Does Insurance Cover Hyperhidrosis Treatment?

If you have hyperhidrosis or know someone who does, you are well aware that excessive sweating is a serious ailment that has a substantial influence on one’s quality of life and ability to function. Hyperhidrosis deserves to be taken seriously by health insurance companies and other third-party payers as a serious medical illness with significant negative impacts on physical, mental, and social well-being (as well as academic and occupational life).

The International Hyperhidrosis Society offers helpful resources, information, and printable forms for the insurance and reimbursement processes. These resources can assist you in working with your physician, health insurance plan, and even your employer to obtain the care coverage you need.

To begin, below are the most recent diagnosis codes for you and your healthcare provider:

Focal Hyperhidrosis (L74.5) (L74.5 and L74.51 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail)

Have your hyperhidrosis therapies been denied coverage? You do have options. To appeal your health plan’s decision, follow the steps outlined below:

Treatments for hyperhidrosis may already be covered by your insurance carrier. To find out, look through our collection of links to public hyperhidrosis coverage policies and other third-party payers in the United States. If yours isn’t listed, contact your health insurance provider to find out what it is (then please send us the link, if there is one, so we can post it.)

This list might help you figure out how much money you spend on excessive sweating, as well as other expenses. Use your answers to the questions and the crucial Hh information to persuade your insurance company that you are entitled to treatment reimbursement. Alternatively, if you must pay for therapies out of pocket, the information on this page may assist you in seeing that the investment is both financially and emotionally sound.

To strengthen your case, have your doctor submit this Letter of Medical Necessity to your insurance company as proof that your hyperhidrosis requires therapy. Feel free to add to it or change it in any way you like.

This form, like the Letter of Medical Necessity, should be filled out by your doctor and sent to your insurance carrier. It shows that you’ve been diagnosed with hyperhidrosis, details the treatments you’ve tried (and failed to work), and specifies the next treatment that your doctor recommends.

  • For the purchase of a home-use iontophoresis device, download the Medical Insurance Statement Form.

Are you looking for an iontophoresis device to treat hyperhidrosis in your hands or feet? Your iontophoresis device for home usage may be eligible for reimbursement. Learn more about iontophoresis and insurance coverage by downloading useful forms.

If you need help paying for Botox treatment, Allergan’s Botox Patient Assistance Program (for the uninsured or underinsured) or BOTOX ONE may be able to help. Both programs will necessitate the participation of your physician, so be sure to inquire about them with him or her.

  • Consider taking part in clinical trials. While not legally tied to insurance, research or “clinical” studies are another option for anyone seeking hyperhidrosis treatment. Clinical trials aid in the advancement of medical science’s understanding of a disease and its treatment. Visit our research opportunities page to learn more about clinical trials, how they can make therapy more inexpensive (even free), and whether you could be eligible to participate in one.
  • Subscribing to our free News Blog is a great way to stay up to date on We frequently provide free care to patients during our medical education programs. These chances are always announced first to our members.

Is hyperhidrosis covered by medical?

In the absence of functional impairment or any of the medical diseases listed above, treatment for hyperhidrosis is not regarded medically required. 1. The following treatments are considered investigational for the treatment of severe gustatory hyperhidrosis: a. Botulinum toxin, b. Botulinum toxin, c. Botulinum toxin, d. Botulinum toxin, e. Botulinum toxin, e. Botulinum toxin

Is Botox for sweat covered by insurance?

Excessive sweating can be treated with Botox, which is a highly effective medication. It significantly enhances the quality of life for many people. Unfortunately, the injections can be pricey, and insurance does not always cover them. You can discuss Botox injections with your doctor or insurance company to see whether they are covered.

How much does it cost to remove your sweat glands?

Experts believe that removing these sweat glands will have little effect on body thermoregulation, and compensatory sweating (sweating on other body areas, which is frequent following ETS surgery) will not be a problem. MiraDry costs between $3,000 and $4,000, depending on where you live.

Does insurance cover miraDry for hyperhidrosis?

There are presently no insurance companies that cover miraDry. Fortunately, thanks to our cooperation with miraDry, we can now offer patients new payment options. Patients can choose between 6-month and 12-month payment plans. The following are some of the advantages:

What kind of doctor do you see for hyperhidrosis?

Dermatologists are the ideal doctors to see if you have excessive perspiration that isn’t controlled by over-the-counter medications. They are usually better knowledgeable about hyperhidrosis treatment, particularly when sweating is excessive. Depending on your insurance, you may need a recommendation from your primary care physician to see a dermatologist.

  • Iontophoresis entails soaking the hands or feet in a water basin while a modest electric current is passed through them. Although it necessitates numerous treatments, it is typically helpful in lowering sweating and can be performed at home.
  • Botulinum toxin type A (Botox) injections stop sweat glands from working.

Does insurance pay for miraDry?

Is insurance going to cover miraDry? Although miraDry is not commonly covered by insurance, it is the first and only FDA-approved therapy for permanently reducing underarm sweat in as little as one visit. You might be able to utilize your HSA/FSA savings to pay for miraDry.

Is hyperhidrosis considered cosmetic?

While there are a variety of ways to treat hyperhidrosis, whether it’s axillary, palmar, or in the soles of the feet, insurance companies are frequently a roadblock to patients receiving the best treatment.

Adelaide Hebert, MD, a dermatologist at the University of Texas Health McGovern Medical School in Houston, told MedPage Today, “What decides a lot of what we utilize is what the insurance will cover.” “What matters is what the insurance company will pay for, not what we believe.”

Does caresource cover Botox for hyperhidrosis?

Botox (onabotulinumtoxinA) is a non-preferred product that will only be considered for coverage under the medical benefit if the following requirements are met: Members must be clinically diagnosed with one of the disease conditions listed below and meet their specific criteria.

Can hyperhidrosis be cured permanently?

Although there is no treatment for hyperhidrosis, there is assistance available. A prescription-strength antiperspirant may be recommended by your doctor. Newer therapies provide you with even more options for reducing discomfort. On September 10, 2020, a Cleveland Clinic medical practitioner evaluated this information.