The query about intentionally performing poorly on an eye exam prior to blepharoplasty stems from a desire to have the surgery covered by insurance. Many insurance providers require documentation demonstrating that upper eyelid ptosis or excess skin is significantly impacting vision before approving the procedure. Patients may believe that deliberately underperforming during the visual field test, a standard component of the pre-operative evaluation, will strengthen their case for medical necessity. A visual field test assesses peripheral vision and can quantify the extent of visual obstruction caused by the upper eyelids. For instance, a patient with significant dermatochalasis might attempt to artificially reduce their peripheral vision scores in the hope of meeting the insurance company’s coverage criteria.
Obtaining insurance coverage can substantially reduce the financial burden of blepharoplasty. Historically, cosmetic procedures were rarely covered; however, as awareness grows regarding the functional implications of conditions like ptosis, insurers have become more willing to consider coverage under certain circumstances. This shift has led some individuals to explore strategies, including manipulating test results, to increase their chances of approval. A successful claim can alleviate a significant portion of the cost, making the surgery more accessible.
