Frequently Asked Questions

Medically necessary vein treatment is typically covered by Medicare and most major insurance plans, while treatment done purely for appearance is usually self-pay. We verify your benefits before treatment so there are no surprises. See our full insurance & cost guide for what's covered, how prior authorization works, and what to expect.

Even fully covered care is still subject to your plan's deductible, copay, and coinsurance, so out-of-pocket costs vary. After your consultation and ultrasound, we give you a written estimate of your expected cost before you decide anything. Cosmetic treatments are priced transparently on a self-pay basis — details on our insurance & cost page.

Yes — we can walk you through financing options for cosmetic treatments at your consultation. Availability can vary by location, so ask our team when you schedule.

Your first visit is a specialist consultation paired with a duplex ultrasound that maps the veins in your legs. Together they show whether chronic venous insufficiency or venous reflux is present and what treatment makes sense. Plan for about 60 minutes.

Most patients do not need a referral. Some plans — certain HMOs and Medicare Advantage plans — do require one, and we confirm that when we verify your benefits. More detail on our insurance & cost page.

Wear something that lets us see your lower legs — shorts or pants you can roll up work well. Bring your insurance card, photo ID, a list of current medications, and any prior imaging you have. Skip lotions on your legs the day of your ultrasound so the gel and probe read cleanly.

We offer radiofrequency ablation (RFA), endovenous laser ablation, ambulatory phlebectomy, ultrasound-guided sclerotherapy, cosmetic sclerotherapy for spider veins, and medical-grade compression therapy. All are minimally invasive, performed in-office, and matched to what your ultrasound shows. See our varicose veins and chronic venous insufficiency pages for how each treatment fits.

No — procedures are done in-office under local anesthesia. You're awake and comfortable throughout, and in most cases you can drive yourself home.

Most in-office treatments take about 30–60 minutes from start to finish, including prep and monitoring. Sclerotherapy visits are usually shorter, while ablation runs at the longer end.

Most patients feel only minor discomfort — a small pinch from the local anesthesia and some mild pressure. Sclerotherapy feels like a tiny sting as the solution goes in. There's no cutting and no general anesthesia.

Most people walk immediately after treatment and return to normal daily activity the same or next day. Strenuous exercise is usually limited for about 1–2 weeks, depending on the procedure.

Often yes. Many insurers require a conservative therapy trial with compression stockings before they'll approve a procedure, and we usually recommend them for a short window afterward — typically 1–2 weeks — to support healing. More on the insurer requirement is on our insurance & cost page.

Symptom relief — less aching, heaviness, and swelling — often shows up within days to a few weeks. Cosmetic improvement develops more gradually, over weeks to a few months as the treated veins are reabsorbed by the body.

Treated veins are permanently closed and do not reopen. Because the underlying tendency toward vein disease remains, new veins can develop over time — compression, movement, and periodic follow-ups help keep that in check.

It varies. Ablation is typically one session per affected vein, while sclerotherapy for spider veins often takes several sessions spaced weeks apart for best cosmetic results. Your plan is set at your evaluation once we've reviewed the ultrasound.