Does Medicare Cover Botox?
The other day I was talking with a friend (for privacy reasons I won’t state her name) that wanted to get Botox injections for her wrinkles. I told her that she didn’t need it and that her wrinkles were barely noticeable, but she didn’t believe me.
She was always the friend that got into the latest trend or fad. She always wanted to try everything that the celebrities were trying.
Even after my persistent discouragement, she insisted that she was going to set up an appointment soon and get it done.
I said to her, “Well, if you’re going to be stubborn, at least let me help you.”
I had remembered reading something about how Medicare didn’t cover any Botox treatment. Medicare, being her primary insurance, I wanted to make sure that she wasn’t going to be bankrupt after this unnecessary procedure of hers.
So, I decided to do a bit more research for her. From what I found on medicare.gov and other reputable sites, Medicare might pay for Botox treatment.
When Does Medicare Pay for Botox?
Medicare has a rule they follow when it comes to covering a procedure or treatment. According to Medicare’s website, Medicare pays for things that are medically necessary.
As many of us know, getting Botox injections to hide wrinkles, is not medically necessary. No matter how much my friend thinks it is.
If you were getting Botox for something like migraines, then Medicare, from my understanding, would cover it.
Bearer of Bad News
I feel like I’m always the bearer of bad news, but I’d rather give bad news that protect my friends than good news that wasn’t true.
I called my friend to give her the unfortunate information. She was upset to say the least.
The first words out of her mouth were, “What? Are you kidding me?”
I tried to calm her down by explaining it how I had come to understand it. Obviously, I’m not a Botox expert, nor a Medicare expert. That’s when I sent her the links that I had found to reassure her that the information I was feeding her was accurate.
I also sent her to a page I stumbled upon during my research. It was about an insurance brokerage that seemed to know the facts. I figured, don’t take it from me, take it from an expert in the field of Medicare.
After she verified what I had been telling her was true, she canceled her appointment.
I like to think that she canceled the appointment one, because it would be too expensive, and two, because she knew that she didn’t need Botox to be beautiful.
We had lunch the next day at our favorite little bistro and she said to me, “I don’t know what I was thinking. I don’t need Botox. I need a face lift!” She shouted. “That’s surgery, so Medicare must cover it.”
As I chuckled, I leaned to her, grabbed her hand and said, “Honey, if Medicare doesn’t cover something as simple as a Botox injection, it isn’t going to pay for cosmetic surgery.”