Can eyelid surgery be a medical necessity?
If drooping of your eyelids is interfering in your field of vision, the blepharoplasty procedure may be covered as a “medically necessary” surgery. Before surgery, your ophthalmologist will perform a comprehensive eye examination. Photographs are often required by insurance companies before surgery to determine if the procedure is medically-necessary. A visual field exam may be ordered to determine the extent to which the upper lid is interfering with your vision. Final decision is made by your insurance carrier after reviewing your condition. Lower eyelids are not covered by insurance unless there is a deformity. Patients should check with their insurance carrier about their coverage. As a general rule, insurance does not cover cosmetic surgery.