Spider veins can be treated with sclerotherapy (saline injections) or laser treatments (more $$). I've had sclerotherapy a couple of times. The veins have to be a certain size or it doesn't always work. Some of mine were so tiny she couldn't inject the saline in the proper place to take care of them. A larger one I've had since my late teens was very successful, though -- it is completely GONE (had it injected about a year ago). Sure wish I'd gotten it done decades ago (I'm 45).

And no, spider vein treatment is not covered by insurance. It is considered purely cosmetic. Bummer, I know....Unfortunately too, they can come back in different places after treatment, and a bunch more new ones have cropped up on my legs (mainly on the inner part near my knees) in the past year. I'm undecided on further treatment -- it seems almost like a lost cause if more are just going to crop up later.

Emily