Medicare and Botox: Are You Covered?

medicare and botox

Botox carries a stigma, but there is much more to it than most realize. Every year brings new forms of medical treatments. While botox isn’t new, it’s been found to be helpful for palliative care as well as just cosmetic reasons. Medicare and botox can sometimes work together.

What is botox?

Botox is made from the neurotoxin called botulinum. This is the same toxin that causes a life-threatening type of food poisoning.  Small doses of the bacterium Clostridium botulinum in Botox can treat health problems.

The way that the botox injection works is by paralyzing or temporarily weakening certain muscles and blocking nerves. Botox injections can be effective from three months to an entire year, depending on what is being treated.

Medicare coverage

Medicare Part B may cover botox for certain medical reasons, such as migraines. It will not cover costs for cosmetic reasons, such as crow’s feet or fine lines.

However, there are some exceptions. These might include cosmetic botox when the surgery is needed due to an accidental injury or if it is to improve the function of a body part.

It is important to discuss botox with your doctor to find out if it is an effective treatment option for you. Your doctor should also be informed about all of the medications that you are taking, prescriptions and nonprescription medications.

 Your doctor will know what medications cannot be mixed with botox or may cause serious side effects. Consult your doctor on whether botox is right for and if your Medicare coverage will cover the costs.

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Medicare World Blog