While Botox injections were once used to help reduce facial wrinkles, today these injections have many different uses. If your doctor has prescribed Botox injections as a medical treatment for pain or a specific disorder and you received a Botox injection insurance denial, you need help in the form of a strong legal advocate like attorney Scott Glovsky. Scott Glovsky and his experienced legal team work every day for those who have had necessary medical treatments denied. Unfortunately, far too many people believe a denial is final. This is far from the truth. You have options following a Botox injection insurance denial. The Law Offices of Scott Glovsky can help you explore those options and help turn a denial into an approval so you can get the medical treatments you need.
What Are Botox Injections Used For?
Botox injections are often prescribed for the following:
- Neck spasms—This is also known as cervical dystonia and is a very painful condition where the neck muscles contract uncontrollably.
- Cerebral palsy and other types of muscle spasms—This includes muscle spasms that can cause eye twitching, as well as other conditions of the nervous system that cause the limbs to pull toward the center of the body.
- Excessive sweating—Hyperhidrosis is a disorder in which an individual sweats excessively, even when it is not hot, or they are not physically active. Botox injections can help this medical disorder by paralyzing the sweat glands.
- Lazy eye—Crossed eyes or misaligned eyes can benefit from Botox injections. Botox injections can also be used for uncontrolled blinking, known as blepharospasm.
- Migraines—Botox injections are commonly used to treat chronic migraines and can help reduce how often migraines occur. Botox is used specifically for those who have migraines fifteen days or more each month—known as chronic migraines. Botox injections are given approximately every three months to maintain the benefits. Botox injections may also be useful for chronic tension headaches.
- Urinary incontinence and other bladder problems can be treated with Botox injections.
- Muscle stiffness and spasms like cervical dystonia and torticollis can be helped with Botox injections.
- Pain management—Botox can be an important tool in pain management by blocking certain nerve signals that control pain. These injections may be used for chronic neck pain, chronic back pain, chronic knee pain, nerve pain, and other types of chronic pain.
- Foot pain resulting from bunions and swelling could benefit from Botox injections.
- Foot dystonia involves curled, clenched toes or painful cramps in the feet. Dystonia refers to a sustained or repetitive muscle twisting, spasm, or cramp that occurs at different times of the day.
- Parkinson’s disease—Botox injections are being used in the management of certain Parkinson’s disease symptoms, including dystonia, drooling, and urinary incontinence.
How Can Botox Injections Affect Pain, Foot Disorders, Migraines, and More?
Botox injections appear to work well for migraines and other issues listed above. In rare cases, when Botox is injected to treat migraines, an individual will experience pain, bruising, or swelling at the injection site. While Botox is certainly not a cure for Parkinson’s disease (no cure exists), it can help manage Parkinson’s symptoms. Foot dystonia and other types of dystonia have also seen good results from the use of Botox injections. If your doctor has prescribed Botox injections, it is because he or she believes it can help your specific medical condition. This makes it all the more distressing when you receive a Botox injection insurance denial.
Why Your Botox Injection Claim May Have Been Denied by Insurance
A single Botox injection can cost $600 and up, depending on what the Botox is being used for, how much is necessary, and how often the injections must be given. If your insurance company has issued a Botox injection insurance denial, it could be based on cost. Insurance companies can be primarily interested in their financial bottom line rather than in the people they insure. If your denial is based on a mistake or a coding error, you can fix the error and resubmit the claim. If the denial is based on out-of-network service or is specifically excluded under your health care plan, you may or may not be able to have the denial reversed. If, however, your insurer is claiming the treatment is “not medically necessary,” “experimental,” or “investigational,” those words may translate into “costs too much.”
What Can You Do About a Botox Injections Insurance Denial?
If you’ve received a Botox injection insurance denial, you do have options and attorney Scott Glovsky can help you explore those options. You can file an internal appeal where you ask the insurance company to revisit its decision. You may want to submit a letter from your physician that clearly explains why you need the Botox injections. If your internal appeal is unsuccessful, Scott can help you to file an external appeal with a neutral third party. The decision of this neutral party is binding, and if it says your insurer must pay for Botox injections, then it will be required to do so.
Specific Insurance Companies That Are Known to Deny Botox Injections
While many companies will not cover Botox injections for cosmetic purposes, when used medically, most will approve the injections. Any company can potentially deny your doctor’s order for Botox injections however, some are more likely to do so than others. In the state of California, many individuals have one of the following health insurance companies:
- Anthem Blue Cross
- Blue Shield
- Kaiser
- UnitedHealthcare
- Aetna
- and others
How the Law Offices of Scott Glovsky Can Help with a Botox Injections Insurance Denial
Receiving a Botox injection insurance denial after being told by your doctor that these injections will help your medical issue can be extremely disheartening. When you contact the Law Offices of Scott Glovsky, you will speak to someone who really cares about you and your health. Scott Glovsky has been helping people just like you who have been denied healthcare treatments for many, many years. Scott began his career by working on the side of big corporations, so he is familiar with every trick your insurer may use to avoid paying a legitimate claim. Scott and his team bring extensive experience, a solid reputation, and personal, caring client attention to the table. We take fewer cases so we can devote a significant amount of time to each client. Scott gets to know you, your family, your situation, and the story behind your suffering. The Law Offices of Scott Glovsky is not an “assembly-line” law firm. Call us today to talk about your insurance denial and learn how we can help you.