Let us Help you understand your Heath insurance coverage.
Patients living with painful swelling form venous reflux disease, or varicose veins, understand that the condition is more than just a cosmetic issue. Varicose veins can lead to swelling of the legs, skin discoloration and leg ulcers. Venous reflux symptoms are progressive and can worsen over time, if left untreated.
There are approximately 25 million patients with varicose veins in this country, and this is an overwhelming financial liability to insurance companies. The insurance companies have required strict pre authorization criterion and will not cover any cosmetic venous issues or venous problems that do not meet the criteria they have provided.
We have staff dedicated to getting your medically necessary treatments covered by your heath insurance.
For patients who do not have health insurance The Vein Institute of Phoenix is a private practice that is dedicated to your care. If you choose to directly pay for your services out of pocket there are no restrictions or limitations, other than your own health care status, and you can be scheduled directly for your procedure at the time of your initial consultation.
What makes a treatment option “Medically Necessary?”
Most insurance companies have set up strict criterion to determine if vein treatment is to be considered “medically necessary.” This may include one or more of the following:
- Lifestyle Disruption: the daily activities of the patient must be disrupted significantly.
- Pain & Discomfort: The patient must be experiencing some level of pain or discomfort as a result of their vein disorder.
- Failure of conservative measures: exercise, weight loss, leg elevation, pain medications (NSAID’s), and a 3 month trial of compression stockings.
- Complications: such as phlebitis, bleeding veins, leg swelling and leg ulceration make it more likely an insurance company will consider treatment medically necessary.