Does Insurance Cover Vein Treatment?

If you’re experiencing vein disease symptoms like pain, discomfort, swelling, or skin discoloration, treatment may be considered medically necessary. This is important for addressing these symptoms and preventing complications. Common treatments covered by insurance include endovenous laser ablation, radiofrequency ablation, sclerotherapy, and vein stripping. At Astra Vein Treatment Center, we accept most insurance plans and continually add new providers to maximize your coverage. Most of our treatments are insurance-approved, and we strive to offer the best, affordable care while optimizing your insurance benefits.

Astra Vein Vascular 200+ Insurance Plans

When Will Insurance Companies Cover Treatment?

Insurance companies will generally cover vein treatment if it’s deemed medically necessary. Each insurance plan varies, but most will cover treatments if they are required to improve health rather than for cosmetic reasons. Be sure to check with your provider for specific coverage details.

Some of the most popular insurance companies we work with include:

1199

  • Greater New York Benefit Fund

Aetna

  • Aetna Choice® POS (Open Access)
  • Managed Choice POS
  • Aetna Health Network Option (Open Access)
  • Aetna Select
  • Aetna Signature Administrators (PPO)
  • Open Access (HMO)
  • HMO
  • Medicare Plan (HMO)
  • Medicare Plan (PPO)
  • National Advantage Program
  • Open Choice PPO
  • Select (Open Access)
  • Student Health Plans
  • Traditional Choice® Indemnity

Blue Cross Blue Shield

  • BlueCard PPO
  • Anthem

Elder Plan

  • Elderplan Healthy Balance (HMO)
  • Medicare

Fidelis Care

  • Family Health Plus
  • Fidelis Care Bronze
  • Fidelis Care Essential Plan
  • Fidelis Care Gold
  • Fidelis Care Platinum
  • Fidelis Care Silver
  • Medicaid Managed Care
  • Medicare Advantage\ Dual Advantage
  • Medicare/Dual Advantage Flex Plan
  • NY State of Health (Marketplace)

EmblemHealth

  • HIP Medicare
  • HIP Medicaid
  • HIP Essential Plans
  • HIP Prime
  • HIP PPO
  • HIP HMO
  • GHI Medicare PPO
  • GHI PPO
  • GHI HMO

AmeriGroup

  • FIDA
  • NY Medicaid
  • Medicare

Centers Plan for Healthy Living (CPHL)

  • Centersplan

VillageCare

  • VillageCareMAX

Oxford

  • Freedom Plan PPO/HMO
  • Liberty Plan PPO/HMO

Empire BC/BS

  • PPO/EPO
  • Dual Complete
  • Medicare
  • Medicaid/ Health+
  • Family Health Plus

Medicaid MetroPlus

  • Essential Plan
  • Exchange
  • Exchange (Platinum, Gold, Silver, Bronze, MedPlus)
  • Family Health Plus
  • BronzePlus Plans
  • FIDA
  • GoldPlus Plans
  • MetroPlus Gold NYC
  • MetroPlus GoldCare
  • Medicaid
  • Medicaid Advantage
  • Medicare Advantage
  • PlatinumPlus Plans
  • SilverPlus Plans

UnitedHealthcare

  • AARP Medicare Advantage PPO
  • AARP MedicareComplete (HMO)
  • AARP MedicareComplete Essential (HMO)
  • AARP MedicareComplete Plans (HMO)
  • Health Insurance Marketplace or State Exchanges
  • Optimum Choice HMO
  • Optimum Choice Preferred POS
  • UnitedHealthcare Charter HMO/ Charter Balanced HMO/ Charter Plus HMO
  • UnitedHealthcare Choice
  • UnitedHealthcare Choice HMO/Choice Plus HMO
  • UnitedHealthcare Choice Plus
  • UnitedHealthcare Core Essential
  • UnitedHealthcare Core HMO/Core Essential
  • UnitedHealthcare MedicareComplete Choice (Regional PPO)
  • UnitedHealthcare MedicareComplete Choice Essential (Regional PPO)
  • UnitedHealthcare Options PPO
  • UnitedHealthcare Select EPO
  • UnitedHealthcare Select HMO
  • UnitedHealthcare Select Plus HMO
  • UnitedHealthcare Select Plus POS
  • UnitedHealthcare SignatureValue (HMO)
  • UnitedHealthcare Community Plan
  • NY: UnitedHealthcare Dual Advantage
  • Empire Plan

Guardian Magnacare

  • EESISP/Local 3 ONLY
  • MagnaCare PPO

Medicare Multiplan Humana PPO UniCare

  • UniCare PPO

VNS Choice Health Plans

  • Medicaid Managed Care
  • Medicare Advantage \ Dual Advantage

Cigna

  • PPO/EPO
  • HMO
  • Great West

First Health CenterLight Health Plans

  • Medicaid
  • Medicare
  • FIDA/Dual Plan
  • Comprehensive Care Management (CCM)

Amida Care

  • Amida Care Live Life Advantage (HMO SNP)
  • Amida Care Live Life Plus
  • Amida Care True Life Advantage (HMO SNP)
  • Amida Care True Life Plus (HMO)

How to Get Insurance to Pay for Varicose Vein Removal?

Getting insurance to cover varicose vein removal is a complex process involving several steps, including:

  • Medical Necessity: Insurance covers your treatment if you have pain, swelling, or visual symptoms. Diagnostics are usually required, such as ultrasonic tests.
  • Documentation: Ensure that your doctor documents all symptoms and their impact on your daily life. This documentation should include any conservative treatments you’ve tried, such as compression stockings or lifestyle changes.
  • Choose an In-Network Provider: Make sure your vein specialist is an in-network provider with your insurance company. This can significantly reduce your out-of-pocket costs.
  • Get Preauthorization: Your doctor needs to obtain approval from the insurance before the procedure.
  • Appeal if Denied: If initially you were denied, don’t hesitate to appeal with additional documentation and justification for the treatment.

How Much Does Varicose Vein Treatment Cost With Insurance?

If the treatment is covered, patients usually pay only the deductible, copay, or coinsurance as determined by their plan. Treatments like endovenous laser ablation or sclerotherapy may have minimal out-of-pocket costs when covered. To get a clear understanding, consider contacting your insurance provider.

How Much Does Varicose Vein Treatment Cost Without Insurance?

Without insurance, the cost for varicose vein treatments typically ranges from $400 to $2,000 per session. This variation depends on several factors, including the treatment method used and the number of veins treated. But in fact, over 97% of our vein treatments are covered by insurance.

Contact Astra Vein Treatment Center to learn more about your insurance coverage for vein treatment. Our specialists will guide you through the process, ensuring you receive the coverage you need. If your insurance provider isn’t listed, feel free to call our office at (347) 934-9068 to verify your plan. We’re here to assist you every step of the way!

Dr. George Bolotin has either authored or reviewed and approved this content.
Vein & Vascular Medical Care
4209 Ave U, Suite A.
Brooklyn, NY 11234
(718) 222-0225

Updated on Sep 13, 2024 by Dr. George Bolotin (Vein & Vascular Specialist) of Vein & Vascular Medical Care

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