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Does Medicaid Pay for Sculptra Injections in Patients with HIV?

We have been told that there are doctors taht will bill Medicaid or get approval from Medicaid before doing the Sculptra procedure, but Medicaid will pay because the loss of facial mass comes from the medications that patients take for HIV.

Doctor Answers 4

Sculptra has a Patient Assistance Program for HIV positive patients.

June 24th, 2012
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The first approval in the U.S. was for the treatment of facial wasting in HIV patients.  They have a Patient Assistance Program for those with low incomes.  Call your trained and experienced injector.  There is some paperwork involved, but it is a help.

Web reference: http://www.jjrothmd.com/face-and-skin/sculptra

Jeffrey J. Roth, MD, FACS


Las Vegas Plastic Surgeon
4.5 out of 5 stars 15 reviews

Sculptra has Patient Assistance Program

January 14th, 2010
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No, Medicaid will not pay for the Sculptra injections. But Sculptra has what’s called the Patient Assistance Program that helps individuals with low income and HIV. Check with your physicians office if they are part of this program.

Bruce E. Katz, MD

Bruce E. Katz, MD
New York Dermatologic Surgeon
3.8 out of 5 stars 17 reviews

Sculptra and HIV

January 8th, 2010
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Sculptra would not be covered by medicaid. However Sanofi-Aventis the manufacturer of Sculptra has a program where they will supply people with low incomes and HIV free sculptra. Check with an injector in your area. 

Janet M. Neigel, MD

Janet M. Neigel, MD
Livingston Oculoplastic Surgeon
4.7 out of 5 stars 16 reviews

Medicaid for Sculptra

January 8th, 2010
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This is not true. Medicaid will not pay for this. If you have heard of a doctor who does this then that doctor is commiting fraud. There is a program that Sculptra has for HIV patients who have economic hardship where they will give you the product for little or no money. I have done this and then charge the patient a nominal fee to administer the product. Good luck!

Dr. Singer

Elan B. Singer, MD

Elan B. Singer, MD
Manhattan Plastic Surgeon
4.8 out of 5 stars 23 reviews

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