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Will insurance cover my Botox injections?

am i wasting time asking insurance to cover botox?  I do have terrible deep lines and it affects my ability to get good paying jobs.

Edna, Santa Rosa, CA

Answers (4)

1
6 months ago

Botox and Insurance

Yes, depending on where you live, insurers willl cover hyperhidrosis treatment with Botox. Fortunately for you, since the insurance companies want you to try different non-surgical options BEFORE they pay for any surgical procedure such as micro ETS (sympathectomy), they are forced to pay for these treatments which include anticholinergic therapy and Botox. The medical provider has to make an effort to get this done for you. Often, it is much easier for cosmetic surgeons, to say that it is not covered. You may want to do your homework and call the insurance company and find out if they do cover the Botox for hyperhidrosis before you go see the physician.

2
12 months ago

Botox and Insurance

Kris M. Reddy, MD
Kris M. Reddy, MD
Board Certified Plastic Surgeon

Unfortunately, unless you have a cosmetic rider on your insurance it is very unlikely that they will cover Botox (especially Botox Cosmetic).

You may want to make a quick call or have the doctor's office call on your behalf to verify coverage.

3
12 months ago

Insurance coverage for Botox

D.J. Verret, MD
D.J. Verret, MD
Board Certified Facial Plastic Surgeon
Answer by D.J. Verret, MD

The best way to determine if an insurance company will cover Botox is to ask the insurance company.

Botox is currently provided as Botox and Botox Cosmetic. The actual substance in the containers is the same but the indications are different. Botox Cosmetic is the form of Botox used in treating lines between the brows and other lines in the face. Botox is used to treat other 'medically necessary' conditions such as axillary sweating and facial spasms among other indications.

Generally, an insurance company may pay for Botox but not for Botox Cosmetic. Some insurance companies will not pay for Botox indications. The best way to determine if your insurance company will pay for Botox is to ask them.

4
18 months ago
Jonathan Hoenig, MD
Jonathan Hoenig, MD
Board Certified Ophthalmologist

BOTOX® Cosmetic treatments for aesthetic enhancement are not covered by insurance. In some cases, medical insurance will pay for part or all of the costs of functional BOTOX® treatments if the condition to be treated is considered reconstructive, disabling or interferes significantly with the quality of your life. Common examples of this are:

  • Eyelid and facial spasm
  • Migraine headaches
  • Excessive sweating (known as hyperhidrosis)

You should check with your insurance carrier to find out your benefits before having the treatment. Some insurance plans may exclude BOTOX treatments from coverage.

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