Hyperhidrosis Treatment Q&A
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Will Insurance Cover Botox for Hyperhidrosis?

asked 2 years ago by sweat in dallas tx
Latest answer by Otto Joseph Placik, MD
Question viewed 5,643 times
Tags: insurance

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...

5 answers to Will Insurance Cover Botox for Hyperhidrosis?

+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... more
Patrick S. Carney, MD

Minneapolis Dermatologist
+1

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
Otto Joseph Placik, MD

Chicago Plastic Surgeon
+1

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... more
Todd Minars, MD

Miami Dermatologist
+1

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... more
Arnold R. Oppenheim, MD

Virginia Beach Dermatologist

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