While spider vein treatment is always considered to be cosmetic, insurance companies consider varicose veins to be a medically covered problem when they cause symptoms such as heaviness, aching, tiredness, throbbing, burning, itching and/or swelling. Also, bleeding from varicose veins or blood clots in varicose veins is a covered medical issue. We then have to verify that there is indeed a problem with the veins, which we do by performing a Doppler ultrasound on the patient’s leg(s) while they are standing.