Hyperhidrosis Coverage Policies



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 links to 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 here, 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, 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.

List of Public Coverage Policies on File


Policy Title/Plan Web Site Policy URL
Aetna – for BOTOX
http://www.aetna.com/index.htm
http://www.aetna.com/cpb/medical/data/100_199/0113.html
Aetna – for Hyperhidrosis
http://www.aetna.com/index.htm
http://www.aetna.com/cpb/medical/data/500_599/0504.html
Anthem BCBS July 2008
http://www.Anthem.com
http://www.anthem.com/medicalpolicies/policies/mp_pw_a050005.htm

BCBS AL
https://www.bcbsal.org/

https://www.bcbsal.org/providers/policies/final/074.pdf

BCBS AR
http://www.arkbluecross.com/

http://www.arkbluecross.com/members/report.aspx?policyNumber=2000034
BCBS AZ Oct 2007
http://www.bcbsaz.com/
https://secure.azblue.com/pdf/medpol/o420.pdf
BCBS FL
http://mcgs.bcbsfl.com/
http://mcgs.bcbsfl.com/

BCBS GA
http://www.bcbsga.com/

http://www.bcbsga.com/medicalpolicies/policies/mp_pw_a050005.htm
BCBS MA Apr 2004
http://www.bcbsma.com
http://www.bcbsma.com/common/en_US/medical_
policies/006.htm
BCBS MN Dec 2003
http://www.bluecrossmn.com
http://notes.bluecrossmn.com/web/medpolman.nsf/50c2d
5c81dd37e 6a862569bd0054c1b2/ 9c9b34bae6c7782e86256c390078c431?OpenDocument
BCBS NC Sept 2008
http://www.bcbsnc.com
http://www.bcbsnc.com/services/medical-policy/pdf/hyperhidrosis_treatment_of.pdf
BCBS TN Jul 2003
http://www.bcbst.com
http://www.bcbst.com/mpmanual/botulinum_toxin.htm
Cigna 2006
http://www.cigna.com

http://www.cigna.com/customer_care/healthcare_professional/
coverage_positions/medical/mm_0037_coveragepositioncriteria
_endoscopic_sympathectomy_for_hyperhidrosis.pdf
Dean Health System
http://www.deancare.com/
http://www.deancare.com/healthplan_docs
/policies/medicalpolicies/9224hyper.pdf
positions/medical/mm_0037_coveragepositioncriteria_
endoscopic_sympathectomy_for_hyperhidrosis.pdf
Excellus Dec 2003
https://www.excellusbcbs.com
https://www.excellusbcbs.com/wps/wcm/connect/ed7
aec804e8eb78b955dbfe420b83c88/cosmetic.pdf?MOD=AJPERES
HealthPartners 2007
https://www.healthpartners.com
https://www.healthpartners.com/files/40581.pdf
Keystone Blue Cross HMO
http://www.ibx.com
http://www.ibx.com/pdfs/providers/communications/coding_guidelines/ibc_summer_2006_cgpu.pdf"

Medica
http://provider.medica.com/default.aspx

http://provider.medica.com/router/default.pdf
?doc=/C15/PolicyIndex/Document%20Library/Botox_CP.pdf
Mountain State BCBS
https://www.msbcbs.com/
http://www.msbcbs.com/medpolicy/S-178-005.html

MVP Preferred
https://www.mvphealthcare.com/index.html

http://www.preferredcare.org/benefitsdisplay/medicalpolicies/2008/06_01_08/hyperhidrosis.pdf
Premera Jun 2004
http://www.premera.com
https://www.premera.com/stellent
/groups/public/documents/medicalpolicy
/dynwat%3B7112_644567424_832.pdf
Sierra Health Services Apr 2003
http://www.healthplanofnevada.com
http://www.healthplanofnevada
.com/documents/provider%20files/um%20criteria/
surgery/SUR034%20Endoscopic%20Sympathectomy
%20Treatment%20for%20Hyperhidrosis%20081805.pdf
Tufts Apr 2004
http://www.tufts-health.com
http://www.tufts-health.com/providers/pdf/pharmacy_
criteria/Botulinum_Toxin-A_B.pdf
Wellmark BCBS
http://www.wellmark.com/
http://www.wellmark.com/Provider/MedPoliciesAndAuthorizations/MedicalPolicies/policies/Botulinum_Toxin-A.aspx



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