Does Insurance Cover Vein Treatment?
After finding an experienced physician to provide treatment, the cost of venous disease treatment is often one of the most important factors that patients consider when making the decision to come in for a consultation. The cost of vein treatment usually depends on several factors, such as what symptoms you are having, what type of treatments you may need, and whether they are considered “medically necessary” by your insurance company.
Following your Initial Consultation visit with Dr. Karamichos and discussing your individualized diagnostic and treatment plan, our office manager will check on your insurance policy deductible and whether clinically indicated treatments are covered.
Typically, most insurers cover the larger, varicose vein treatments for symptomatic chronic venous insufficiency that has not responded to conservative measures (including use of prescription compression stockings and a regular exercise program). Insurers do not typically cover surface vein treatments. After verifying coverage/benefits with your insurance company, our office will be happy to provide a cost estimate of expected services to you.
More detail on how insurance providers work with vein care can be found here. Please understand that although your insurance may “cover” the procedure(s), most patients will still have some out-of-pocket cost for each appointment, as insurance does not cover 100% of the cost. By accepting insurance coverage you have entered into a contract with that company to accept responsibility for a certain percentage of the financial deductibles, copays and coinsurance amounts as outlined in the EOB’s (explanation of benefits) that we receive from your insurance company after a claim has been processed.
In many cases your insurance company may cover all or a portion of the evaluation, diagnostics, and procedures; however, we cannot guarantee this and you are responsible for payment of services rendered. It is unusual, but for those patients who are contracted with insurance carriers with whom we are an out-of-network provider, we will accept these insurances for payment but please realize that your choice to use an out-of-network provider for your treatment may affect your out-of-pocket costs.
Dr. Karamichos and the Region Vein team are “in network” with the most widely used insurance carriers in Northwest Indiana, including Anthem Blue Cross Blue Shield (BCBS), United HealthCare and Cigna. With multiple large provider groups and facilities providing vein care in the area, understanding insurance and provider network status can be difficult.
Our goal is to make this process easy to understand for our patients and we are glad to answer any questions you may have. Call our office at 219-595-3095!