You have had it with the bulging varicose veins, the heaviness throughout the day, the leg pain at the end of your shift, and the restlessness once you get to bed. It is time to have these veins treated. The first question many people would ask is – Does my health insurance cover varicose vein treatment? Fortunately, most insurance companies cover varicose vein treatment in Utah, but there are a few requirements before they will authorize treatment.
Many insurance companies are now requiring patients to have tried “conservative measures” before varicose vein treatment is authorized. This could mean wearing compression stockings anywhere from 6 weeks to 3 months. They may also want you to have tried non-steroidal anti-inflammatory (NSAID) drugs like Ibuprofen or Naproxen. If you are unable to take NSAIDs, having tried a pain reliever like Tylenol can help authorization.
Below is a list of requirements for some of the insurance companies we accept. If you do not see your insurance on this list, give us a call to verify coverage. We are contracted with most insurance companies.
Insurances will only cover treatment of symptomatic varicose veins. Symptoms include: pain, leg heaviness, tired legs, swelling, discoloration, ulceration, and bleeding veins.
Aetna
Pre-authorization requirements:
20-30mmHg compression stockings for 3 months prior to treatment
Ibuprofen or other NSAID trial
Blue Cross Blue Shield
20-30mmHg compression stockings for 3 months prior to treatment
Ibuprofen or other NSAID trial
DMBA
20-30mmHg compression stockings for 3 months prior to treatment
EMI Health
EMI reserves the right to require compression stocking trial upon receipt of clinical information
Patient will need to complete a questionnaire from EMI Health before authorization
Medicare
20-30mmHg compression stockings for 3 months prior to treatment
PEHP
20-30mmHg compression stockings for 3 months prior to treatment
Ibuprofen or other NSAID trial
Ambulatory Phlebectomy and Sclerotherapy are a 50/50 benefit
Select Health
20-30mmHg compression stockings for 3 months prior to treatment
Prescription strength Ibuprofen trial
Tricare
20-30mmHg compression stockings for 3 months prior to treatment
United Health Care
Vein measurement requirements for EVTA treatment
Insurance requirements for Utah varicose vein treatment are always subject to change. Our insurance specialist stays up to date with the latest requirements and policies so when you visit our office you know exactly what to expect from your insurance coverage. If you have questions regarding insurance coverage of varicose vein treatment, give us a call (801) 379.6700, we would be happy to answer them.
