3 doctors weighed in:

Are visual field defects always justification for bleph?

3 doctors weighed in
Dr. Robert Alexander
Surgery - Plastics
1 doctor agrees

In brief: No

Many insurance companies are not covering for only loss of visual field.
(medicare requires loss of levator muscle (true ptosis) or not pay. There are many degrees of vf loss, some will cover upper lid surgery when vf loss is >30% measured by vf analysis. Insurance co are following medicare lead and are denying except for muscle functional loss.

In brief: No

Many insurance companies are not covering for only loss of visual field.
(medicare requires loss of levator muscle (true ptosis) or not pay. There are many degrees of vf loss, some will cover upper lid surgery when vf loss is >30% measured by vf analysis. Insurance co are following medicare lead and are denying except for muscle functional loss.
Dr. Robert Alexander
Dr. Robert Alexander
Thank
Dr. Richard Bensinger
Ophthalmology

In brief: Not always

A visual field test which shows the blockage of the superior field of vision outside of certain limits can be the deciding factor as to whether insurance coverage is available for the procedure.
The motivation to have this surgery however, is commonly cosmetic in which case the visual field is not the justification; but the appearance only.

In brief: Not always

A visual field test which shows the blockage of the superior field of vision outside of certain limits can be the deciding factor as to whether insurance coverage is available for the procedure.
The motivation to have this surgery however, is commonly cosmetic in which case the visual field is not the justification; but the appearance only.
Dr. Richard Bensinger
Dr. Richard Bensinger
Thank
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