Endovenous Laser Ablation Before and After: What to Expect & Does Anthem Cover Endovenous Ablation?

endovenous laser ablation before and after

Endovenous Laser Ablation Before and After: What to Expect & Does Anthem Cover Endovenous Ablation?

Endovenous laser ablation (EVLA) is a highly effective, minimally invasive procedure for treating varicose veins and chronic venous insufficiency. Many patients seek this treatment to relieve leg pain, swelling, and the unsightly appearance of bulging veins. If you’re considering EVLA, you may have questions about what happens before and after the procedure, as well as whether your insurance—specifically Anthem—covers it.

In this comprehensive guide, we’ll explore everything you need to know about endovenous laser ablation before and after the procedure, its benefits, and whether Anthem covers endovenous ablation. Dr. Gulshan Sethi, a renowned vein specialist in Long Island, offers this treatment to help patients regain healthier legs and improve their quality of life.

What is Endovenous Laser Ablation?


Endovenous laser ablation is a cutting-edge treatment that uses laser energy to seal off diseased veins, rerouting blood to healthier veins. This method is preferred over traditional vein stripping because it is less invasive, offers quicker recovery, and has a high success rate.

How Does Endovenous Laser Ablation Work?

  1. Ultrasound Guidance: The doctor uses ultrasound imaging to map out the diseased vein.
  2. Local Anesthesia: The treatment area is numbed to ensure patient comfort.
  3. Catheter Insertion: A thin fiber-optic catheter is inserted into the vein.
  4. Laser Activation: The laser energy is delivered along the length of the vein, causing it to collapse.
  5. Recovery: The body naturally absorbs the closed vein over time, improving circulation.


Endovenous Laser Ablation Before and After: What to Expect


Before the Procedure

Preparing for endovenous laser ablation is simple and involves a few key steps:

  • Medical Evaluation: Dr. Gulshan Sethi will assess your vein health and determine if you’re a good candidate for EVLA.
  • Ultrasound Examination: This helps identify problematic veins and their severity.
  • Pre-Treatment Guidelines: Patients are advised to avoid blood thinners, wear loose-fitting clothing, and stay hydrated.

During the Procedure

The procedure typically takes 30-60 minutes per leg. Patients remain awake, and only local anesthesia is used to minimize discomfort. Most patients report minimal to no pain, only feeling a slight warming sensation during the laser activation.

After the Procedure

Patients can expect:

  • Immediate Relief: Many experience reduced pain and swelling within days.
  • Mild Bruising & Discomfort: Temporary bruising and tightness may occur.
  • Compression Stockings: Wearing compression stockings for 1-2 weeks is recommended for optimal healing.
  • Quick Recovery: Most patients return to daily activities within 24 hours, avoiding strenuous exercise for about a week.
  • Visible Improvement: Varicose veins shrink gradually over a few weeks to months.


Does Anthem Cover Endovenous Ablation?


Insurance coverage for endovenous laser ablation depends on your plan and medical necessity. Anthem, like many insurance providers, often covers EVLA if it is deemed medically necessary rather than cosmetic.

Factors That Affect Anthem Coverage

  • Medical Necessity: Anthem usually covers EVLA if the patient has chronic venous insufficiency, significant pain, swelling, or ulcers.
  • Doctor’s Evaluation: Dr. Gulshan Sethi provides thorough assessments and documentation to support insurance claims.
  • Pre-Authorization: Some Anthem plans require pre-approval before proceeding with treatment.
  • Copays & Deductibles: Coverage may vary based on your policy; check with Anthem for exact out-of-pocket costs.


How to Verify Anthem Coverage for EVLA?

  1. Contact Anthem: Call the customer service number on your insurance card.
  2. Consult Dr. Gulshan Sethi’s Office: His team can help navigate insurance approvals.
  3. Get a Pre-Approval: Submit medical records and necessary documents for approval.


Benefits of Endovenous Laser Ablation

  • Minimally Invasive: No major incisions or stitches.
  • High Success Rate: Over 90% of treated veins remain closed long-term.
  • Quick Recovery: Patients resume normal activities within a day.
  • Pain Relief: Effective in reducing leg pain, swelling, and fatigue.
  • Aesthetic Improvement: Helps eliminate bulging veins and discoloration.


Potential Risks and Side Effects


Though rare, some risks include:

  • Mild swelling or bruising
  • Temporary nerve irritation
  • Blood clot formation (extremely rare)
  • Skin discoloration (usually fades over time)


FAQs About Endovenous Laser Ablation

1. Is EVLA Painful?

No, the procedure is well-tolerated, with most patients experiencing minimal discomfort due to local anesthesia.


2. How Soon Will I See Results?

While some relief is immediate, full vein shrinkage can take a few weeks to months.


3. Can I Walk After the Procedure?

Yes, walking is encouraged to promote circulation and healing.


4. Does Anthem Cover EVLA for Cosmetic Reasons?

No, Anthem typically covers the procedure only for medical necessity.


5. How Long Does the Procedure Take?

It takes about 30-60 minutes per leg.

Endovenous laser ablation is an excellent option for treating varicose veins and venous insufficiency. If you’re considering this treatment, understanding the endovenous laser ablation before and after process can help you prepare. Additionally, knowing whether Anthem covers endovenous ablation is crucial to avoid unexpected costs. Dr. Gulshan Sethi, a top vein specialist in Long Island, provides expert care for patients seeking relief from vein-related issues.

If you’re ready to take the next step, schedule a consultation with Dr. Sethi’s office today to discuss your treatment options and insurance coverage.

Also Read: Radiofrequency Ablation Near Me: A Comprehensive Guide

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