Vein Disease and the Affordable Care Act: What You Need to Know

If you are one of more than 40 million Americans suffering from varicose veins or other venous diseases, you probably have some very important questions that need answering. Most importantly, you need to know what kind of treatment is available, and what you’ll need to do before receiving it. Leaving a vein disorder unattended to can worsen the condition, and lead to even more serious health risks down the line. Since the implementation of the Affordable Care Act, you may have more options and protections available than you did in the past.


Don’t live in fear of bad news from your insurance provider: arm yourself with the facts that you need to start taking action in treating your vein disease.

Are You Covered?

When it comes to vein disease and your health insurance, there are several important distinctions to make as you begin seeking treatment.

  • Medical vs. Cosmetic Conditions: One of the most important factors in determining your coverage is whether or not the condition is a threat to your health. Many believe that vein conditions and any related treatment are cosmetic issues, but this couldn’t be farther from the truth. Varicose veins can turn from unsightly to life threating if left untreated, and although less serious, people suffering from spider veins have a one-in-four chance of developing worse vein problems in the future. That said, not all vein procedures are considered medically necessary. In order for a venous disease to be considered a true medical condition, it has to come with direct, problematic symptoms like swelling, aching, pain or fatigue. Even then, if your symptoms can be easily treated with improved circulation or elevation, surgical treatment may not be covered by your insurance.
  • You Can’t Be Penalized for Your Condition: Thanks to provisions in the Affordable Care act, your vein disorders can no longer be held against you as prior conditions. Don’t let fear of insurance repercussions keep you from seeking help any longer. If left untreated, even minor vein problems can worsen significantly and may even become life threatening. Don’t assume that your condition is purely cosmetic: let a doctor evaluate your venous condition firsthand so that you can know for sure.
  • How Insurance Can Help: Should your vein issues qualify as a legitimate medical concern, ACA benefits will generally include a professional medical evaluation, ultrasound mapping of your veins, and any subsequent medical treatment that you may require. Even if you’re on Medicare or Medicaid, you can still receive coverage for treating your vein disease.

Don’t let a fixable condition get out of control: schedule a consultation as soon as possible to find out how your veins can be treated, and how your insurance can help.