New Patient Treatment Steps

Step 1: Consultation.

Dr. Oblonsky wants all of his patients to feel comfortable at THE PREMIER VEIN CENTER, and he is the only one who performs the vein procedures. Dr. Oblonsky will advise you to move on to the diagnostic step if he thinks there may be an underlying medical condition causing your symptoms.

Step 2: Diagnostic Testing.

This is often performed on the same day as your consultation. Our certified ultrasound technologist will perform a comprehensive diagnostic ultrasound on one or both legs. The Vascular Technician is looking for reflux and measuring your veins. See Vein Disease. This information is required by Dr. Oblonsky to make a diagnosis and by insurance to determine if they will cover treatment. See duplex ultrasound

Step 3: Insurance Authorization.

You can relax on this step as we take care of the process. Depending on your insurance, your past history of wearing compression stockings, and diagnosis, this could take a while. MOST insurance companies require that you have tried wearing compression stockings for a period of time. This can be from 3 weeks to 6 months. That requirement depends on your insurance company and your policy. We usually advise you of this requirement at your consultation, so that you can start wearing compression stockings at that time if you have never worn them before. Once you have reached that requirement, it takes an average of 10 business days to get an authorization, sometimes less and sometimes more. Your insurance company is just trying to make sure that your treatment is medically necessary, and that it will be treating a medical condition.

Step 4: Treatment.

Treatment is personalized to you and your condition based on the results of your diagnostic ultrasound and consultation. Vein treatments include endovenous ablation ClosureFast, sclerotherapy, or compression therapy

Step 5: Follow-Up.

Dr. Oblonsky believes that follow-up is the key to success with vein treatment.

Step 6: Cosmetic Treatment (optional).

Many people have sclerotherapy done at a spa to treat spider veins—and then those spider veins keep coming back or creating new patches of spider veins. Dr. Oblonsky does not recommend cosmetic treatment until the underlying medical cause (if there is one) of the spider veins has been treated. The cosmetic treatment of spider veins is called visual sclerotherapy and is best performed if there is no underlying cause or after the underlying cause has been treated.

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