If upper eyelids are so droopy that they cover the pupil and interfere with vision, eyelid surgery may be medically necessary and may be covered by health insurance plans. All health plans have stringent criteria regarding a degree of vision loss for medical necessity, and testing has to be done to corroborate the patient’s complaints objectively. If the procedure is performed to rejuvenate the eyes and eliminate cosmetic sagging, it is treated as cosmetic.