Will my insurance pay for treatment?
Insurance Companies: Carolina Vein Center is in network with most insurance companies, and we accept Medicare. We are not in network with BCBS.
Insurance reimbursements depend on your particular insurance company, as well as, the terms of your individual policy. Each company’s policies and philosophies are different, and each person’s policy within each company can be different. After completing your evaluation, if treatment for your condition is recommended, we will gladly submit a claim for you. What one company may approve, another one may not - it depends on the insurance company and agreement your employer has w/ the insurance company. Most insurance companies allow up to 30 days for approval process, once the claim has been submitted. Treatment may begin after approval is authorized. Generally, if the ultrasound of your veins is abnormal, and you are having a medical problem (tired, achy, heavy, pain, swelling, skin changes, leg ulcers, etc.,) most insurance companies will approve the recommended treatments.
Pre treatment requirements: Most insurance companies require a “trial of conservative therapy” for 3-6 months prior to approving treatment. Usually conservative therapy means wearing prescription, class 2, compression stockings, leg elevation and increased activity. Even though there is no evidenced based medicine to support this requirement, they do it anyway, and you must comply with this requirement for payment authorization. Compression stockings are available for purchase at Carolina Vein Center. They are also available at most medical supply stores. The patient is responsible for the costs of compression stockings. Some require photographs of your venous condition be submitted with the treatment request/claim. We will take these photos on your consultation visit.
Cosmetic treatments: No insurance company will pay for cosmetic treatments. Cosmetic treatments may be performed at the time of medical treatment; however, they must be paid for separate from your medical claim.