Insurance Information
Most carriers (including Medicare) provide coverage for EVLT®. We have included a list of payors who have a written coverage policy for EVLT®. In the event that your carrier is not on this list, you may find it helpful to contact your carrier’s customer service representative. S/he may be able to answer this question for you. If a written request is needed, AngioDynamics will provide an introductory letter for this purpose. One of our goals at AngioDynamics is to assist patients in obtaining coverage for Endovenous LaserTreatment (EVLT®) for resolution of venous reflux disease.
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 AngioDynamics for assistance.
Q: What should I do if I still have questions about EVLT® reimbursement?
A: For additional reimbursement information, contact the AngioDynamics Director of Reimbursement at 978-824-1853 or cmorris@angiodynamics.com
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