Migraine Coverage:

OHIP covers your initial assessment if a Family Physician refers you. If you self-refer or dont have a family physician, there is a $100 consultation fee. Most insurance companies will cover Botox™ for migraines 80-100% if you meet the coverage criteria; however, they won’t cover the injection fee of $250 per treatment.

Coverage Criteria:

  • 15 or more headache days a month

  • At least 8 headache days of the month should be classified as Migraine days

  • At least 3 months of the year

  • Failure of at least 2 - 3 oral agents from the approved list

Approved Drug List:

  • Triptans

  • Tricyclic Antidepressants

  • Alpha 2 agonists

  • Anti-convulsants (ie Topiramate)

  • Beta Blockers

  • Calcium Channel Blockers

  • ARBs (ie Candesartan)

  • Ergots

  • Prednisone

  • Opioids

  • Gepants

Please note that some insurance companies will ask for proof of headache days, so it’s important to use a headache tracker app like the Migraine Tracker for proof of headaches

Hyperhidrosis Coverage

OHIP covers your initial assessment if a Physician refers you. If you self-refer or dont have a family physician, there is a $100 consultation fee. Insurance companies usually cover Botox for Axillary Hyperhidrosis if you have failed any of the following:

  • Prescription antiperspirant 20% or 6.25% Aluminum Chloride hexahydrate (Drysol®, Certain Dri®)

  • Iontophoresis devices (Drionic®, Fischer, or other)

  • Oral medication (Glycopyrrolate, Ditropan®, or other)

  • Surgery (local excision of sweat glands, ETS, or other)

TMJ Disorder/Bruxism

Currently, TMJ Disorder/Bruxism is not covered by the majority of Insurance companies. It is suggested that you contact your insurance company to see if this is a condition they will cover but most patients private pay