Treatment for varicose veins, venous insufficiency, and venous ulcers is covered by Medicare but insurance programs like Medicare typically want to make sure that you are not seeking treatment simply for cosmetic purposes. They want to be confident that you do have some problems with the circulation or symptoms associated with your varicose veins. For specific information on Medicare coverage for varicose veins, check out their physician guidelines.
Insurance programs like Medicare will typically cover treatment if you have:
- Leg pain
- Leg swelling
- Leg cramping
- Leg heaviness
- Restless Leg Syndrome
- Skin discoloration around the ankles (venous stasis)
- Leg wounds (venous ulcers)
Symptoms are usually worse with prolonged standing and at the end of the day; they may interrupt sleep. Each insurance company has specific requirements (and they are all different!) for covering varicose vein treatment including some ultrasound requirements like the size of the veins and how much backwards flow, or reflux, there is. As part of your initial evaluation, Dr. Malvehy will perform a detailed ultrasound examination to identify and document the source of your varicose veins and venous insufficiency. This is then provided in documentation to your insurance company to support pre-authorization for treatment.
We regularly work with Medicare for patients seeking varicose vein treatment so we understand the different requirements that Medicare has. Medicare does not require pre-approval for varicose vein treatment but it does have very strict guidelines about what is treatable and the management a patient has to undergo prior to treatment.
Our office accepts most major commercial insurance, Medicare, and MediCal, allowing patients with these insurance plans to see Dr. Malvehy, consistently rated one of the best vein doctors in California. Though our office does not offer vein treatment as part of the Kaiser Permanente network, we offer preferred pricing for patients covered by Kaiser.