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 the VenaCure EVLT® procedure. In the event that your carrier does not cover the procedure, you may find it helpful to contact your carrier’s customer service representative. S/he may be able to answer this question for you. If a written request is needed, AngioDynamics (parent company of VenaCure EVLT products) will provide an introductory letter for this purpose. One of our goals at AngioDynamics is to assist patients in obtaining coverage for the VenaCure EVLT procedure for resolution of venous reflux disease. Coverage for the VenaCure EVLT 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 VenaCure EVLT procedure for everyone?
A: No. Carriers will cover the VenaCure EVLT procedure 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 scan
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.