It turns out that when you call your insurance company to get approval for vaginal botox injections, it's quite an ordeal. I was told at Dr. G's office that if I get the botox myself and bring it in that it would be a lot less expensive than having it provided by the doctor's office. So I had to call my insurance to both find out the approval process for getting the injections and also find out how to acquire some Botox. First of all, it's kind of awkward to talk to strangers about how you need botox injections in your vagina. I talked to three people and it seemed that the idea of this was new to all of them. So first I called the main 800 number for my insurance. Good news is that they don't require any type of pre-approval for procedures so I can just get it done and send in the claim. But getting the Botox is more complicated. The medical department didn't really know what to do, so they transferred me to the Pharmacy department. The woman I spoke to in the pharmacy department was really quite perplexed and had no answers so she transferred me to the Mail-Order Pharmacy department. This person told me that the Botox is covered 100% by my medical plan (!) but that I have to pay a $15 copay to my physician. When I told him that my physician didn't take insurance, and therefore did not take copays, he was also perplexed. But he said he'd call the doctor's office and get the prescription and set it in motion. I'm still not sure when the $15 copay comes in, or if it's relevant at all, but I think I'm on my way to getting some Botox sent to me and making an appointment to have it injected into my vagina.
I was on the phone for a long time today. But for your info, if you get the Botox from Dr. G it costs $565, so it's definitely worth it to try going through your insurance first (I think mine will be free - but it's a little unclear). And the procedure costs $560 - close to the typical cost of a visit to Dr. G anyway.