vein treatments can be costly.  Fortunately, medical insurances have recognized the importance of treating this condition and provide coverage with medical necessity.

Medical necessity can only be determined by a qualified vein specialist and requires detailed reports on the symptoms, physical appearance, and prior treatments.  In most instances, your vein doctor will need to provide information on whether or not compression stockings were trialed, and what effect lifestyle modifications and exercise had on the symptoms.

Specific treatment sought by your vein doctor will also need to carefully review.  This is generally true for more newer technologies like VenaSeal or Varithena. If additional treatments are sought due to advanced disease, your vascular specialists may also speak on your behalf with the insurance company to seek approvals.

At the Vein Specialist Centers, we have a dedicated team to work on your behalf to obtain the necessary authorizations for treatments requested by your vein doctor.

How Do I Choose a Varicose Vein Doctor?

If you have decided on seeking treatment for your vein condition, it is recommended that you see a dedicated vein specialist.  The right choice will involve evaluating several factors including the vein doctors, treatment options, and professionalism. Board-certified vein doctors with a background in vascular surgery or interventional cardiology are trusted sources for high-quality treatments.

Vein Specialist Centers are committed to being the best vein doctors and having all the latest innovations in vein treatment right here in New Jersey. You can schedule a consultation online, or you can call for an appointment at 609-257-2095.

Vein Specialists Near Me