Botox: Q&AAsk a Question
4 Doctor Answers | Asked by westchester in home
The answer is that it depends on your insurance, and the reason for it's use (indication). Some insurance companies consider botox with this diagnosis as cosmetic or non-functional, and deny all coverage. Other companies may go the opposite direction and just assume coverage. But most will look at the specific indication and/or require more information to determine that specific indication. That's because they want to ensure the reason for botox use is functional. Issues resulting from...
Botox can be covered under insurance in a few circumstances. Patients with temporary or permanent facial paralysis can sometimes get botox treatments through insurance. Treatment of synkinesis (abnormal and involuntary movements or twitches that can develop after recovery) or treatment of the nonaffected side (to promote better balance) can be done. Patients with hemifacial spasm and other facial tic disorders can also get the treatments covered. The problem with insurance is that the raw...
Each insurance company varies in its flexibility and ability to judge what is medically necessary. It would be perfectly valid for Botox to be covered for torticollis, muscle spasms, and other neuromuscular problems, but it is not a guarantee that the insurance company will do it. Bells Palsy is usually caused by a viral attack on the facial nerve, with responding inflammation of the nerve, and weakening of the attached muscles on that side of the face. It can be very temporary, or linger...
Great question but you would have to check with your insurance company for an explanation of benefits, especially in a questionable treatment regime. From MIAMI Dr. B