Does Medicare Cover Varicose Vein Treatment?

• by Christian Worstell
• August 23, 2023
• Reviewed by John Krahnert

Yes. Medicare may cover varicose vein treatment when your doctor says it is medically necessary. Medicare does not cover varicose vein treatment if it is only for cosmetic purposes.

Medicare Advantage (Part C) plans may also cover varicose vein treatment that is deemed medically necessary by your doctor. Medicare Advantage plans also include an annual out-of-pocket spending limit, which can potentially save you money on out-of-pocket Medicare costs.

Original Medicare (Part A and Part B) does not include an out-of-pocket spending limit.

How does Medicare cover varicose vein treatment?

Varicose veins are twisted or bulging veins that lay right below the surface of the skin. They are common in the legs and other parts of the body. Varicose veins can happen when regular veins become weak and stretched out.

• Varicose veins can be treated with an injectable adhesive, such as Venaseal glue, to close the affected varicose veins.
  
  
• Alternately, Varithena foam can be injected into the veins through a small catheter. The foam irritates the lining of the varicose vein and causes it to close

If your varicose treatment is covered by Medicare, Part B medical insurance usually is responsible for covering the costs since as an outpatient procedure.

If you need inpatient hospital treatment for any reason, Part A will help cover your hospital costs.

How much does varicose vein treatment cost with Medicare?

If Medicare covers your varicose vein treatment, there are some out-of-pocket costs you should expect to pay, which may include:

• The Medicare Part B deductible, which is $226 per year in 2023.
  
  
• After your Part B deductible is met, you are usually required to pay 20 percent of the Medicare-approved amount for most doctor’s services. There is no annual limit on how much you could pay for the Part B coinsurance in a given year.
  
  
• If your varicose vein treatment requires inpatient care, you will need to meet your Part A deductible before your Part A hospital insurance coverage kicks in. In 2023, the Part A deductible is $1,600 per benefit period.

Speak directly with your doctor for specific cost and coverage information for your varicose vein treatment.

Medicare Advantage plans may cover some varicose vein treatments

Medicare Advantage plans are sold by private insurance companies and are required to cover everything that Medicare Part A and Part B cover.

If your varicose vein treatment is covered by Original Medicare, it will also be covered by a Medicare Advantage plan.

Because most varicose vein treatments are for cosmetic purposes, they are not typically covered by Medicare. Check with your Medicare Advantage plan carrier for more coverage information.

A licensed insurance agent can help you compare Medicare Advantage plans that are available where you live, including their costs, coverage, benefits and more.

Or call 1-800-557-6059 1-800-557-6059 TTY Users: 711 24/7 to speak with a licensed insurance agent.

About the author

Christian Worstell is a senior Medicare and health insurance writer with MedicareAdvantage.com. He is also a licensed health insurance agent. Christian is well-known in the insurance industry for the thousands of educational articles he’s written, helping Americans better understand their health insurance and Medicare coverage.

Christian’s work as a Medicare expert has appeared in several top-tier and trade news outlets including Forbes, MarketWatch, WebMD and Yahoo! Finance.

Christian has written hundreds of articles for MedicareAvantage.com that teach Medicare beneficiaries the best practices for navigating Medicare. His articles are read by thousands of older Americans each month. By better understanding their health care coverage, readers may hopefully learn how to limit their out-of-pocket Medicare spending and access quality medical care.

Christian’s passion for his role stems from his desire to make a difference in the senior community. He strongly believes that the more beneficiaries know about their Medicare coverage, the better their overall health and wellness is as a result.

A current resident of Raleigh, Christian is a graduate of Shippensburg University with a bachelor’s degree in journalism.

If you’re a member of the media looking to connect with Christian, please don’t hesitate to email our public relations team at Mike@tzhealthmedia.com.

 

 

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