Insurance Coverage for the Botox Treatment for Vaginismus

Vaginismus is listed as a “sexual pain disorder” in the DSM –IV (American Psychiatric Association, Diagnostic and Statistical Manual of Mental Disorders. Washington D.C.) The FDA has approved our Botox Treatment for Vaginismus research. Variable coverage is provided by many insurance companies. There are usually a number of elements in the Botox treatment for vaginismus program that may be covered. Each policy is different and a pre-certification and/or a prior authorization of benefits are usually a good idea.

Because our office does not handle insurance claims, we have contracted with a third party service, Diane Tremblay of DMT Insurance Billing Insurance Coverage for the Botox Treament for VaginismusServices, LLC. Diane is a billing specialist with over 25 years of medical coding experience and has been working to help our patients and many of them have received significant insurance reimbursement for their Botox treatment for vaginismus. Insurance companies vary in how much they will reimburse. These claims usually require special care using notes acquired by our office and billing accurate diagnoses and procedure codes which may take up to 30-45 days to process.

Comments from some of our patients who have received insurance reimbursement due to Diane’s efforts:

“Wow, I must say that I wasn’t expecting it to be that much but I am SO thankful for all of Diane’s hard work in getting this amount for us.”

“I received the insurance reimbursement check for $______ today. Thank you so much for your help with the insurance claim!”

“I received the check in the mail today! I cannot thank you enough for all that you did for me during the first and second appeal. I would not have been able to do this without all your help!”

“That’s great news! I look forward to hearing from Dr. Pacik’s office :) Thanks so much for all your help!!”

We have included a lot of important information on our VaginismusMD website covering many aspects of insurance coverage for the Botox treatment for vaginismus. I urge you to read this information thoroughly.

Contact Us

Our office will supply you with a copy of Diane Tremblay’s Welcome Letter and Billing Information Checklist, her phone number and her email address; just fill in the Contact Form and request Diane’s information in the Comment field.

Dr. Pacik

About Dr. Pacik

Peter Pacik, MD, FACS is a recognized pioneer in treating patients with Botox for vaginismus and the author of When Sex Seems Impossible: Stories of Vaginismus and How You Can Achieve Intimacy. He has been in practice for over thirty years and belongs to a small group of prestigious surgeons who are double board certified by both the American Board of Surgery and the American Board of Plastic Surgery. In 2010, Dr. Pacik received FDA approval to continue his study to treat vaginismus using intravaginal injections of Botox together with progressive dilation under anesthesia.
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