Insurance

Lympha Villa participates with Medicare and Optum for medically-necessary lymphedema care.

Lymphedema is a medical condition caused by impaired lymphatic drainage, resulting in persistent swelling, tissue changes, and functional limitations.

Insurance coverage is based on a medical diagnosis from a physician, not symptoms alone.

What is typically insurance-covered

  • Diagnosed lymphedema

  • Medically necessary treatment supported by clinical evaluation

    If you have a diagnosis, we request a referral (OT - Lymphedema Therapy) from your MD.

    Your MD can fax the referral to us. We will call you to schedule the initial evaluation - please DO NOT self-book online. Feel free to call us if you have questions.

    Office Phone Number: (310) 626-5314

    Fax Number: (833) 409-2204

    Our average waitlist time for new evaluations is 2-4 weeks.

What is typically self-pay lymphatic drainage?

  • Preventive or surveillance care

  • Post-operative swelling without a lymphedema diagnosis

  • Care following elective or cosmetic surgery

  • Wellness or “detox” lymphatic sessions

Other insurance plans

For all other insurance plans (PPOs, Medi-Cal, etc.), services are self-pay at the time of visit.
Superbills are available upon request for possible out-of-network reimbursement.

If you’re unsure which category applies to you, our team can clarify this during scheduling

ADDITIONAL FAQ

  • No. Insurance-based lymphatic therapy sessions are medical treatments designed to address a documented diagnosis and specific functional needs.

    Insurance sessions are typically shorter in duration (approximately 30 minutes) and may include a combination of:

    • Manual lymphatic techniques as medically indicated

    • Short-stretch bandaging

    • Therapeutic exercises

    • Self-care and compression education

    • Condition-specific management strategies

    Treatment time is directed toward medical necessity, and services may vary from visit to visit.
    Insurance sessions are not guaranteed to consist of hands-on MLD for the full appointment time.

    Private-pay sessions allow for longer, uninterrupted manual treatment and a broader wellness or recovery focus.

  • We are in-network with Optum and enrolled Medicare providers only.

    For all other insurance plans, payment is due at the time of service.

  • We are not in-network with these plans. Payment is due at the time of service.

    We can provide a superbill you can submit to your insurance for possible reimbursement.

    Many PPO plans do offer some out-of-network coverage but varies by plan.

  • We do NOT accept Medi-Cal (Covered California) at this time.