how to get botox covered by insurance

How to Get Botox Covered by Insurance?

How to Get Botox Covered by Insurance?

Does insurance cover Botox? We have heard multiple times that insurance covers, and doesn’t cover Botox treatments. Therefore, we want to get some clarification on the subject. We want to see the scope of coverage for treatment including Botox for migraines, sweating, and cosmetic procedures.

Botox has many uses besides aesthetic improvements. But, can you rely on your insurance vendor to have your back if you need a Botox treatment? Let’s find the answer of this ever-ending debate!

Introduction to Botox

Botulinum Toxin, better known as Botox is a neurotoxic protein. It controls the production of Neurotransmitter Acetylcholine from neuromuscular junction. This lets the flaccid paralysis infection and bacterium to cause botulism.

Botox is known as an acutely lethal toxin. It can spread from injected site to other parts of the body; this leads to botulism. However, a few deaths have been associated with the use of Botox. There are two types of Botox toxin:

· Toxin A

· Toxin B

Type A Toxin consists of Vistabel (Botox), Azzalure, and Xeomin while Type B Toxin consists of Neurobloc only. All kinds of Botox are available for medical, and commercial use.


Also known as Vistabel, this is a renowned non-surgical treatment for fine lines and wrinkles. It is proven safe by widespread use around the globe. It was widely accepted as a treatment for fine lines, and crow feet in 1980’s. It is sold in w  vial dose under the name of Vistabel, and used to treat the following conditions:

· Hemifacial Spasm

· Auxiliary Hyperhidrosis

· Blepharospasm

· Cervical Dystonia

· Wrist, and Hand Disabilities


AbobotulinumtoxinA, also known as Dysport is a nerve toxin derived from the same bacteria as Botox. It blocks the nerve activity in muscle. This helps to control muscle activity. It treats the following health issues:

· Cervical Dystonia

· Stiffness in Different Parts of Body

· Fights of Facial Wrinkles

· Migraines

· Eye Problems

· Muscle Spasms

· Wrinkles


Xeomin (InobotulinumtoxinA) is made from the bacteria responsible for causing botulism. It blocks nerve activity in muscles to reduce muscle activity. It is approved for both medicine, and cosmetic use.

The major differences of Xeomin as compared to Botox are it doesn’t need to be refrigerated, it’s not made with additives, and has less risk of developing antibodies. It is used for the following purposes:

· Deep Lines between Eyebrows

· Neck Spasm

· Eyelid Twitch

· Upper Limb Muscle Spasm


Neurobloc is a Type B Botox. It is a paralyzing muscle agent that facilitates several muscle treatments. It’s the most recent Botulinum toxin that is strictly used for medicinal purposes. The cosmetic use of Neurobloc is very limited.

The scientific name of NeuroBloc is RimabotulinumtoxinB. It is the only Type B Botox commercially available, and it’s used to treat the following problems:

· Dystonia

· Tremor

· Tic Disorders

· Hemifacial Spasm

Brief Overview of Uses

There used to be a time when Botox was deemed as a necessary evil. However, things changed with the course of time, and Botox is subject to open conversations. Following, we are going to expand our dialogue as we name both medicine, and cosmetic uses of Botox.


· Treats Migraines

· Fights off Excessive Sweating

· Improves Blowouts

· Treats Hyperhidrosis

· Helps with Incontinence

· Gets Rid of Strabismus

· Fights off Muscle Spasm

· Eliminates Body Odor

· Parkinson’s Disease

· Overactive Bladder

· Depression


· Fights off Acne

· Temporary Facelift

· Mimics a Nose Job

· Softens Chin, and Jawline

· Tightens Jowl

· Lifts Your Lips

· Smoothens the Neck

· Helps You to Appear Younger

· Reshapes Eyelid

· Laser Skin Resurfacing

· Hair Transplant

· Arm Lift

· Liposuction

· Tummy Tuck

· Breast Implants and Reduction

Does Your Insurance Cover Botox?

How to get Botox covered by insurance? Botox is covered by insurance if intended for medicine use. It’s hard to find insurers who won’t refuse to cover the charges of your Botox treatment. To improve your chances, try a non-plastic surgeon.

Botox treatments for aesthetic enhancements are not covered by insurance. In some cases, these treatments are partly covered by medical insurances. It’s possible if the treatment was reconstructive, or aimed to improve the quality of your life.

Make sure you check with your insurance carrier and see your benefits before getting the treatment. Insurance companies ask for approval of Botox treatment if you have used topical medications, and they didn’t work.

Approval is not automatic and not every plan covers such treatment. There are different plans for coverage. Most patients with insurance won’t have to pay a dime out of pocket since their insurance covers the treatment.

A migraine and TMJ

The most common Botox treatments covered by insurance are Migraines, and Temporomandibular Disorder. There is lots of disagreement between companies to cover TMJ treatments. But, there isn’t much to debate over Migraines.

The treatment for TMJ is subject to controversy, and lack of scientific research makes it inefficient. This makes the insurance companies pass their responsibility of therapy to dental insurance. Therefore, it’s better to call your insurance provider (both medicine, and dental), and confirm details beforehand.

Botox for migraine treatment is prescribed to be injected for prevention of headaches. Botox is safe for the prevention of headaches for people who suffer from headaches multiple times during the day. Botox was licensed as a safe treatment for migraines back in 2010.

Botox for migraines have proven effective multiple times. Botox was established as an effective treatment for migraines in 1990’s. It first occurred as an effective treatment a00gainst migraines when a few patients stated they feel relieved after injections.

This led to clinical trials of Botox for different types of headaches. The majority of the results were disappointing as there was no difference found. Further analysis showed a sub-group of patients who were relieved from a chronic migraine.

Botox for Sweating

Botox is also known to cure excessive sweating. Fortunately, many insurance plans cover Hyperhidrosis Botox Treatments. Excessive sweating can be cured with Botox as the toxin is injected into the skin to treat symptoms of sweating. Botox is advised when antiperspirants prove to be inefficient.

OnabotulinumtoxinA is a type of Botox used to treat the symptoms of excessive sweating. It is a purified protein that blocks the release of a chemical that turns on sweat glands. It blocks the chemical messenger and stops sweating in the respective area.

Botox injections are shallow, and the medicine is injected just below the skin. Excessive sweating in armpits, feet, hand, and face can be easily treated with Botox injections. It can reduce up to 80% of sweating, and is deemed perfectly safe.

Botox Treatments for Hyperhidrosis are covered by medical insurances. Just make sure you confirm it with your vendor before you start your treatment. Learn the different options provided by companies, and watch out for small details such as extra costs, medicine, etc.