8/17/10

Oculoplastic Frequently Asked Questions

Q: Will my insurance pay for Blepharoplasty?

A: Insurance paying for upper eyelid surgery
There are three criteria that medicare has established and all three need to be documented before your insurance company considers covering the cost of upper eyelid surgery.

1. Documentation of superior visual field loss: This test is performed with each eyelid taped up to prove improvements in the superior visual field after surgery.

2. Documentation of ptosis (eyelid droop) OR dermatochlasia by your surgeon

3. Frontal and side view photographs documenting the presence of ptosis or dermatochlasia.

Now remember each insurance company is different and may have their own rules for qualifications.

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