Insurance Information

Our goal is to provide you with clear, concise information about insurance coverage and policies, ensuring that you have a smooth and transparent experience from consultation to treatment.

New York Eye & Face is considered out of network for all insurance plans. Patients with commercial insurance may choose to submit any medical claims themselves to attempt to get reimbursed. New York Eye & Face is able to provide patients with documentation to facilitate the process.

Assisting You with Your Treatment Journey Every Step of the Way

Our caring team at New York Eye & Face in Westchester, NY, is dedicated to helping our patients navigate their journey with us in a stress-free, obstacle-free manner. While insurance carriers do not cover cosmetic procedures, there are many functional treatments that may be covered if surgery is identified as a medical necessity.

From the receptionist to the doctor, I felt comfortable & relaxed.

A.C.

What Medical Conditions Might Require Oculoplastic Surgery?

Oculoplastic surgery can be performed for a wide range of cosmetic and medical reasons. Some of the most common functional problems include the following:

Blepharoptosis: Eyelids that hang low due to muscle weakness or trauma may cause visual impairment and reduced ability to function.
Brow ptosis: Eyebrow drooping may lead to an obstructed field of vision and lowered quality of life.
Dermatochalasis: This condition involves overhanging skin in the eyelids that obstructs proper vision.
Ectropion: Here, the lower eyelid begins to sag and turn outward, exposing the white of the eyeball.
Entropion: This condition entails upper or lower lids that turn inwards, causing the eyelashes to grate against the eye.
Eyelid lesions: Small growths on the eyelids can be either benign or malignant. They require inspection and care in all cases.
Injuries: Trauma that affects the eye, eyelid, or eye sockets may require oculoplastic repair.
Obstructed tear ducts: Blocked tear ducts may be caused by congenital conditions or by illness or injury and may interfere with tear drainage.

What Medical Treatments Do Oculoplastic Surgeons Provide?

Oculoplastic surgeons work to improve functional concerns while protecting vision and eye function. For instance, reconstructive ptosis repair can both improve eyesight and enhance your ability to perform your daily activities. This branch of surgery melds together ophthalmology and plastic surgery for a comprehensive outcome that increases quality of life. Some of the most common oculoplastic procedures are described below:

Blepharoplasty

Blepharoplasty (eyelid surgery) is among the most popular procedures performed each year in the United States. It aims to trim excess skin and tissue in the eyelids, thereby reducing visual impairment.

Ectropion repair

This surgery provides a viable solution to eyelids that roll away from the eyes, leaving the white portion of the eyeball exposed. Untreated ectropion can lead to dryness, irritation, and even cornea breakdown.

Ptosis repair

If you suffer from drooping eyelids (ptosis), your brow muscles may be working overtime to compensate. Surgery can help repair overstretched muscles and restore proper eyelid function.

Entropion repair

This procedure helps combat eyelids that roll inwards toward the eyeball, creating a scenario where the eyelashes can scratch the eye’s surface. Left untreated, entropion can lead to light sensitivity, corneal damage, and mucous discharge.

Skin cancer reconstruction

The eyelids are among the most delicate, thin, and sensitive areas of the body, so they are especially susceptible to sun damage and aging. If cancer is discovered in facial areas, a trained oculoplastic surgeon can help restore your appearance after Mohs surgery.

A Note About Our Insurance Practices

At New York Eye & Face, Dr. Carniciu is dedicated to providing exceptional care and fostering transparency at every step of your treatment journey. While we understand the convenience of insurance coverage, we have made the thoughtful decision to operate as an out-of-network office, focusing on providing personalized, concierge-style care. This approach allows us to prioritize the highest-quality treatments and a seamless experience tailored to each patient’s unique needs.

In recent years, insurance companies have increasingly required prior authorization for procedures, only to deny payment after surgery. In some cases, this has left patients with unexpected bills—even after receiving initial authorization—when insurers later deemed the surgery “not medically necessary.”

To protect our patients from these situations and to offer clear expectations, we have chosen this boutique care model. By removing the complexities of insurance restrictions, we can ensure greater control, transparency, and peace of mind throughout your treatment journey.

At New York Eye & Face, your care and confidence are always our top priorities. Our goal is to provide you with an elevated and stress-free experience focused entirely on achieving the best possible outcomes.

Why Choose New York Eye & Face in Westchester, NY?

At New York Eye & Face, we are committed to providing patients with outstanding care, access to state-of-the-art technology, and natural-looking, nuanced results. Dr. Anaïs Carniciu is an award-winning oculoplastic specialist whose compassion and empathy immediately sets patients at ease. She is certified by the prestigious ASOPRS (the American Society of Ophthalmic Plastic and Reconstructive Surgery), an elite organization that requires extensive Fellowship training and exhaustive written and oral examinations in order to ensure the highest levels of aesthetic excellence. Dr. Carniciu is one of only 750 credentialed members worldwide and the only ASOPRS-certified oculoplastic surgeon in the area. Call today to schedule an informational consultation with Dr. Carniciu and her experienced, caring team.