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Eyelid surgery is one of the popular plastic surgery procedures performed in the United States and at the Los Angeles cosmetic eye and facial surgery practice of Eyesthetica. One of the most common questions we hear from our eyelid surgery patients is, “Will insurance cover my surgery?” Here, we answer that question in detail.

What Is Functional Eyelid Surgery?

Eyelid surgery is commonly performed to enhance facial appearance. The procedure trims excess skin and fat on the upper eyelids to create a younger-looking appearance. Eyelid surgery can also remove loose skin and tissue on the lower eyelids that create puffy bags under the eyes. When performed solely for cosmetic reasons, eyelid surgery is considered to be elective and therefore cannot be covered by medical insurance.

Eyelid surgery can be covered by medical insurance if it is deemed medically necessary. Functional eyelid surgery removes heavy skin that hangs over the eyelash line, interfering with the line of sight. Impaired vision caused by excess, hanging upper eyelid skin can make everyday activities such as driving, reading and sending text messages difficult.

Most insurance companies require proof in the form of a visual test in order to determine coverage for eyelid surgery. The vision test needs to be performed by a board-certified eye doctor, such as an oculoplastic surgeon. If the vision test determines there is visual impairment, the surgeon takes pictures of the condition and sends them to the patient’s insurance provider. Whether the insurance company covers all or a part of the cost for eyelid surgery depends on the patient’s specific coverage plan.

Learn More about Functional Eyelid Surgery

The best way to find out if your medical insurance can cover all or a part of the cost of your eyelid surgery is to meet with a member of the team at Eyesthetica. We encourage you to take our eyelid self test so that we can contact you regarding your specific condition prior to scheduling an appointment. You may also request an appointment by filling out this form.

If your insurance provider concludes that eyelid surgery is not a medical necessity, you still have options. Eyesthetica offers financing plans to help patients pay for their procedures. A member of our team can discuss these options in detail with you during your consultation. For more information, please contact our office or send us an email.

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