Surgery for the Prevention and Treatment of Lymphedema – Commercial and Individual Exchange Medical Policyopen_in_new

UnitedHealthcare considers surgical procedures for prevention or treatment of lymphedema (e.g., ARM, liposuction/lipectomy, LVA/LVB, VLNT and other microsurgical techniques) unproven, not medically necessary, and therefore not covered. Conservative management with complete decongestive therapy is required first-line, and coverage is determined by the member-specific benefit plan and applicable laws (the policy lists no circumstances that authorize these surgeries; Medicare Advantage plans may adopt separate evidence‑based rules).

"None — surgical procedures for the prevention or treatment of Lymphedema are considered unproven and not medically necessary. (Policy statement: "Surgical procedures for the prevention or treatment..."

Sign up to see full coverage criteria, indications, and limitations.