Vein Treatment Costs: What Insurance Does and Does Not Cover

Typically, most people seeking treatment for varicose veins will find the evaluation of the vein problem is covered by insurance as well as the vein treatment itself. In most cases, Medicare as well as many other insurance carriers cover varicose veins that cause pain or discomfort. 

Vein treatment costs and insurance coverage

Before insurance companies can confirm coverage, they need to confirm that you meet certain criteria, including (but not limited to):

  • Physical exam results

  • Ultrasound results

  • Size of affected vein

  • Location of affected vein

  • Symptoms associated with vein issues

  • Treatment plans

Like many procedures covered under insurance, the amount of coverage varies and depends on the insurance carrier and type of plan you have. In order to determine your specific insurance coverage, it’s best to be evaluated by a vein care specialist. He or she will prepare any necessary insurance paperwork during or following your evaluation, so you can get pre-approved for treatment.

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" it’s 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, it’s important to find out what insurance does and does not cover, so you don’t 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.