Thinking About Having Eyelid Surgery? A Few Reasons Your Insurance Might Pay For It

If you have drooping eyelids and are considering having blepharoplasty, the medical term for eyelid surgery, you may find that your insurance does not want to cover it. Generally speaking, having a medical procedure to enhance your looks is not going to be paid for by an insurance company. However, if you can prove there is a medical reason to have the surgery, there is a much better chance your out-of-pocket expenses will be limited to any deductible you have on your insurance policy. Here are a few medical reasons to have blepharoplasty.

Problems with Your Vision

When your upper eyelid droops below the pupil of your eye, it can obstruct your vision. This can be a serious hazard when you are driving an automobile. Sometimes, the eyelid may not fall low enough to obstruct your vision, but is an irritant to it, causing focusing issues like an astigmatism. It can also cause amblyopia, a condition in which the eye muscle weakens and does not react to visual stimuli as it should.


Having drooping eyelids can also lead to chronic eye infections. When the lid hangs down, bacteria can be trapped in the fold. The dark, moist environment is the perfect environment for the bacteria to multiply and cause an infection. The infection may stay in the skin of the eyelid or travel to the eyeball. This is not only painful, but may cause serious medical problems with your vision.


Anything that causes vision problems can cause intense headaches as you try to use the eye muscles to adjust the eye to see better. In addition, if you have to use the muscles in your forehead to try to pull your eyelids up to see properly, you can develop a headache from over using those muscles, too. It is a good idea to see your general practitioner about the headaches. He or she can then recommend the eyelid surgery to your insurance company.

Trying to convince an insurance company to pay for cosmetic surgery is not easy, if at all possible. However, if you have any medical conditions that may be attributed to your drooping eyelids, there is a good possibility your policy will cover the expense. In all reality, if you have drooping eyelids, there is a very good possibility they are causing some other problem. Talk with your primary care physician and an eye doctor, like those at Brandon Cataract Center & Eye Clinic, before ever seeing the surgeon. Ask for a referral, and then see what the insurance company says. If they don't approve it this time, keep trying; it often takes more than one attempt to convince them.