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Botox for Hemifacial Spasm Covered by Insurance?

asked 2 years ago by 8624anon in uk
Latest answer by Otto Joseph Placik, MD
Question viewed 177 times

i will be having botox next month for hemifacial spasm will i have to pay for it?

9 answers to Botox for Hemifacial Spasm Covered by Insurance?

+1

Insurance coverage of Botulinum Toxin (Dysport or Botox) for hemifacial spasm

I would contact the plastic surgeon, ENT, oculoplastic surgeon, neurologist or dermatologist that you plan to use and ask to speak with their insurance staff to inquire about their specific experiences with insurance coverage which can be regional and vary state by state, by insurance plan and by insurance policy.
Otto Joseph Placik, MD

Chicago Plastic Surgeon
+1

BOTOX for hemifacial spasm is usually covered by medical insurance

BOTOX for hemifacial spasm is usually covered by medical insurance.  You can call your insurance provider to find out for sure.
Joseph A. Eviatar, MD

Bronx Oculoplastic Surgeon
+1

Sometimes yes and sometimes no.

I have treated several patients for hemi-facial spasm. We have not had good success getting the Botox covered by their insurance companies. However, the doses typically need are small 4-12 units in my experience so at least the cost is low. Hope this helps.
Ivan Wayne, MD

Oklahoma City Facial Plastic Surgeon
+1

Botox covered by Insurance?

Ostensibly, use of Botox for certain medical conditions like hemifacial spasm, essential blepharospasm, spasmodic dysphonia are covered by insurance companies.  However, this varies with the company, the individual policy, and sometimes luck of the draw.  As Dr. Shelton stated, many insurance companies will "pre-approve" a claim, only later to "de-approve" the same claim for no particular reason.  I always advocate that in situations like this, the... more
Stephen Prendiville, MD

Fort Myers Facial Plastic Surgeon
+1

Botox has been used for non-cosmetic uses for over three decades

Botox has been used for conditions such as hemi-facial spasm far longer than for cosmetic uses. As a matter of fact, it was treatment of bleharospasm (eyelid twitching uncontrollably) that led to the discovery of Botox for cosmetic wrinkles. If the causes are well documented and you have been evaluated by a qualified specialist in conditions such as these, insurance may cover treatment. This will also depend on coverage issues and if you chosen doctor participates in the insurance plan.... more
Steven J. Pearlman, MD

New York Facial Plastic Surgeon
+1

Botox for hemifacial spasm covered by insurance

You should discuss this with the office of the injecting doctor, not here! It may be an insurance covered benefit, but I do not know what insurance plan you have - HMO, PPO, PCP, Medicaid??? Dr. B MIAMI 
Darryl J. Blinski, MD

Miami Plastic Surgeon
+1

Insurance may or may not cover botox for medical purposes

Your insurance companu may cover some of the cost of botox injected for hemifacial spasm. Even when surgical procedures are precertified by medical practices contacting the insurance company, there are times that after the treatment the company does not honor their initial claim.
Ronald Shelton, MD

Manhattan Dermatologist
+1

Yes it should be covered.

It would be unusual for this type of treatment not to be covered by health insurance.  BOTOX treatment for facial spasm is one of the original FDA indications for BOTOX.  It is considered a medically necessary treatment and can be very effective.  These types of treatments are usually administered by neurologists, neuro-ophthalmologists, oculoplastic surgeons, and otolaryngologists.   Check with your doctors office to be certain they accept your health insurance.... more
Kenneth D. Steinsapir, MD

Los Angeles Oculoplastic Surgeon
+1

Insurance Coverage for Botox

Some insurance companieswill cover botox injections for spasm, migraines, etc.  The only way to know, though, isto call your insurance company and ask them two things - is it covered under my benefits and what do I need to do/ information needed to get it covered.  If you do not have this info. beforehand, chances are you will have to pay for it that day.
Christopher V. Pelletiere, MD

Barrington Plastic Surgeon

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