@Shrimpy123 I would first consult with either a dermatologist or a plastic surgeon. They can prescribe compression stockings at 20-30mmHg pressure, and as long as you try that for three months, a lot of times insurance will then cover treatment. If you have varicose veins that are feeding into / contributing to the formation of your spider veins, those need to be treated first with ablation (relatively painless outpatient procedure). Then secondarily, your spider veins can be treated with sclerotherapy (injecting a clear solution through them to make them disappear). Vascular surgery offices/vein clinics or even some dermatologists who are trained can offer the sclerotherapy. Only a vascular surgeon can perform the ablation if deemed necessary after an initial consultation. Not everyone qualifies for insurance to cover these things, but certainly if you’ve tried the compression stocking prescription x 3 months and also report any symptoms associated with your veins (itching, burning, throbbing, personal or family history of blood clot/ risk for blood clot, tenderness, etc) you have a better chance of coverage. I hope this helps!