Dr. Walrath will be able to tell you if he believes your condition meets the criteria for insurance reimbursement. In the case of upper eyelid surgery, each insurance carrier has slightly different criteria. These criteria are published and available, and based on your examination and insurance, Dr. Walrath can usually predict when the insurance company will pay for your upper lid surgery. In plans that preauthorize, you will have the insurance company decision before your surgery, so that there are no surprises.
Lower eyelid surgery can be covered by insurance for very specific indications.
Medicare does not preauthorize procedures. Dr. Walrath is generally familiar with their criteria for covering procedures. Nevertheless, all patients about to undergo eyelid surgery who have Medicare are required to sign an advanced beneficiary notice, which states that Medicare does not guarantee payment and the patient may be billed by the government in the future.