Does Insurance Cover Upper and Lower Eyelid Surgery?

Upper and lower eyelid surgery, also known as blepharoplasty, is a popular cosmetic procedure that can help to improve the appearance of the eyes by removing excess skin, fat, and muscle from the upper and lower eyelids. While the procedure can be very effective in achieving a more youthful and refreshed look, it is important to understand the insurance coverage options that are available for this type of surgery.

One of the most common types of insurance coverage for upper and lower eyelid surgery is medical insurance. This type of insurance will typically cover the cost of the procedure if it is deemed to be medically necessary. For example, if the patient has drooping eyelids that are causing vision problems, medical insurance may cover the cost of the surgery. However, if the surgery is purely for cosmetic reasons, it is unlikely to be covered by medical insurance.

Another option for insurance coverage is through a flexible spending account (FSA) or a health savings account (HSA). These types of accounts allow patients to set aside pre-tax dollars to pay for medical expenses, including upper and lower eyelid surgery. However, it’s important to check with the specific plan to confirm if eyelid surgery is an eligible expense.

Finally, some patients may choose to pay for the surgery out of pocket. This option allows patients to have more control over the timing and type of procedure they receive, but it can also be costly. It is advisable to check with the surgeon’s office for the cost of the procedure and see if they have any financing options available, such as a payment plan or credit card financing.

In conclusion, while upper and lower eyelid surgery can help to improve the appearance of the eyes, it is important to understand the insurance coverage options that are available. Medical insurance may cover the cost of the procedure if it is deemed to be medically necessary, but patients may also be able to use an FSA or HSA to pay for the surgery. Additionally, paying for the surgery out of pocket is also an option. It’s important to check with the surgeon’s office for the cost of the procedure and see if they have any financing options available.