Migraine - Has anyone dealt with a NY State external appeal for Botox? : Women-care

Migraine overview

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A migraine is a headache that can purpose intense throbbing suffering or a pulsing sensation, typically on one facet of the head. It's often accompanied with the aid of nausea, vomiting, and excessive sensitivity to mild and sound. Migraine assaults can closing for hours to days, and the discomfort can be so excessive that it interferes with your each day activities. For some people, a warning symptom viewed as an air of secrecy takes location until now than or with the headache. An air of secrecy can consist of visible disturbances, such as flashes of mild or blind spots, or different disturbances, such as tingling on one thing of the face or in an arm or leg and concern speaking.

My experience-Has anyone dealt with a NY State external appeal for Botox?

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My doctor has been trying to get me on Botox for a while, and my insurance keeps denying it. Finally, in August, they approved me for a treatment, but when it got time for my second treatment in November, they denied it again.

My doctor's office has escalated it to an external appeal through the state (New York), and on Thursday, I got an email saying I had 3 business days to send in any additional documents. I don't know if Thursday counts as one of those business days since I received the email near end of business day, but I'm trying to get together what I can.

Right now, I'm planning to send in my migraine tracker that dates back to Jan 2018, and see if my former doctor can provide documentation of negative side effects on Topamax, since having not tried Topamax is one of the reasons the insurance has cited for denying me. Last time I tried Topamax I couldn't eat, had the shakes, and just felt horrible on it and couldn't stay on it for more than a few days.

Any advice for other documents that might help me?

I also don't get why they approved 1 treatment but not the second. I'm on health insurance through my university (graduate student), so they've been pretty shitty anyways. I've also had issues with my Emgality getting approved.

submitted by /u/Weeniebuttcorgo
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Migraine Symptoms

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Migraines, which have an effect on children and teens as nicely as adults, can development via 4 stages: prodrome, aura, attack and post-drome. Not everyone who has migraines goes through all stages.

★★★ /u/Weeniebuttcorgo
😄 " I hope each new day brings you closer to a full and speedy recovery! "