BOTOX TREATMENT

Botox has become a common treatment for migraine headaches and can bring relief to sufferers.

We are pleased to welcome you to our BOTOX® treatment program. Your physician is recommending treatment with BOTOX® for your specific medical condition.

This letter is designed to provide you with important information regarding the treatment plan that you and your physician have discussed.

Our goal is to make sure you fully understand how this treatment may benefit your medical condition, and to help you understand how you can play an active role in your treatment decisions and ongoing care.

TYPICAL TREATMENT PLAN

The appointment will typically take 15-20 minutes and it is best to wear loose fitting clothes.

During this appointment, only the injection will be performed (other medication changes and treatments must be managed during separate appointments).

Post-treatment instructions, work, exercise and driving are fine after treatment.

HOW WE WORK WITH YOUR HEALTH PLAN

Prior to treating you with BOTOX®, we must first receive approval from your insurance company.

We will submit information to your insurance company that was gathered during your visit with the provider.

As part of that process, we confirm plan coverage and benefits including co-pays, co-insurance, and deductible amounts. This can take 2 to 4 weeks depending on your health plan.

Some plans require additional information from the physician and may require separate approvals for the injection procedure and the drug.

In some cases (primarily with United and Cigna), we will need to obtain the BOTOX® medication through a specialty pharmacy.

If this is required, you will be contacted directly by the specialty pharmacy to provide permission for the drug to be delivered to the practice for your treatment, and for the pharmacy to collect any co-payment that is required for the drug.

Depending on the requirements of your insurance company, we will need to obtain approval for ongoing treatment at certain intervals.

In order to assist with this, it will be important for you to provide information about the treatment effectiveness to the provider at each appointment. This may include regular completion of your headache diary.

YOUR FINANCIAL RESPONSIBILITIES

Prior to your first BOTOX® treatment, we will let you know the amount you may be responsible to pay. For certain types of insurance, assistance may be available to help you with your co-pay amounts for BOTOX®.

We can provide you with information about the BOTOX® Savings card and help you register for this program. This card can be used for the purchase of Botox, office copay, or health related items at the pharmacy.

However, it may not arrive in time for the first injection though can be used subsequently. The outstanding balance of the procedure must be paid timely and prior to the next injection.

HOW YOU CAN HELP

You play an important role in your treatment. Below is a list of things you can do to be an active participant in your treatment plan:

• Provide updated contact information.
• Notify us immediately of any changes in your insurance.
• Keep scheduled appointments and notify us as soon as possible if you need to change an appointment (charge for cancellations within 24 hours of appointment)
• Respond promptly to requests from the practice or others such as a specialty pharmacy, to avoid treatment delays.
• Maintain headache diaries or other information requested by your provider.

CONTACT A BOTOX TREATMENT SPECIALISTS & NEUROLOGISTS

Botox Treatment comes with both short- and long-term effects. If you or a loved one suspect that you are experiencing memory loss or delayed cognitive alertness, it is imperative that you seek botox treatment therapy immediately.

If you or a loved one is need of Botox Treatment and are in need of an experienced Botox Treatment specialist, contact BNL Health today: 310-277-9534