1. 5527 POINTS
    Marlin McKelvy
    President, Consumer Directed Benefit Solutions, Memphis, Tennessee
    The FDA has approved the use of Botox for treatment of migraine headaches but meaningful results have only been seen in persons experiencing an extremely high frequency of migraine events, we're talking in the area of 15 days out of the month.  So, FDA approval is not an automatic guarantee that your insurance carrier will immediately approve its use.  And, let's be realistic, Botox is a poison and does have the potential for serious side effects so its use should be more of a last resort than a first course of action.

    You should expect that precertification for the use of Botox will be required by your insurance company and that they will want to review extensive documentation of your medical history and treatment history before they will consider approving Botox treatment.  Your odds of approval will be much higher if the request is coming from a neurologist or similar health care provider.  A request coming from a cosmetic surgeon is going to be a red flag as that is more of an indicator that the patient is wanting the treatment for purposes of their appearance as much or more than for a valid medical purpose.
    Answered on May 1, 2014
  2. Did you find these answers helpful?
    Yes
    No
    Go!

Add Your Answer To This Question

You must be logged in to add your answer.


<< Previous Question
Questions Home
Next Question >>