Your Research: Is Eyelid Surgery covered by Insurance?

Serving Philadelphia, the Main Line, King of Prussia, Wayne, PA, and the neighboring tri state areas

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In certain situations, upper eyelid surgery is covered by Medicare or private health insurance, it just depends on how your eyelids are affecting your vision. If your upper eyelids are obscuring your vision, then many insurance policies will cover surgery to restore your field of vision. To determine if you are eligible for this coverage, you may need to undergo a visual field exam and have photographs taken of your eye area. Our office will help you determine the requirements if you are eligible for coverage.

Lower eyelid surgery is rarely, if ever, covered by insurance. Improving the lower eyelids is just about always considered cosmetic. If the insurance company decides upper or lower eyelid surgery is for cosmetic reasons alone, then coverage is not typically provided. Instead, it tends to be provided only if your blepharoplasty is deemed medically necessary to improve how well you see.

When you visit our office for your consultation, our experienced staff will provide you with an estimate for the procedure you are interested in. We'll also inform you of any payment and financing options available to you.

If you want to find out if you are a good candidate for upper or lower eyelid surgery in the greater Philadelphia and King of Prussia areas, please contact Morgenstern Center for Orbital and Facial Plastic Surgery to schedule a personalized consultation with experienced oculoplastic surgeon Dr. Ken Morgenstern.