Most health insurance companies will pay for treatment of varicose vein disease so long as the patient has one or more symptoms--pain, swelling, bleeding, rashes, open sores, phlebitis, superficial blood clots, itching, leg cramps, and restless leg symptoms. Most companies also require a trial of conservative therapy, primarily the use of compression stockings, before they will pay for a definitive procedure such as EVLT. If a patient has no symptoms but simply does not like the appearance of their varicose veins, the procedure would be considered cosmetic and not covered by insurance. We participate with the vast majority of local and regional insurance companies.