EVLT® Insurance Information
Most carriers (including Medicare) provide coverage for EVLT®.
Coverage for EVLT® is subject to the terms of your coverage policy. Co-payments and deductibles may be applied.
Frequently Asked Insurance Questions:
Q: Will insurance cover EVLT® for everyone?
A: No. Carriers will cover EVLT® only when medically necessary. Patients must demonstrate symptomatic venous reflux disease. That is:
- Pain, swelling, leg cramps, ulcers, bleeding from varicosities
- Presence of reflux on ultrasound scan
Q: If I have symptoms of venous reflux disease, are there any other criteria that must be satisfied before I can get coverage?
A: Most carriers require a period (3- 6 months) of conservative therapy (compression, elevation of legs, possibly weight loss) before providing coverage for EVLT®
Q: What should I do if the claim is denied?
A: You should begin by reviewing the ‘explanation of benefits’ (EOB) for a reason for the denial. If the EOB does not explain the reason for denial, you should contact the claims department and request an explanation. All insurance carriers and payers have an appeals process. Inquire into the process for appeal, including where and to whom the appeal should be sent. If further assistance is needed, you may contact us for assistance.
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