Insurance guide
Cigna coverage for varicose vein treatment
Cigna covers varicose vein treatment under Medical Coverage Policy 0234 when symptoms, reflux, and conservative therapy are documented. Cigna's criteria are similar to Aetna's but with a slightly shorter conservative-therapy window.
Cigna's requirements
Per Cigna's medical coverage policy:
- Persistent symptoms after ≥ 6 weeks of conservative therapy
- Reflux > 500 ms on duplex
- Vein diameter ≥ 4.5 mm
- Documented impact on daily activity, work, or quality of life
Procedures Cigna covers
RFA, EVLA, microphlebectomy, and ultrasound-guided foam sclerotherapy of refluxing truncal and tributary veins. VenaSeal is covered under most Cigna commercial plans following a 2022 policy update.
Most patients qualify for insurance coverage.
A 4-step path: symptoms · ultrasound · conservative therapy · approval.
Frequently asked questions
Does Cigna cover VenaSeal?+
Yes — VenaSeal is covered on most Cigna commercial plans for symptomatic great or small saphenous vein incompetence.
What conservative therapy does Cigna accept?+
Graduated compression stockings (20–30 mmHg or higher), leg elevation, weight management, and NSAIDs as appropriate, documented for at least 6 weeks.
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