Hyperhidrosis Treatment: Q&A
Ask a QuestionWill Insurance Cover Botox for Hyperhidrosis?
I have been trying to get my insurance company to pay for treatment to help stop sweating. My dermatologist's office walked me through the processes and provided me with the correct paperwork, but I can't get a guarantee that it will be covered.
If I want this treatment, hyperhidrosis, using Botox, can I pay for it and how much would it be? The clinic I go to said it would be very expensive and I didn't bother to ask how much... I wish I would have...
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8 Doctor Answers |
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sweat
in dallas tx
+2
Very selective cases of hyperhidrosis are covered by insurance
Hello and Thank you for asking this question.
Some of my Dermatology clinics see significant traffic of patients seeking this treatment for excessive sweating, however we are finding that few cases are being approved by insurance for coverage of treatment using Botox.
There are a series of other products available that my be less expensive and potentially helpful in providing relief. If you have tried several products and are not seeing significant changes in your excessive sweating, I do...
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Botox for hyperhidrosis and coverage
Botox is a great treatment option for hyperhidrosis, and in Canada the vast majority of private insurance plans cover the treatment. Best to speak with your dermatologist as you have to clarify coverage, as every plan is different. In Canada, the cost for treating one area such as the armpits is typically $1100-$1500, and it lasts 6-12 months in most people. Dr. Benjamin Barankin, Toronto Dermatology Centre.
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Insurance Coverage for Hyperhidrosis
Botox is indeed very expensive and needs to be repeated.
For underarm hyperhidrosis, laser treatment is very effective. We currently use the SmartLipo Triplex to ablate the axillary sweat glands. This is a one time treatment. We have not tried to get insurance coverage, but the cost out of pocket is currently around 3,000.
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Botox for Hyperhidrosis and Insurance Coverage
Botox is FDA approved for hyperhidrosis treatment and therefore it is difficult for insurance companies to not cover this treatment - but, they do try to manage to do that - they simply look for reasons to deny coverage - and therefore, it is incumbent on the patient and treating physician to try every conservative option before submitting paperwork to obtain authorizationf to inject Botox for hyperhidrosis. This includes a trial of alternative products (natural supplements like sage, etc),...
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Coverage and complete reimbursement are not the same
Just because your insurance company will cover the procedure, doesn't mean that the cost will be completely reimbursed. There are several hoops that the insurance company will require you to jump through prior to obtaining reimbursement. In my experience, it has been increasingly more difficult to obtain coverage
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Botox for Hyperhidrosis
The answer depends on your insurance company. Each one has a policy about hyperhidrosis on their website, but in my experience most will initially reject claims for Botox for hyperhidrosis. Sometimes they will pay after you write letters and fight with them, but they pay very little (I have even had a case where they paid us less than the cost of the bottle of Botox).
We eventually gave up on trying to go through insurance when it comes to Botox for hyperhidrosis and patients just pay us...
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Usually Yes
Insurance companies require a failure to some other treatment before they will approve BOTOX. This can be either a topical such as Drysol, an anticholinergic such as hyoscine, biofeedback, or iontophoresis . Once one of these have failed, it is rather easy to get insurance coverage.
Make sure, however, that the insurance covers both the BOTOX and the injections. We once received approval to administer BOTOX. Later, after I had [perfomed the injections, it turned out that they had...
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Botox for Hyperhidrosis
It is very difficult to get an insurance company to cover Botox treatment for hyperhidrosis. They will almost always reject it on the first submission. Occasionally, if your physician persists and sends in an appeal (or two) and asks for an expert to review it, then part of it may be covered. However, remember that Botox is temporary and will need to be repeated. You may consider laser "ablation". The SmartLipo, although general for body contouring, has been demonstrated...
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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.
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