Varicose Vein Treatments: Laser Surgery Options and Costs - Surgery

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Varicose veins


Are laser microscopy and laser treatment considered two separate therapies, or can they be used in conjunction? How much does laser surgery cost out of pocket? Are there any subsidies or related applications available? My father has a history of diabetes and is 48 years old.

Ya, 20~29 year old female. Ask Date: 2008/08/19

Dr. Hou Shouxian reply Surgery


1.
Laser treatment for varicose veins can be categorized into two types: endovenous (internal) and surface (external).
Both types are considered out-of-pocket expenses.
The cost for endovenous laser treatment ranges from approximately $40,000 to $70,000, while the cost for surface laser treatment is typically charged based on the area treated.
For a general area of 6x6 cm, the cost is around $7,000 to $9,000.
If you have medical insurance that covers non-NHI services, you may inquire with your insurance company about potential reimbursement for these medical expenses.
If convenient, you may also visit my clinic for further inquiries.

Reply Date: 2008/08/19

More Info


When it comes to treating varicose veins, there are several options available, including laser surgery. Understanding the differences between various laser treatments and their associated costs is crucial, especially for patients with underlying health conditions like diabetes, as in your father's case.

Laser Treatments for Varicose Veins
1. Types of Laser Treatments: There are primarily two types of laser treatments for varicose veins: Endovenous Laser Treatment (EVLT) and laser ablation. EVLT is a minimally invasive procedure where a laser fiber is inserted into the vein through a small incision. The laser energy heats the vein, causing it to collapse and eventually be absorbed by the body. On the other hand, surface laser treatments target smaller veins and spider veins without the need for incisions.
2. Combination of Treatments: It is possible to combine different types of laser treatments based on the severity and extent of the varicose veins. For example, a patient may undergo EVLT for larger veins and then have surface laser treatments for smaller veins or spider veins. The decision to combine treatments should be made by a healthcare professional based on individual patient needs.

3. Costs of Laser Surgery: The cost of laser surgery for varicose veins can vary widely depending on the location, the complexity of the case, and whether the procedure is performed in a hospital or an outpatient clinic. Generally, the cost for EVLT can range from $1,500 to $3,000 per leg, while surface laser treatments may cost between $300 to $600 per session. Since these procedures are often considered elective, they may not be covered by insurance, especially if there are no significant symptoms or complications.

4. Financial Assistance and Coverage: While laser treatments for varicose veins are often not covered by insurance, some clinics may offer payment plans or financing options. It is advisable to check with your healthcare provider about any potential financial assistance programs or grants that may be available for patients with chronic conditions like diabetes. Additionally, if varicose veins lead to complications such as ulcers or significant pain, there may be a case for insurance coverage, so it’s worth discussing this with your doctor.

5. Considerations for Patients with Diabetes: For patients with diabetes, it is essential to manage blood sugar levels effectively before and after any surgical procedure, including laser treatments. Poorly controlled diabetes can lead to complications such as delayed healing, increased risk of infection, and other postoperative issues. Therefore, it is crucial for your father to have a thorough evaluation by a healthcare provider who can assess his overall health and determine the best treatment plan.

6. Postoperative Care: After laser surgery, patients are typically advised to wear compression stockings to help with recovery and reduce the risk of blood clots. Regular follow-up appointments are also essential to monitor the healing process and ensure that the veins are responding well to treatment.

In summary, laser treatments for varicose veins can be effective, and there are options available for combining different types of laser therapies. The costs can vary, and while insurance coverage may be limited, it’s important to explore all financial assistance options. For patients with diabetes, careful management of their condition is vital to ensure a successful outcome. Always consult with a healthcare professional to determine the most appropriate treatment plan tailored to individual health needs.

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