Health insurance companies usually cover what they deem “medically necessary”. The presence of signs and symptoms of venous insufficiency, ultrasound results, and 3 to 6 months of conservative measures is often enough to qualify a patient to be covered by insurance in the diagnostic stages.
However, it ultimately depends on the insurance company, and though we accept most PPOs, Medi-Cal, and Medicare, coverage cannot be guaranteed without checking with your specific insurance plan. To speed this process along, we ask that you have your insurance card readily available while scheduling your appointment so that we can collect the necessary information in order to see if you will be covered for your visit.
Many insurance companies require that a “prior authorization” request be sent in and approved before they will cover your treatment. Approval for treatment coverage depends largely on the ultrasound results, but also on the insurance company’s definition of what is medically necessary. Once your insurance company has determined that you qualify, we will call to set up treatment.
NOTE: Getting approved for treatment coverage does not always mean you aren’t required to pay anything. You may still have monetary responsibility for certain procedures. Prior authorizations typically have an expiration date so it is important that you are able to receive the treatments while they are still approved.
Services that are not covered by insurance are treatment of spider veins and other cosmetic procedures such as Botox, fat transfer, and liposuction. Please CONTACT US
for information about our pricing options for uninsured patients! For more information about insurance coverage, or if you have specific questions related to your financial responsibility ask for Tracy – our insurance specialist!