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Insurance coverage of vein treatment

You may have heard stories about how insurance will or won’t cover vein treatments.
While there is some variation among insurers, there are a few consistent rules I can share with you. Your vein doctor’s office should help you understand and deal with your own plan and coverage before any treatment.

The general rule is that insurance companies will not cover any treatment done for strictly cosmetic reasons (No symptoms or complications? No insurance).

Insurance will generally cover most treatments of venous insufficiency and varicose veins if you either have symptoms, skin damage, or complications from your vein problem. Symptoms including pain, swelling, cramps, itching, restless legs, etc. are typically considered adequate to
warrant coverage. Some plans require that skin damage or bulging varicose veins of a specific size be evident. In the end, it usually comes down to the ultrasound findings. But that’s not all.

Most insurance plans require that each patient try “conservative measures” first. These might include compression stockings, leg elevation, exercise, weight loss, avoidance of prolonged standing, pain pills, etc. How long you may have to try this varies by plan, anywhere from 2 weeks to 6 months. If you have done these measures and later return to your doctor showing that your symptoms have not improved, your insurance is likely to approve coverage
for your treatments.

At my office, the staff will work directly with your insurance provider to obtain the necessary authorizations for you, and then review your expected out-of-pocket expenses with you. You’ll want to know in advance if your doctor is going to do this for you or you’re on your own. Another very important question to ask your vein doctor is whether or not they are “in-network” or “participate” in your particular insurance plan. Your out-of-pocket expenses will typically be a lot lower if your doctor is “in-network”. At Advanced Vascular Associates, in order to keep our treatments as affordable as possible, we participate in almost all major New Jersey insurance plans.

The best way to find out the condition of your veins and whether you insurance will cover them is to consult a vein specialist. Once you get a diagnosis, the doctor should be able to advise you based on his or her experiences with your specific insurance provider.

You can arrange for a quick and easy consultation right now by calling 201-265-5300.

About us: There are 20 million Americans with vein problems that can seriously affect the quality of their lives. And as we age, they just get worse. As one of the few New Jersey medical practices committed exclusively to vein care, Advanced Vascular Vein Care is uniquely capable of alleviating those problems, whether they are medical or cosmetic. All treatments are non-surgical, usually covered by insurance, and delivered in an office setting. And we do it as it should be done – with compassion, excellence, affordability, convenience, and the personal touch. Call 201-265-5300 or visit AdvancedVascular.com for a quick and easy consultation.

Morristown

 131 Madison Ave. 2nd Floor
 Morristown, NJ 07960
 (973) 540-9700

Sparta

  89 Sparta Ave. Suite 270
 Sparta, NJ 07871
 (973) 540-9700
 

Pompton Plains

242 West Parkway
Pompton Plains, NJ 07444
(973) 540-9700

Teaneck

1086 Teaneck Road, Suite 4F1
Teaneck, NJ 07666
(201) 265-5300

Office Hours

Monday:

8:00 am-5:00 pm

Tuesday:

8:00 am-5:00 pm

Wednesday:

8:00 am-5:00 pm

Thursday:

8:00 am-5:00 pm

Friday:

8:00 am-5:00 pm

Saturday:

Closed

Sunday:

Closed

  • "One of the most professional and accommodating office and doctors I have been to in a very long time. I saw Dr. Lee and found him to be very kind and knowledgeable. He diagnosed a blood clot, got me started on a blood thinner and I feel better than I have in months. Thank you, thank you, thank you!"
    Barbara B.
  • "Best vascular surgeons around Dr. Patel is the best"
    Cookie R.
  • "Dr.Lee is thee BEST Vascular Surgeon I EVER had in 42yrs! He is kind, compassionate, funny, and super honest! I really need the super honest part as his patient because I have been on dialysis for almost 20yrs time around and then dealing with end-stage renal failure since I was 13 and I was born with circle kidney so I need someone who is going to be upfront and honest with me and compassion at the same time and he is the ONLY surgeon to get three fistulas working on me! No one in 42 years has ever done that! He is the best surgeon I have ever had! Omg... and his staff is phenomenal !"
    Mercedes R.
  • "Dr. Patel placed my fistula in july of 2014 and I have had most of my maintenance fistulagrams done by Dr Raiz. Though whoever i have had have been great.The entire staff is wonderful . They are compassionate caring and professional. Would not go anywhere else."
    Sherry S.
  • "Dr Riaz, Dr Lee, and the entire Medical Staff at Advanced Vascular Associates are one of the most professional, knowledgeable, courteous, and caring Medical Teams that I've ever visited in my life! I have the greatest amount of respect for them, and trust that whatever the purpose of your visit is, you will leave knowing that you've been treated by the best! Thanks for taking good care of me (especially Rose)."
    Bruce B.
  • "My Dad had surgery for a AAA a year ago! He is 91 years young! Dr. Lee brings so much to the Operating Table!I have never been put more at ease than by Dr Lee. His reassurance and soft-spoken confidence made me rest easily during the Procedure. What a great Man!"
    Lisa V.
  • "Dr. James and the staff are the best. Very attentive and caring."
    Roseanne L.
  • "My first time there. Everyone was very nice and Dr. Patel was awesome! Would recommend to everyone."
    Helen A.
  • "Caring and professional nurses and staff. And special thanks to Dr. David Cohen. His expertise and compassionate level of treatment is beyond comparison."
    Edward B.
  • "The advanced vein care center headed by Dr. Cohen, my physician, is a superior center with caring hands. Each and every visit has been a comfort to me."
    Theresa P.
  • "Thank you for always doing your very best for Dad. We appreciate you always doing what was best for Dad and for always making him feel worthy of being treated as a breathing human being and not some ‘old sick man’."
    The Danielian family
  • "A note of thanks to you! I must say I have never been more pleased with the care and treatment rendered by you and your staff, as compared to countless other physicians and their somewhat lacking care and consideration for their patients’ time and well-being. I am doing fine and had very little discomfort!"
    Paula D.
  • "Thank you very much for the great attention and services offered not only to me, but also to my assistant. Your loving and caring is taken to heart."
    Gustavo G., D.M.D.