Las Vegas Vein Center Insurance

Unfortunately not. Carriers will cover treatments that are medically necessary. In other words, if you experience serious medical symptoms such as venous reflux, pain, swelling, leg cramps, ulcers, etc., your insurance will cover the costs of the procedure recommended to you by your physician. You might have to go through a period of conservative therapy (losing weight, wearing compression stockings), and if that doesn’t help, then you’re usually qualified to receive a treatment covered by your insurance company.

However, each insurance carrier is different and it is recommended that individuals check with their own insurance carriers to determine if there is coverage.

Each patient is given a complete evaluation summary of their proposed plan of treatment at their consultation detailing medically necessary treatment(s) which may be billable to insurance and non-medically necessary treatment(s) which would not be billable to insurance and completely out of pocket.

If the treatment is focused on removing spider veins for cosmetic reasons only, it might not be covered by insurance.

During your first visit to Las Vegas Vein Center, you will meet with Dr. Carullo for a consultation appointment. At this appointment, we will examine you, discuss your diagnosis and treatment options, and review your insurance benefits with you.

Varicose vein treatment is often covered by insurance. In the past, insurance companies were apt to cover the traditional treatment for vein disease – surgery. But now, most are providing coverage for Endovenous Treatment as a primary treatment and sclerotherapy as a secondary treatment. Of course, patients and their physicians need to demonstrate that treatment is medically necessary.

Luckily, Las Vegas Vein Center is now in network with most major insurance plans. Since treating vein disease is our specialty, our staff is highly experienced in working directly with insurance companies to ensure you’re getting treatment that’s covered under your plan. We will work with you to maximize your insurance benefits.

The following is a list of different types of insurance plans that might help you in determining your benefits:

• Fee-for-service
  This kind of health plan is best suited for people who want a lot of options and are willing to pay for it. In other words, it allows you to select any physician or hospital your heart desires. The other good thing about it is that it allows you to self-refer.
• PPO (Preferred Provider Organization
  If you use the doctors and hospitals on your list you’ll greatly reduce deductible and co-payment costs and there won’t be as much claims paperwork. However, you may also select your own physician and self-refer (at higher cost).  Our office will bill directly for medically necessary and authorized treatments. Patients will be responsible for co-pays and any deductible. Any cosmetic treatment will be the responsibility of the patient.
• EPO (Exclusive Provider Organization)
  Similar to a PPO except that the coverage for non-listed physicians and services may be less, and there are more rigorous utilization review requirements.
• HMO (Health Maintenance Organization)
  Your selection of doctors and hospitals is strictly limited to those on the HMO list. You also have to choose a primary care physician with whom you have to consult for all referrals regarding specialized care or hospitalization, including a referral for vein treatment. If you receive treatment without authorization from a non-HMO physician you will not be covered.
  • Currently, Dr. Carullo is a member of Amerigroup Medicaid HMO only.
• Point of Service
  This is a combination of HMO, PPO and Fee-for-service.
• Medicare
  Medicare covers those treatments that are considered medically necessary. Our office will bill directly. Patients are responsible for co-pays and for the full cost of any treatments that are cosmetic. A waiver must be signed by each Medicare patient prior to any cosmetic treatment.
• Medicare HMO
  Available to Medicare-eligible individuals, this plan puts you in an HMO (see above) in return for lower rates. The restrictions are the same as in an HMO.
• Medicare Supplement
  This policy is added on to Medicare to cover additional costs not included in the standard Medicare policy. Restrictions depend on the plan you choose.