A member asked:

Is the droopy lid blepharoplasty covered by insurance?

12 doctors weighed in across 4 answers
Dr. Barry Press answered

Specializes in Plastic Surgery

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.).

Answered 3/25/2023

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Droopy lid: Droopy lid, or ptosis, is a medical condition and is covered. Here the lid margin is below the iris to some degree. Excess eyelid skin, which is differentt condition, maybe covered if it interferes with peripheral vision which has to be documented.

Answered 9/28/2016

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Visual Field Block?: Droopy eyelid (ptosis) surgery can be covered by insurance if the patient is shown to have visual field obstruction either due to a lowered eyelid or excess skin hanging from the upper eyelid, which usually blocks vision to the sides. You should see an ophthalmologist to get appropriate testing if you are having vision problems.

Answered 2/19/2015

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Dr. Jeffrey Roth answered

Specializes in Plastic Surgery

Depends on issue: If the lid itself is drooping, that is called lid ptosis, (droop). If the lid is not drooping, but 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...

Answered 2/4/2015

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Related Questions

A member asked:

How safe is blepharoplasty? How likely is it not looking right after?

4 doctors weighed in across 3 answers