HBOT
1) Off-label conditions will most likely need to be seen at an independent HBOT provider and will likely not be covered by insurance at all. In this case, the cost per treatment will generally range between $250-$450 per treatment
2) written prescription from a physician (MD, DO or DDS) is required by federal law in the United States since 100% oxygen is considered a drug by the FDA (U.S. Food and Drug Administration). Also, ONLY a medical grade facility can legally fill your prescription. Insurance will only pay for treatment that is done in an approved facility
3) you cannot legally put a real hyperbaric oxygen therapy chamber into your home. In addition to the National Fire Protection Association (NFPA-99) regulations and the illegality of medical-grade oxygen purchase
4) Soft hbot class 4 (such as home systems, not legally considered hbot
5) About HBOT
https://www.oxyhealth.com/solace-210.html?fbclid=IwAR33AtBkMZ3W5EWhdVm7jspoPqk-8MJmuo2CSLA1tzFwGQg7x3Va4eAL3H8
https://bmjopen.bmj.com/content/8/9/e023387?fbclid=IwAR0-6URrF88WHTgD6X4nupwXSCDCmlJmmtLCroRm_6_tDG0Fua2aZAob7zE
https://elanaspantry.com/the-complete-guide-to-hyperbaric-oxygen-therapy/?fbclid=IwAR1CH7aRUeifoW2IRAC71CPINQxnEA8v4K5oqI_Ebk4xuCfUUh-hTJP75Zc
https://www.dana.org/article/can-hyperbaric-oxygen-repair-the-damaged-brain/?fbclid=IwAR2mbxZBXijWR0px687OM1MWB93Ur6_P5HrA41LXM5Vy-tVFYqhI1IN-EG8
https://hbot.com/chronic-fatigue-syndrome-directions-for-immunotherapy/?fbclid=IwAR2-EJtpn2WCrlchgKM5jONt35W8FVtzbxkQ3OBMmIJNOyU_FOF20Cd2DMM
https://www.rt.com/news/525059-researchers-reverse-biological-aging/?fbclid=IwAR3Iy-eY_3UWgnhRiMuD-SrOSQBc9CwH6qW0HFg665yFAgg8mBYdjFrl6yY
https://www.rt.com/news/507255-scientists-reverse-cellular-aging/?fbclid=IwAR3wwM_OouF9qa3KouLTKWOdtMOA_2Kqwb6k-JbodbZh1UPsw1Ze375CTYE
https://www.drmyhill.co.uk/wiki/Hyperbaric_oxygen_therapy_(HBOT)?fbclid=IwAR2WrQsP2CeDE6asxB6yUvHmeyIlpc6slZkIDLOWYcvzgoacCkHdvPCz6mQ
https://forums.phoenixrising.me/threads/long-term-daily-mhbot-and-full-recoveries-w-ongoing-maintenance.54006/?fbclid=IwAR1WVyBXh_raJDGpvi9mstlpO78AsTSQAI-0initUBkoYV0Jmzqm4Kw1hGo
https://tbitherapy.com/hbot-for-brain-injury/?gclid=Cj0KCQjwlMXMBRC1ARIsAKKGuwjTMyESjGwm4b-LxFptXrkZZiLLISmCwkVd8jGA1tJxRBtk0BHUWh0aAuXIEALw_wcB&fbclid=IwAR0-6URrF88WHTgD6X4nupwXSCDCmlJmmtLCroRm_6_tDG0Fua2aZAob7zE
https://www.brainline.org/article/hbot-way-heal-injured-brain?fbclid=IwAR0a_XUTW8c3d_l5jqmD803voPHjcC4WO6PD_HL2h92qe-AVRNrQsnmDCnA
https://journals.plos.org/plosone/article?id=10.1371%2Fjournal.pone.0097750&fbclid=IwAR33AtBkMZ3W5EWhdVm7jspoPqk-8MJmuo2CSLA1tzFwGQg7x3Va4eAL3H8
https://forums.phoenixrising.me/threads/long-term-daily-mhbot-and-full-recoveries-w-ongoing-maintenance.54006/page-19?fbclid=IwAR1WVyBXh_raJDGpvi9mstlpO78AsTSQAI-0initUBkoYV0Jmzqm4Kw1hGo#post-2302526
https://forums.phoenixrising.me/threads/hard-hbot-therapy.81604/?fbclid=IwAR1NeM50NNdmT_Znr7JL6gloaqROw3gFLBGEop7ksOODAPU-zwYM1g2jNRY#post-2301644
6) Clinics
https://newtownehyperbarics.com/?gclid=Cj0KCQiAkZKNBhDiARIsAPsk0WhQ7yqUO4RJjDrssm6G1HdoJhn5SF7WYtoy0sjbZ0c-VM8anpH9K9oaAnAnEALw_wcB
https://www.oxyhealth.com/hyperbaric-chamber-rental-rfi5.html?utm_source=google&utm_medium=cpc&utm_campaign=oxyhealth%20rental&utm_campaign=Oxyhealth%20-%20Rental&utm_source=google&utm_medium=cpc&utm_content=Rental-Hyperbaric&utm_term=rent%20hyperbaric%20chamber&gclid=Cj0KCQiAkZKNBhDiARIsAPsk0Wh3OWm9nnPNIjh3mTh37GgypLg7XArHy5TZFQfl2jVGMm7jQBM9j98aAqTVEALw_wcB
https://hyperbaricoxygentherapy.com/
https://www.hh-bayarea.com/
https://www.hyperbaricmedicalsolutions.com/blog/how-much-does-hyperbaric-oxygen-therapy-cost
https://www.google.com/search?client=firefox-b-1-m&sxsrf=AOaemvJFowkFG-eWYkr1Rj3Keyl6gJm2EQ:1638223599549&q=Bay+Area+Hyperbarics+Los+Altos,+CA&ludocid=3144528847996958346&gsas=1&client=firefox-b-1-m&lsig=AB86z5VZedmDQSjO1HBuUCZFbmEE&sa=X&ved=2ahUKEwiOt9q9yr70AhVDFjQIHRS9BSoQvS56BAgBEAo
