U.S. doctors online nowAsk doctors free
A 30-year-old member asked:

is blepharoplasty normally covered by insurance companies?

6 doctor answers16 doctors weighed in
Dr. Greg Sexton
Plastic Surgery 39 years experience
No, but can be: Upper eyelid blepharoplasty can be considered medically necessary and covered if the excess skin is blocking your vision. An ophthalmologist can do visual field studies to document this.
Dr. Annette Occhialini
Plastic Surgery 36 years experience
No: Blepharoplasty is usually considered cosmetic and therefore not covered by insurance. In some instances if the skin of the upper eyelid interferes with vision it may be covered but this usually has to be preauthorized and documented with photos and visual field testing.
Dr. Stephen Weber
Facial Plastic Surgery 25 years experience
Rarely: In some cases insurance will cover upper blepharoplasty. Usually the skin needs to be hanging over the eyelashes to qualify. You also need formal visual field testing to demonstrate that the extra skin causes a functional problem. I hope this information is helpful. Stephen weber, M.D. Lone tree facial plastic surgeon.
Dr. Jeffrey Roth
Plastic Surgery 41 years experience
Usually not: If the eyelid skin is lax and is cascading so that it is blocking the visual field, this is eyelid excess. Visual field cuts must be documented to try and get it covered. Insurance companies have their own criteria. Ask your surgeon. They will guide you through the process...
Dr. Thomas Fiala
Plastic Surgery 33 years experience
Good luck!: In the past 15 years, i've never had a blepharoplasty covered by insurance...Even when the visual field tests show significant visual obstruction by the extra skin.
Dr. Richard Bensinger
Ophthalmology 52 years experience
Usually not: Your doctor must demonstrate functional problems such as loss of the field of vision, neck strain from having to tilt up the head to see, or some associated underlying condition like thyroid disease.

90,000 U.S. doctors in 147 specialties are here to answer your questions or offer you advice, prescriptions, and more. Get help now:

Ask doctors free
Personalized answers
Free
Talk to a doctor
$30 per visit with
membership

Similar questions

A 31-year-old member asked:

Is the droopy lid blepharoplasty covered by insurance?

4 doctor answers11 doctors weighed in
Dr. Barry Press
Plastic Surgery 44 years experience
Possibly: If the upper lid decreases the superior visual field, its correction may be covered by insurance. This usually requires a formal visual field test by an ophthalmologist with and without the upper lids taped superiorly away from the pupil. Also, excess skin must be differentiated from ptosis (where the actual lid margin sits too low on the eyeball.).

Related questions

A 44-year-old member asked:
1 doctor answer1 doctor weighed in
A 27-year-old female asked:
3 doctor answers4 doctors weighed in

90,000 U.S. doctors in 147 specialties are here to answer your questions or offer you advice, prescriptions, and more. Get help now:

Ask doctors free
Personalized answers
Free
Talk to a doctor
$30 per visit with
membership
Last updated Apr 20, 2019

Disclaimer:

Content on HealthTap (including answers) should not be used for medical advice, diagnosis, or treatment, and interactions on HealthTap do not create a doctor-patient relationship. Never disregard or delay professional medical advice in person because of anything on HealthTap. Call your doctor or 911 if you think you may have a medical emergency.