Botox and migraines insurance coverage

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.

Yes, depending on where you live, insurers willl cover hyperhidrosis treatment with Botox. Fortunately for you, since the insurance companies want you to try different non-surgical options BEFORE they pay for any surgical procedure such as micro ETS (sympathectomy), they are forced to pay for these treatments which include anticholinergic therapy and Botox. The medical provider has to make an effort to get this done for you. Often, it is much easier for cosmetic surgeons, to say that it is not covered. You may want to do your homework and call the insurance company and find out if they do cover the Botox for hyperhidrosis before you go see the physician.

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