https://www.google.com/search?client=firefox-b-1-m&sxsrf=AOaemvJFowkFG-eWYkr1Rj3Keyl6gJm2EQ:1638223599549&q=Advanced+Hyperbaric+Recovery+of+Marin,+Hyperbaric+Oxygen+Therapy+of+Marin+San+Rafael,+CA&ludocid=17274388007662961491&gsas=1&client=firefox-b-1-m&lsig=AB86z5X2Lp8li3uFd2aeckdfjf10&phdesc=wqENvz4nDs4&sa=X&ved=2ahUKEwiOt9q9yr70AhVDFjQIHRS9BSoQvS56BAgBEAc
https://www.bayareahyperbarics.com/
https://www.google.com/search?q=class%202%20hbot&ie=utf-8&oe=utf-8&client=firefox-b-1-m
https://www.oxygenhealthsystems.com/product/hyperbaric-oxygen-soft-chamber-36?gclid=Cj0KCQiAkZKNBhDiARIsAPsk0Wg-7RPtXw-PtlZUob5kR7FXDrGK2EztBxPKVgrdB9lN8Nj2EKvXInoaAj2aEALw_wcB
https://hyperbaricoxygentherapy.com/faq
https://oxfordrecoverycenter.com/hard-vs-soft-chambers-hyperbaric-oxygen-therapy-chambers/
7) Does insurance cover hyperbaric oxygen therapy?
The short answer is yes, hyperbaric oxygen therapy (HBOT) can be covered by Medicare and commercial insurances depending on the medical condition.
Most insurances will require prior authorization to cover HBOT treatments. How much you pay out-of-pocket depends on your insurance plan. Some insurance plans require patients to pay a copay, while others require patients to pay towards a deductible or coinsurance.
Learn more about the difference between a copay, deductible and coinsurance here.
What conditions are commonly approved by insurance?
At this time, Medicare and most commercial insurance companies will cover HBOT for:
Air or Gas Embolism
Carbon Monoxide Poisoning
Chronic Osteomyelitis
Compartment Syndrome/Crush Injury/Other Traumatic Ischemias*
Compromised Skin Grafts and Flaps
Decompression Sickness (Bends)
Diabetic and Selected Wounds
Exceptional Blood Loss (Anemia)
Gas Gangrene
Intracranial Abscess
Necrotizing Soft Tissue Infection*
Osteoradionecrosis and Radiation Tissue Damage*
Thermal Burns
Idiopathic Sudden Sensorineural Hearing Loss (covered by select commercial insurance companies)
*covered as adjunctive therapy
It is important to note that some of the medical conditions listed above have limitations. Some insurance plans will only approve the use of HBOT as adjunctive therapy when there has been no measurable signs of healing for at least 30 days of treatment with standard wound therapy. HBOT is expected to be used in addition to standard wound care and the patient’s wounds must be evaluated at least every 30 days to continue HBOT.
Are there additional conditions that are covered by insurance?
There are numerous studies and scientific evidence showing HBOT as an effective treatment for a range of medical conditions. Though insurance companies reserve the right to approve or deny HBOT coverage for any medical condition despite these supportive findings, there are a number of off-label conditions that are sometimes covered by commercial insurance companies.
Off-label conditions that may or may not be covered by insurance are:
Fibromyalgia
Lyme Disease
Migraine
Multiple Sclerosis
Near Drowning
Post Traumatic Stress Disorder (PTSD)
Recovery from Plastic Surgery
Sports Injuries
Stroke
Traumatic Brain Injury
Addiction
Autism
Anoxic Brain Injury
Avascular Necrosis
Cerebral Palsy
Crohn’s Disease
Circulation conditions
Concussion
Complex Regional Pain Syndrome
A number of commercial insurance companies—including BlueCross BlueShield (BCBS), United Healthcare, Cigna, Humana, and more—will approve HBOT for off-label conditions if they deem treatment as medically necessary.
Does insurance cover hyperbaric oxygen therapy if my condition isn’t listed?
There’s still a chance that you may receive insurance coverage for a medical condition that isn’t on the commonly approved list. Most commercial insurance companies will request medical records for determination of medical necessity