Is Rosacea Treatment Covered By Insurance? Here’s What You Should Know

By | 9 December, 2014

RosaceaIf you’re wondering if your insurance company is going to cover your treatments for Rosacea, the short answer is this: It really depends on your insurance company. If you have a policy with Aetna, you should know that the company considers clinical treatment of rosacea necessary.

However, not all treatments are covered. Any treatment that has not been established as effective isn’t covered. To be specific, the shaving or excision of rhinophyma is considered a necessary procedure.

Botulinum toxin treatments, however, are not covered because the effectiveness of the treatment has not yet been established. For Blue Cross, treatments are covered if certain conditions are met, such as Photographs that record the existence of the illness, diagnosis for advanced Rosacea, and documentation of the Rosacea treatment and patient’s response to treatment.

If you have a policy with either Aetna or Blue Cross, please talk with a company representative to check if you could be reimburses partially or completely for your expenses. As for all the other insurance companies, call your insurance company and ask if your treatments are covered. We have to warn you, however, that the typical insurance providers often require certification summarizing what types of treatments, and how many treatments, you need.

RosaceaAlso, prepare to document your symptoms and to write a summary on how they are limiting your ability. Be prepared to take pictures of rosacea flare-ups so your insurance company will know what you are dealing with.

Insert peer-reviewed articles printed from the web or photocopied from medical journals. Your insurance company might also view certain symptoms as non-significant and, therefore, not coverable by insurance.

These symptoms include, pustles, papules, observable telangiectasias and redness. The following symptoms are significant: Flushing, blushing, stinging, itching, pain, and facial swelling.  You should also send a list of Rosacea treatments you’ve used and outline what lifestyle changes you are doing to improve your condition.

rosacea treatmentAgain, talk with you insurance company’s representatives to get more information on Rosacea treatments coverage. One thing you should know about insurance companies is that they don’t budge unless if you are persistent.

That said, when you’ve sent the facts of your case to your insurance company, call for follow-ups. Document your interaction with the company, from names, dates to form of communication.

If your claim gets rejected, make an appeal for your rejection. If you need help dealing with your insurance company, there are online groups out there dedicated to providing information about making with insurance companies for people who are suffering from Rosacea.

Facts About Rosacea

RoseceaRosacea is a condition characterized by a whole set of uncomfortable symptoms, including lumps, flushing and redness on the face, especially the nose, chin, checks and forehead. It’s more common in women than in men, however, it doesn’t rear its ugly heads until 30 years of age.

While stress and sunlight exposure can cause breakouts, the exact causes of Rosacea are still not known. There’s research that show the bacteria in Demodex mites to be the culprit, however, more research needs to be done to back this up. Rosacea flare-ups can usually be controlled by antibiotics, however, anti-inflammatory drugs have no effect.

Laser treatments, however, have been proven to improve the appearance of scars caused by Rosacea. If you are suffering from Rosacea, the best way to handle the disease is by working with a dermatologist to manage it. Your dermatologist would know about the current treatments that effective against this skin condition. Making some changes to your lifestyle would also help. Avoid stress and conditions that would exacerbate breakouts.


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