How to Get Insurance to Cover Botox for Daily Migraine Headaches
Botox is an effective treatment for many patients who suffer migraine headaches. Seventy-five percent of patients in a study undertaken by the University of California experienced relief from migraine headaches for as long as six months after receiving a Botox injection. Botox normally is used in elective cosmetic procedures commonly not covered by health insurance. In the case of Botox for treatment of migraine headaches, a health insurance claim is possible.
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Instructions
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Obtain from your treating physician specific documentation stating that Botox is her recommended course of treatment to deal with your migraine headaches. The best documentation states that other possible treatments are not appropriate for your situation, and provides detailed information as to why these other courses are not suitable for your medical needs.
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Contact your health insurance claims office before seeking a Botox treatment for migraine headaches. Because Botox is associated with elective procedures that are not covered by health insurance, it is vital that you obtain pre-approval for such a treatment.
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Submit the documentation received from your doctor pertaining to the recommended course of treatment to your insurance company.
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Request that your insurance company provide you with written approval for the Botox for migraine headaches treatment.
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Tips & Warnings
Even with prior approval for a treatment, an insurance company can conceivably reverse course. Therefore, you need to be prepared for a period of negotiation with your insurance company, even after obtaining initial approval for the Botox treatment. In the case of a Botox procedure to treat migraines, your goal is to demonstrate that this course of treatment is medically necessary to treat a recognized health issue.
