Insurance, Memberships & Payment Options
At Bare Face RVA, we believe that patients should have access to effective, physician-led Botox treatment for migraine, neurological conditions, and natural aesthetic goals — whether or not insurance covers it.
This page explains how treatment is covered, how prior authorization works, and the different payment and membership options available.
Insurance Coverage for Medical Botox
Insurance Coverage for Medical Botox
Botox can be covered by insurance when used for:
Chronic migraine (≥15 headache days/month)
Cervical dystonia
Spasticity (post-stroke or neurological)
TMJ with functional impairment
Hemifacial spasm
Blepharospasm
Other neurologic indications
Coverage varies by plan and diagnosis.
Prior Authorization (PA) Requirements
Most insurance plans require prior authorization before treatment. This typically includes:
Treatment diagnosis
Symptom duration
Impact on daily life
Prior medications and therapies tried
Headache/neurologic documentation
Clinical examination
If approved, insurance covers the medication and the procedure.
If Insurance Approves
We schedule your Botox treatment
Medication may be supplied by our clinic (buy-and-bill) or via specialty pharmacy shipment depending on your plan
You may be responsible for deductibles or coinsurance
If Insurance Does Not Approve
Denials may occur due to:
not meeting chronic migraine frequency criteria
insufficient medication trial
benefit exclusions
step therapy requirements
plan limitations
In that case, patients still have options (see below).
When Insurance Does Not Cover Treatment
If you:
do not meet PA criteria, or
are denied despite appropriate documentation, or
have a high deductible/coinsurance, or
have a plan that excludes medical botox
—you may still receive care through our Medical Access Membership or payment plan options.
Medical Access Memberships
Designed for patients who need neurological Botox but do not have insurance coverage or choose not to use insurance.
Botox is delivered every 12 weeks (standard interval).
Membership is billed monthly for affordability and predictability.
Membership tiers are based on the number of units used per treatment cycle.
Membership Tiers
200u Membership
For chronic migraine and mild neurological presentations.
Starting at $600/mo
400u Membership
For moderate spasticity, cervical dystonia, or multi-region migraine.
Starting at $1250/mo
600u Membership
For more complex spasticity or multi-limb involvement.
Starting at $1800/mo
Custom Dosing
For patients requiring >600 units per cycle.
Custom pricing available
What’s Included
Botox or Xeomin (clinically determined)
Botox treatment every 12 weeks
Physician-led evaluation
Treatment planning & documentation
Priority scheduling
Supportive care recommendations
Access to cosmetic add-on pricing (optional)
Cosmetic Add-Ons (Optional)
Members may add cosmetic treatment zones at a preferred rate of:
$10 per unit
This is ideal for patients who desire natural forehead, glabella, or periocular softening in addition to medical treatment.
Cosmetic Maintenance Membership
For cosmetic-only patients seeking natural results without a medspa atmosphere.
Typical treatment areas include:
• forehead
• frown lines (11s)
• crow’s feet
• brow lift refinement
Includes: priority scheduling and member add-on pricing for masseter & advanced areas ($10/unit)
Botox/Xeomin is delivered every 3 months, billed monthly.
Flexibility built in: If you need to skip a treatment, unused units may roll over to the next quarter (up to 90 days).
Starting at $225/mo
In-House Payment Plans
For patients paying out-of-pocket for medical indications, we offer structured payment plans through our electronic medical record platform (Athena).
Good for:
✔ chronic migraine patients denied coverage
✔ spasticity patients without benefits
✔ patients with high deductibles
✔ patients waiting on PA decisions
Cherry Financing (Cosmetic & Non-Covered Treatment)
For cosmetic or elective Botox, we offer financing through Cherry, allowing patients to spread payments over time.
Good for:
✔ cosmetic-only patients
✔ masseter or aesthetic jawline
✔ non-covered TMJ
✔ add-on cosmetic units
HSA & FAS Funds
HSA/FSA funds may be used for:
chronic migraine
cervical dystonia
spasticity
TMJ with functional symptoms
Cosmetic Treatments (Insurance dependent)
Initial consultation
Documentation + PA (if using insurance)
Approval or denial
Medication acquisition (clinic or specialty pharmacy)
Botox treatment appointment
Treatment Timeline (What to Expect)
Frequently Asked Questions
Q: What if I get insurance approval later?
You may switch from membership/payment plan to insurance coverage without penalty during your membership term.
Q: How often is treatment needed?
Most patients receive treatment every 12 weeks.
Q: Can I cancel a membership anytime?
Memberships require a 12-month term to align with quarterly dosing schedules. Early termination options are available for relocation or insurance approval.
Q: Do you offer Xeomin or Botox?
We use either Botox or Xeomin depending on the condition, patient goals, and coverage.
Q: Can I use FSA/HSA funds for migraine treatment?
Yes. We will provide documentation if needed.
Q: Do you treat cosmetic-only patients?
Yes, through our Cosmetic Maintenance Membership or per-unit cash pricing.