Do insurance companies pay for laser treatments? - Vascular Birthmarks Foundation Forum
  Vascular Birthmarks Foundation Hemangiomas  |  Port Wine Stains  |  Vascular Malformations  
VBF logo
1994 - 2015
Celebrating 21 years with
80,000 networked into treatment

Dr. Linda Rozell-Shannon, PhD President and Founder

Donate to VBF    Shop VBF Products

Go Back   Vascular Birthmarks Foundation Forum > Port Wine Stain Help > Port Wine Stain Help and Resources

Thread Tools Display Modes
Old 09-25-2005, 02:06 AM
Posts: n/a
Default Do insurance companies pay for laser treatments?

Hi, I am new to this website. I am 24 years old and have a pws on my face, neck and parts of my chest. When I was 11 years old I had a series of 6 candella laser treatments but discontinued the treatments b/c I developed asthma and could no longer be put under general anesthesia. I remember my MD telling my mother that I should have the treatments done before I was 18 years old so that insurance would cover it (afterwords it would be considered "cosmetic"). I am wondering if this is true. Obviously, all insurance companies differ, but in general do most adults have to pay out of pocket for treatments? My pws is superficial and I would really like to resume treatment but money is certainly an issue. Have any of you had any luck in getting your insurance companies to pick up all or even part of the bill?
Reply With Quote
Old 09-25-2005, 05:19 AM
juliemn juliemn is offline
Senior Member
Join Date: Sep 2004
Posts: 95
Default Re: Do insurance companies pay for laser treatments?

Many people have no problem obtaining insurance coverage for laser treatment.* Unfortunately, many others do have to fight to get coverage.* I, myself have not had to appeal for coverage of laser treatment as I live in Minnesota.* Here it is a state mandate that laser treatment for PWS be covered by insurance.*

I know that it is important that the doctor you choose considers your treatment a medical necessity rather than a cosmetic procedure.* If you have problems there are several great appeal letters posted here and on a couple of other sites that emphasize the medical necessity of laser treatment for PWS..i.e. thickening, blebs, hypertrophy, bleeding, etc.* Usually the appeal letters that they post for your reference are ones that have been successful.

PWS IS definitely a medical condition....not cosmetic.* The laser treatments do benefit the cosmetic appearance of the birthmark, but they first and foremost help delay the medical side effects of the birthmark.* Now...if we could just make ALL the insurance companies go for that.* :

Sorry I couldn't be more help.* I'm sure someone who's had to appeal their insurance company will chime in with specifics.


Sites with appeal letters besides the ones posted here:
MSN Vascular Birthmark Support

edited for spelling..jh
Julie H
Mom to Ben (multiple AVM's, PWS, SWS)
Reply With Quote
Old 09-25-2005, 03:42 PM
hankbartenbach hankbartenbach is offline
Senior Member
Join Date: Oct 2002
Location: Nebraska
Posts: 533
Default Re: Do insurance companies pay for laser treatments?

Hi I am 23 with facial PWS.

I have had Blue Cross Blue Shields my who life. They have so far covered the past 18 years of laser treatment.

The doctor was probably correct at the time but is not true now because of the number of people that are adults with PWS.

I totally agree with the last post. It really depends on your State, your insurance company, and the Doctor. The best way to make sure that your insurance company will cover your laser treatment is to have the doctor performing the treatment write a letter to the insurance company telling them that this is not cosmetic surgery, but nessesity.
Have it say that PWS can grow (which it can in some cases) and cause major health problems in the future.

If you have any more questions let me know. Also if you would like to send the insurance company a picture of me before plastic surgery and say this enlarging of the PWS could happen to you if not treated you can. You can get it off my website

Talk to you soon.

Reply With Quote

Thread Tools
Display Modes

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

vB code is On
Smilies are On
[IMG] code is On
HTML code is Off
Forum Jump

Similar Threads
Thread Thread Starter Forum Replies Last Post
HELP - Confused by Insurance! What is or isn't covered?? Frustrated BriellesMum Help and Resources for Hemangiomas 4 05-12-2009 12:27 AM
Dr. Waner an insurance issues hankbartenbach Port Wine Stain Help and Resources 0 03-16-2006 07:54 AM
insurance coverage l913 Port Wine Stain Help and Resources 5 11-10-2004 11:12 PM
Insurance Denial/Appeal Leah Port Wine Stain Help and Resources 3 09-16-2004 06:19 AM
My Treatments with PWS. Figliulo Port Wine Stain Help and Resources 2 02-26-2004 02:38 AM