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I would not waste time and energy attempting to get insurance coverage for Botox or Dysport for cosmetic indications, e.g. wrinkle reduction on forehead. Even with excessive sweating, which is a FDA-approved indication, you may have great difficulty in getting coverage with certain insurance carrier. On the other hand, if you have flexible spending account via your employer and had set aside enough fund last November, you may be able to get some pre-tax deduction if you can obtain a letter of medical necessity for medical indication such as excessive sweating or migraines.
Unfortunately, your insurance probably won't cover your BOTOX injections because they are for cosmetic purposes.
Botox is not covered for cosmetic applications. Insurance may cover necessary and functional medical applications of Botox, but not to change a person's appearance.
Quite simply, No. Insurance companies are not dumb. Gone are the days they they cover procedures without asking. Take rhinoplasty for example. Patients still come in thinking that the insurance company is going to pay for their cosmetic rhinoplasty. Likewise, they are not going to pay for your Botox. So, my suggesting is to not waste your time with the issue. Good luck.
Unfortunately, insurance company consider Botox as cosmetic treatment just like facelift. However, certain conditions that can be treated with Botox may be covered by health insurance. Conditions such as migraine headaches and excess sweating (hyperhidrosis) may be covered. Check your health insurance policy.
Most insurance companies would not cover a cosmetic procedure. Hence most common botox indications would not be covered by your insurance company. There are some medical indications such as debilitating hyperhydrosis (excessive sweating), and with your neurologist (migraine, and other headaches) whose treatments may be covered by an insurance company. It is important to run clarify with your insurance company what they would be willing to cover with regards to botox use before embarking on treatments which could be very costly. For instance, you would require 100-150 units or more of botox per patient for the treatment of armpit sweating. This is repeated every 6 months as needed. Insurance companiesd would generally resists paying for this. It is best for you and your doctor to know what the insurance company requirements are for specific botox therapies so as to determine if you meet the criteria for coverage or not, before actual treatment commences.
