

Health care organizations often have specific policies regarding coverage for hyperhidrosis treatments. As an information service, the International Hyperhidrosis Society has compiled a list of the public hyperhidrosis coverage policies of some of the major health insurance organizations.
If you do not see your health insurance organization's policies listed below, either the organization does not make its policies public OR we could not locate them. If you know where to find your health insurance organization’s hyperhidrosis policy (or policies), we would love to add the information to our list. Just send us the appropriate URL by e-mailing info@SweatHelp.org.
As you look over this information, please know that we cannot guarantee its accuracy. Policies change. For the most up-to-date information about your particular health insurance organization’s hyperhidrosis policies, please contact its members’ services department or, if you receive insurance through your employer, talk to your group health plan administrator or human resources person. Employers providing health benefits to their employees often have the chance to change or modify health plans. So, be sure to check to find out the specific health policies of an organization as they apply to your group health plan. Additionally, if you are not satisfied with your group health plan’s coverage for hyperhidrosis, talk to your human resources person or plan administrator. He or she may be able to help.
Navigating the healthcare and insurance systems can sometimes be overwhelming. Keep a diary to help you remember important dates, conversations, and correspondences regarding coverage and reimbursement for your treatment as well as your hyperhidrosis symptoms and how they affect your day-to-day life. Your diary may be useful if you ever need to appeal an insurance company's decisions in regards to coverage for your treatments.
The International Hyperhidrosis Society has no connection or affiliation with any of the health insurance organizations listed below. We do not endorse or have any influence over the organizations’ hyperhidrosis policies. This information is merely provided as a service. We hope it is useful to you.
Aetna – for BOTOX (last review 3/30/18)
http://www.aetna.com/cpb/medical/data/100_199/0113.html
Aetna – for Hyperhidrosis (last review 7/19/18)
http://www.aetna.com/cpb/medical/data/500_599/0504.html
BCBS AR (last review 5/2018)
http://www.arkbluecross.com/members/report.aspx?policyNumber=2000034
BCBS AZ (last review 5/15/18)
https://www.azblue.com/~/media/azblue/files/healthcare/resources/medical-coverage-guidelines/medicine/o420.pdf
BCBS CA (last review 7/1/18) https://www.blueshieldca.com/provider/content_assets/documents/download/public/bscpolicy/TX_of_Hyperhidrosis.pdf
BCBS FL (last review 7/15/18) (Use the search box to search for hyperhidrosis)
http://mcgs.bcbsfl.com/
BCBS MN (last review 9/2017)
https://www.bluecrossmnonline.com/minnesota-medical-policy/external-medical-policy/minnesota-medical-policy/II-55-005.html
BCBS NC (last review 11/2017)
http://www.bcbsnc.com/services/medical-policy/pdf/hyperhidrosis_treatment_of.pdf
BCBS TN (last review 4/10/18)
http://www.bcbst.com/mpmanual/botulinum_toxin.htm
CareFirst BCBS MD
https://provider.carefirst.com/carefirst-resources/provider/pdf/drug/Botox-Criteria.pdf
Cigna (last review 1/15/18)
https://cignaforhcp.cigna.com/public/content/pdf/coveragePolicies/medical/mm_0037_coveragepositioncriteria_endoscopic_sympathectomy_for_hyperhidrosis.pdf
Dean Health System (effective 7/1/18)
https://www.deancare.com/DHP/media/Documents/Medical-Policies/Dean-Hyperhidrosis-Treatment-9224.pdf?ext=.pdf
Excellus (2/22/18)
https://www.excellusbcbs.com/wps/wcm/connect/7ed2d2d3-186d-40ff-b5e8-d8379f9e1ba5/cosmetic+mpc3+18.pdf?MOD=AJPERES&CACHEID=7ed2d2d3-186d-40ff-b5e8-d8379f9e1ba5
HealthPartners
https://www.healthpartners.com/public/coverage-criteria/policy.html?contentid=AENTRY_045822
Highmark West Virginia, BCBS (last review 6/25/18)
https://www.highmarkbcbswv.com/west-virginia-commercial-medical-policy/I-11-031.html
Independence Blue Cross HMO
https://www.ibx.com/pdfs/providers/pharmacy_information/prior_authorization/ibc_botox.pdf
Keystone Blue Cross HMO (last review 1/18/17)
https://www.keystonefirstpa.com/pdf/provider/resources/clinical/policies/160201-hyperhidrosis-treatment.pdf
Medica (last reivew 2/1/17)
https://www.medica.com/-/media/documents/provider/coverage-policies/botox_treatment_for_non-cosmetic_indications_cp.pdf
Premera (last review 7/1/18)
https://www.premera.com/medicalpolicies/8.01.519.pdf
Tufts Health Plan (effective 8/13/18)
https://tuftshealthplan.com/documents/providers/guidelines/pharmacy-medical-necessity-guidelines/bot-toxins
United Kingdom National Health System
https://www.nhs.uk/conditions/excessive-sweating-hyperhidrosis/