For covered medical procedures/visits, Sutton Place Laser Vein Care accepts nearly all insurances, including Medicare, Medicaid, nearly all HMO/PPO plans, and nearly all Union plans. For the few insurance plans we do not participate in, you may have out of network benefits that you can use in our office.
For self-pay/cosmetic procedures/visits, we accept check, cash, and credit cards, and have payment plans that are affordable.
Cosmetic procedure fees/package treatment are established at the time of consultation.
Cosmetic: No symptoms or signs of vein disease present; patient wants treatment solely for improved appearance. A brief free consultation is offered. If an ultrasound is required, this may be covered by insurance. A cosmetic reason for obtaining vein procedures and consultation / follow up visits are never covered by insurance, and patients are responsible for full self-payment of fees, by check, cash, or credit card. Financing is also available via our office. Please contact us at 212.593.9800 for procedure fees. Our fees are very competitive with other vein centers in Manhattan.
Medical: When symptoms or signs or vein disease are present (and patients often do not realize the symptoms they are having are active, as they are often slow and insidious, and they often do not realize their symptoms are actually due to their veins ! please see more about this below), most vein procedures are covered by most insurers, though precertification is often required, and many plans require anywhere from 6 weeks to 3 months of documented efforts at conservative therapy (please see the Services page), along with copies of the vein ultrasound test report and digital photos of the veins or limbs affected. Therefore, immediate treatment on the first or single visit is never possible (nor is it good medical practice, as all patients are advised to undergo vein ultrasound to determine the most effective treatment plan, followed by discussion with the practitioner as to risks, benefits, alternative treatments, and why the plan is individualized to your condition). We always make every persistent effort to obtain precertification on your behalf when it is required.
As noted, patients often have to think hard about whether or not they have symptoms of venous disease, as they often do not connect certain symptoms with their veins, and also because vein symptoms are often so slowly evolving, or dependent on hot weather or prolonged standing, that the patient often gets used to having symptoms that should not be present ! Patients often are not aware that many of these symptoms are due to underlying invisible vein disease when visible varicose veins are not present. Additionally, patients may not be aware that certain physical findings may in fact be related to venous disease, especially when visible veins are not present (see signs below). So what may initially appear to patients to be a ‘cosmetic’ case of vein disease often is recognized to be in fact ‘medical’ in nature, due to presence of symptoms and signs….
Symptoms typically recognized as being covered for vein procedures include: pain, aching, heaviness, itching, burning, night cramps, restless legs; signs typically include: swelling, skin changes (redness, scaling, inflammation, tree bark type thickening and coarseness), increased skin pigment or discoloration, bleeding varicose veins, or venous ulcers or skin breakdown. While most medical cases of vein conditions are covered by insurance, coverage and precertification are not guaranteed; however, we are persistent and make every reasonable effort to secure coverage. Also, you are always responsible for any copays, coinsurances, and/or deductibles, which we are contractually obliged to collect; these vary with the terms of your insurance contract / policy. Please note that precertification establishes and confirms medical appropriateness & confirms that the plan will typically cover the service to the extent of its policy coverage, but does not cover any copays, coinsurance, or deductibles. If coverage is denied, patients are responsible for payment for procedures and consultation / follow up visits.
Of course, you may always contact your insurer directly and work with us in coordinating your benefits !
Also, please feel free to contact our Billing Office Staff at any time during your care, for full information and assistance !