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Botox Insurance Help

Hyperhidrosis treatments have undergone major improvements in the 21st century. The 2004 FDA approval of Botox injections for the treatment of axillary hyperhidrosis has helped to transform the lives of many thousands of sufferers. By "turning off" the process that leads to sweating excessively, Botox treatments allow sufferers to lead more normal lives, free, at least temporarily, from the overwhelming symptoms of hyperhidrosis. (Results of Botox injections last on average six to nine months, and maintenance injections are necessary for continuous control).

Looking for codes? Here they are:

Botulinum Toxin Injection Procedure Codes

64650 - Chemodenervation of eccrine glands, axillae

64653 - Chemodenervation of eccrine glands, other areas (eg, scalp, face, neck), per day
64999 - Unlisted procedure, nervous system (use for extremities, i.e. hands and feet)

J0585 - onabotulinumtoxinA, per unit

As anyone who has pursued this line of therapy knows, Botox treatments can be costly. Moreover, in this age of economic anxiety, when more and more people are either uninsured or are carrying minimal health insurance, coming up with the money for Botox treatments can seem like the impossible dream. Seeking coverage for treatment from insurance companies can likewise seem a daunting obstacle. But there are some promising avenues that sufferers can explore when considering Botox treatments for hyperhidrosis.

Allergan, the maker of Botox, has a BOTOX PATIENT ASSISTANCE® Program in place to help hyperhidrosis patients who are under- or uninsured get treatment. In fact, three programs offer a variety of options for patients who need financial help to pay for Botox treatments: Allergan's Botox Reimbursement Solutions, the Botox Patient Assistance Program, and the Botox Partnership for Access Program.

Botox Reimbursement Solutions puts patients in touch with a counselor who can guide them through the insurance process, including answering questions about coverage, reimbursement policies, insurance verifications, prior authorizations, or claim appeals. They can be reached toll-free in the U.S. at (800) 44-BOTOX, Option 4 or via fax at (877) 530-6680.

Healthcare professionals who treat hyperhidrosis patients can find comprehensive support resources on the Botox Reimbursement Solutions Website. Valuable information about on-site staff education, training, and in-depth support—including policy reviews and analysis of Botox reimbursement that can improve billing and coding and other office processes, which decrease the chances of having claims denied.

For patients who do not have insurance or who are under-insured, Allergan's Botox Patient Assistance Program can help. Through this Program, Allergan will donate Botox vials for the treatment of financially eligible patients. Patients can download the Botox Patient Assistance Program Application online. Call toll-free in the U.S at (800) 44-BOTOX, Option 6 for help or more information.

The Botox Partnership for Access Program was created to help insured patients who struggle to meet their out-of-pocket Botox treatment costs. Patients who qualify will receive a debit card to be used for either future medical or personal expenses. The debit card can also be reused for future credits if the treating physician determines a need for retreatment within 120 days of the first treatment. Find out if you are eligible via the Botox Partnership for Access Website and learn more about each of these incredibly helpful programs. Please note that you must be at least 18 years of age to participate.

It seems important to highlight acts of generosity, kindness, support...Allergan's BOTOX PATIENT ASSISTANCE® Program is one great example. By giving people with hyperhidrosis the opportunity to pursue this costly but very effective treatment, they are providing a life-changing service to sufferers.

Christine Fleckenstein, Support Specialist with the International Hyperhidrosis Society, has a lot of interaction with the people in our hyperhidrosis community. She says the beauty of the Program is that it opens up a whole new world of opportunities for sufferers.

"Patients need to know about the Patient Assistance Program because it increases their treatment options. I receive so many emails from patients saying that they do not have medical insurance and would love to get Botox, but simply cannot afford it. This Program, along with others that Allergan generously offers, make Botox treatment within reach for most patients. There are eligibility requirements and somewhat of a process involved, but it's worth a shot to get that prize at the end - effective treatment and dry days without the worry of how sweating will affect their every move. With regard to physicians, perhaps if they too knew about the Botox Reimbursement Solutions Website and the resources they offer - like a Botox Reimbursement Business Manager to provide training, support, and help with reimbursement to decrease denied claims – they would more readily treat hyperhidrosis patients. These are real solutions."

And don't forget that sufferers also have opportunities throughout the year to receive free treatment when they volunteer for clinical trials or participate at our physician training events. These opportunities help patients and researchers learn more about the condition and its therapies. Always be sure to open and read our newsletters for announcements about these opportunities and visit our clinical trials page often.

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