Can Botox Help Eye Twitches and Would Insurance Cover It?

What you are describing sounds like essential blepharospasm. It is one of the first things treated with botox, the wrinkles came later. While you never know for sure what an insurance company will cover many times it would be covered.

Involuntary twitches of the eyelids can be of three varieties - myokymia, blepharospasm, and hemifacial spasm. Myokymia is involuntary twitching of usually one eyelid related to stress or fatigue. Rest and destressing  is the solution.

This is to be differentiated from benign essential blepharospasm in which both eyes spasm often in association with difficulty with bright lights (photophobia) and dry eye symptoms. Sleep makes blepharospasm better. Treatment for blepharospasm includes oral sedatives and botox.

The final diagnosis to consider is hemifacial spasm in which only one side is effected. Sleep does not improve hemifacial spasm. These are rarely caused by intracranial pathology, and therefore work up for hemifacial spasm includes an MRI of the brain and brainstem. Treatment is usually botox. In these medical conditions, botox is covered by insurance.

What you are describing is hemifacial spasm. First you need the appropriate diagnosis. I recommend consulting an oculoplastic surgeon or neuro-ophthalmologist.