Is Photodynamic Therapy Covered by Insurance?

Although all insurance companies have different guidelines, cosmetic procedures are usually not covered.  You can obtain a letter of predetermindation from your insurance to see if you are eligible for coverage for your desired treatment.  If you are wishing to use Photodynamic Therapy for cancer related issues, it may be covered. 

Sometimes PDT is covered by your insurance. It is a useful procedure for treating  pre-skin cancers, sebaceaous hyperplasia, acne and skin re-juvenation. With the proper codes it may cover the treatments for pre-skin cancers. Each insurance  company and policy is different so it is best if you check with your insurance sompany.

In Toronto, for photodynamic therapy the levulan (ALA) can be often be covered by insurance, however the cost of the Blu-light treatment is usually not covered

Many insurances cover PDT for actinic keratosis - precancerous skin lesion, but not for acne, sebaceous hyperplasia, oily skin, and photodamaged skin. Please, check with your insurance provider for further details if you are desiring PDT for actinic keratosis, prior authorization may be needed before you have the procedure performed.

It's only covered for actinic keratosis (precancersous growths). It's not covered for things like ace, elnlarged pores and sebaceous (oil) glands, etc.