Botox can be used either medically or cosmetically; depending on the purpose of the treatment, it may or may not be covered by insurance. For example, cosmetic Botox, which is considered an elective procedure, is not covered by insurance because it is not considered medically necessary, but is instead intended to change one’s appearance. Therapeutic Botox, that is, Botox used to treat a medical condition, may be covered by insurance if it is considered medically necessary. This may include coverage when using Botox to treat conditions like blepharospasm (excessive blinking/eye twitching), hyperhidrosis (excessive sweating), cervical dystonia (neck muscle spasms), and more.