Now that the insurances are paying for Botox for migraines..

Question

Now that they are advertising botox as a medication for migraines, and insurances are paying for it, are u aware of any stipulations when the insurance covers the botox, as in any areas the doctor cannot inject for the migraine because its considered cosmetic? and i have health alliance plan, does anyone know if they cover the new botox tx for migraines, oh and also one more question, i wouldnt want my family doc to do the botox , are there specially trained drs for the botox for migrain

Jason Emer, MD · Answer

Botox can be injected into the forehead, around the ear, back of the head, and neck muscles to help migraines. If you have chronic migraines I suggest being evaluated by a neurologist. Please consult with a board certified cosmetic dermatologist for treatment. Best, Dr. Emer

Camille Cash, MD · Answer

Insurance coverage for migraines will vary by carrier.  The best way to find limitations and better understand coverage is to contact your carrier or HR representative for assistance.  They can also provide the names of injectors in your area who are in your network.

Rick Balharry, MD · Answer

In Canada, most insurance companies will cover the cost of Botox for migraine. They are becoming more precise in their definition, though. The confirmation form will require information about type of headaches, frequency, medication used etc before they will authorise this medication.

Kris M. Reddy, MD, FACS · Answer

Some insurance plans will cover. However, the guidelines are not consistent. Therefore, you will need to check with your plan to understand your coverage.

Marla M. Klein, MD · Answer

Many insurance companies are now covering Botox for the treatment of migraine headaches.  Often they will require a prior authorization be done first.  Several have certain stipulations that must have been met first such as the patient has seen a neurologist in the past and tried 1, 2, or 3 medications for the problem, or a certain number of headaches per month.  Only one of the insurance companies I know of that covers Botox for migraines mandates that a neurologist do the procedure (Providence) instead of a dermatologist or plastic surgeon.   I am not familiar with the Health Alliance Plan, and I don't practice in Michigan.

Now that the insurances are paying for Botox for migraines..

Answers (6)