Insurance coverage of Botox
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. (Stanley Okoro, MD, Atlanta Plastic Surgeon)
Botox for cosmetic treatments is not covered by insurance
Botox is covered by some insurance companies for excessive sweating, and may be covered for migraines, because these are both medically necessary indications.
Cosmetic procedures may be desirable but not medically necessary, therefore are not covered by insurance. (Emily Altman, MD, Short Hills Dermatologic Surgeon)
Insurance Coverage for Botox–Chronic Migraines
Botox is not covered for Cosmetic Purposes or Indications. However, the FDA recently cleared Botox to be marketed for use in patients with chronic migraine headaches and some insurance companies will cover it similar to the way there is coverage for medical conditions such as essential blepharospam. (James Newman, MD, FACS, Palo Alto Facial Plastic Surgeon)
Insurance Coverage for Botox Cosmetic
I empathize with patients who are re-entering the job market and want to look their best but because of the economy, cannot afford cosmetic procedures. Botox as a cosmetic use is not covered by insurance companies.
Even with patient HSA accounts, the tax laws have changed so much that patients may not be able to submit cosmetic procedures for reimbursement.
The only time Botox is covered by insurance companies is if it is used as a medical device for a medical problem such as migraines.
For a doctor to bill insurance for Botox, they often have to obtain prior authorization even for medical conditions. I would advise patients interested in cosmetic procedures who are low on funds to look into care credit. (Grace Liu, MD, Newport Beach Dermatologic Surgeon)
Botox and Insurance
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. (Anil R. Shah, MD, Chicago Facial Plastic Surgeon)
Insurance companies not listening.
Unfortunately, even though it is true society does (now more than ever) put a value on appearance, the insurance companies still consider getting Botox for facial lines entirely cosmetic. Trying to convince them that the lines have a medical impact on your life (not being able to get a better paying job) will have no effect on their calculations.
The best thing to do, if you can’t afford Botox YET…. is to focus on getting good sleep, eating healthy, exercising, and going to job interviews with a smile and positive attitude. Perhaps by then you will even feel you no longer need the Botox.
There is no harm in staying away from the stuff. (Jessica J. Krant, MD, MPH, New York Dermatologic Surgeon)
Insurance coverage for cosmetic Botox
Insurancde does not and should not cover the cosmetic use of Botox. That would be like asking your car insurance to pay for your car detailing. (Lisa Lynn Sowder, MD, Seattle Plastic Surgeon)
Cosmetic coverage on insurance.
Cosmetic treatments are generally not covered by insurance. You can of course take it up with your insurance company but you will probably not succeed. (John P. Di Saia, MD, Orange Plastic Surgeon)
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. (David Shafer, MD, FACS, New York Plastic Surgeon)
Some insurance may cover Botox Injections
Unfortunately a lot of insurance generally do not cover Botox for cosmetic use. It is not a waste of your time to find out if Botox would be covered by your insurance company. The coverage is dependent on your plan.
You may also want to speak with your doctor to provide a letter or DIN of the drug to give to your insurance company. Some insurance companies cover Botox for Hyperhidrosis (excess sweating). (David A. F. Ellis, MD, Toronto Facial Plastic Surgeon)
Botox for lines not ever covered by insurance–it’s COSMETIC
Insurance will only pay for things that are medically necessary. Your deep lines are a cosmetic problem, not functional problem, despite how you think they affect your job-hunting. (Carmen Kavali, MD, Atlanta Plastic Surgeon)
Botox for lines will not be covered by insurance
Unfortunately, Botox treatments, like a facelift, is an elective cosmetic procedure that will not be covered by insurance. Using Botox to improve your appearance is not unlike make-up, hair styling, or nice clothing. Botox is very useful and works great, so go ahead and have some if you think it will help your job prospects. (Randy J. Buckspan, MD, Austin Plastic Surgeon)
Whether insurance covers Botox injections
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. (Sanusi Umar, MD, Redondo Beach Dermatologic Surgeon)
Unfortunately Botox is considered a cosmetic treatment; sometimes hyperhidrosis could be covered. Insurance will only cover botox if it’s needed for medical reasons; i.e. migranes. (Bruce E. Katz, MD, New York Dermatologic Surgeon)
Insurance Coverage for Botox
While insurance may cover medical uses for Botox, such as hemifacial spasm, blepharospasm, torticollis, muscle spasms related to spinal problems, and anal fissures, “wrinkles”, while seen in your eyes as an employment disability, have yet to be considered a medical disability.
I don’t see this as anything but a cosmetic problem….. (Karen Vaniver, MD, Kennewick Plastic Surgeon)
Don’t waste your time filling for insurance on Botox
Sorry, but I suspect your insurance company will tell you that’s a big fat no. There are medical uses for Botox but treating frown lines will surely be deemed cosmetic by your insurance company. (Patricia Farris, MD, Metairie Dermatologic Surgeon)