Does Insurance Cover Eyelid Surgery?

Posted on July 15, 2016 by: Dr. Ronald DeMars


Upper Eyelid Surgery vs Lower Eyelid Surgery

There are two types of eyelid surgery. Upper eyelid surgery aims to reduce or eliminate loose, stretched-out skin that hangs over the eye. Cosmetically, the sagging upper eyelid skin can create a tired, older-looking appearance. In some cases, the skin can droop so low that it can obstruct the line of sight. This condition makes certain activities like driving unsafe, and activities like reading, uncomfortable.

Lower eyelid surgery treats drooping skin that creates bags under the eyes. By removing excess fat and skin, repositioning the remaining fat and tightening the skin, lower eyelid surgery restores a rested, pleasant appearance to the eyes and overall facial appearance.

Depending on your needs, Dr. DeMars may recommend both upper and lower eyelid surgery to achieve the desired outcome.

What Can Insurance Cover?

Lower eyelid surgery is considered to be an aesthetic procedure and is performed solely to improve appearance. As a result, insurance never covers the procedure. But in some cases, upper eyelid surgery may be covered by insurance.

“When the excess eyelid skin is interfering with peripheral vision, insurance companies may consider it medically necessary,” says Dr. DeMars. “This can only be determined after a visual field test is performed by your eye doctor.”

If hanging, excess skin is interfering with your ability to see properly and comfortably, schedule an appointment with your eye doctor. If they do recommend eyelid surgery, speak to your insurance company to see if they can cover all or a portion of the cost of your procedure.

Financing Your Procedure with Dr. DeMars

If your insurance cannot cover your procedure or can only cover a portion of the cost, Dr. DeMars and his staff is happy to discuss financing options with you. Dr. DeMars has a partnership with Prosper Healthcare Lending, a leading financing company that helps thousands of patients pay for their medical and cosmetic procedures. Prosper Healthcare Lending offers low monthly payments as well as immediate decisions on loans without affecting your current credit.

Dr. DeMars also has a partnership with CareCredit, a flexible patient/client payment program that allows patients to pay for their healthcare expenses. CareCredit offers a full range of affordable and extended payment plants for medical and cosmetic treatments or procedures.

Contact Dr. DeMars Today

If droopy, sagging eyelids are impairing your vision or you would want to rejuvenate your facial appearance, Dr. DeMars is here to help. Learn more about eyelid surgery by scheduling a personal consultation with the doctor. Please call (503) 253-3458 today.