Sclerotherapy may be covered by insurance depending on what type of vein concern it is treating. Sclerotherapy can be used both on bulging, painful varicose veins and on smaller spider veins. Varicose vein treatment is often covered by insurance as a medical concern, whereas spider vein treatment, when done by itself, is not often covered, as it is considered a cosmetic concern. As with other treatment options, many patients are surprised to learn that sclerotherapy is covered by insurance due to a vein disease diagnosis. So, if you have any symptoms in your legs, we always advise patients to come in for an ultrasound vein evaluation to determine if their vein treatment would be covered by insurance.