Is Laser Vein Removal Covered by Insurance? Exploring Coverage Options

Is Laser Vein Removal Covered by Insurance? Exploring Coverage Options

Unsightly, visible veins on the legs can be a source of discomfort and self-consciousness for many individuals. Laser vein removal has become a popular solution for addressing both spider veins and varicose veins.

However, the coverage options for laser vein treatment vary depending on the type of veins being treated and the medical necessity of the procedure.

In this blog post, we will explore the nuances of insurance coverage for laser vein removal, delving into why certain treatments may or may not be covered, and what your options are for both scenarios.

Understanding the Difference:

Before we dive into insurance coverage, it’s crucial to distinguish between spider veins and varicose veins. Spider veins are smaller, superficial veins that often appear as a flat web of red, blue, green, or purple veins spreading across the skin’s surface. They often appear where skin is thinnest, or where elasticity suffers as we age.

They are most often seen on the backs of the knees, the ankles, the tops of the feet, thighs, and even on the face around the nasolabial folds and eyelids. Spider veins, notably, do not cause pain or itching sensations, and are a purely visible concern. On the other hand, varicose veins are larger, bulging veins that appear as twisted cords beneath the skin.

Varicose veins are a symptom of chronic venous insufficiency, a progressive condition affecting the circulatory system’s efficacy. They may cause pain, leg swelling/edema, restless legs, itching, burning, and other uncomfortable symptoms, qualifying them as a medical concern.

Insurance and Spider Veins:

In most cases, insurance providers categorize the removal of spider veins as a cosmetic procedure. Since spider veins typically do not present serious health risks, do not cause any pain or physical discomfort, and do not impact the functionality of the circulatory system, their treatment is often considered elective by insurance companies.

As a result, individuals seeking laser vein removal for spider veins on the legs may find that their insurance does not cover their treatments. Patients should be prepared for out of pocket fees if they choose to pursue laser treatment for cosmetic reasons, and patients are encouraged to seek treatment by board-certified vein specialists in IAC-accredited clinics for the most effective, FDA-approved treatment. Laser is a fantastic tool, and yields exceptional results when in the hands of a trained professional.

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Excel V+ Laser, or excel V+, is a revolutionary new technology that allows vein specialists to treat veins from the outside, with no need for any incisions or injections.

Designed to minimize the appearance of small and medium spider veins on the legs, this spider vein treatment uses highly targeted lasers to eliminate unsightly, visible veins on the surface of your skin.

Insurance and Varicose Veins:

Unlike spider veins, varicose veins are often deemed a medical issue by insurance companies, especially when they cause pain, swelling, restless legs, cramping, negatively affect sleep patterns, or cause other uncomfortable complications.

Many painful and uncomfortable symptoms are often reported by those suffering with vein disease – and these symptoms worsen over time if left untreated, resulting (in severe cases) in deep vein thrombosis, venous ulcers, and other serious health concerns.

Proactive treatment can prevent these serious complications, and due to the painful nature of varicose veins and vein disease, insurance providers are very likely to cover treatment for these often-visible veins on the legs.

Endovenous Laser Ablation (EVLA) is one such procedure that is commonly covered by insurance for varicose veins. EVLA uses optic fiber and laser technology. Under ultrasound guidance, the vein doctor inserts a tiny fiber into the unhealthy vein, then uses a small laser beam to heat the problem area until the valve and vein close. The procedure is minimally invasive, and will help the veins in your legs promote healthier blood flow right away.

Insurance Coverage Criteria:

For insurance coverage of endovenous laser ablation, providers often require documentation of medical necessity. This may include a comprehensive evaluation by a healthcare professional, specifically a vein specialist, physician, vascular/general surgeon.

Ultrasound imaging that confirms the issue of chronic venous insufficiency, paired with evidence of symptoms like pain, swelling, or skin changes, can be provided to insurance companies.

Your insurance company will review this information to determine whether the procedure meets their criteria for coverage. In most cases, coverage is provided to prevent the worsening of chronic venous insufficiency, given the disease’s progressive nature.


In summary, the coverage of laser vein removal by insurance hinges on the type of veins being treated and the medical necessity of the procedure. Spider veins, being largely cosmetic, are typically not covered, necessitating individuals to bear the costs out of pocket.

In contrast, endovenous laser ablation for varicose veins may be covered if deemed medically necessary by physicians as well as the insurance provider. It’s crucial for patients to communicate with their healthcare professionals and insurance companies to understand the specific criteria for coverage and make informed decisions about their vein treatment options.

Wellness and Fitness

TDPel Media

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