Page Synopsis: HyperBaric Oxygen Therapy This a top recommendation, one of the most important therapies out there

Skill Level  5

Relevance:5 Technical Level:1

HBOT is not just at the top of my list but many practioners as well, see the links below. The trick is to get it covered and paid for otherwise the biweekly visits add up to large expense


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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


                              About HBOT (click to open) 6) Clinics,+CA&ludocid=3144528847996958346&gsas=1&client=firefox-b-1-m&lsig=AB86z5VZedmDQSjO1HBuUCZFbmEE&sa=X&ved=2ahUKEwiOt9q9yr70AhVDFjQIHRS9BSoQvS56BAgBEAo,+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


                              Click for fifteen HBOT links as applies to TBI 2) Effect of hyperbaric oxygen therapy on chronic neurocognitive deficits of post-traumatic brain injury patients: retrospective analysis 3) The Complete Guide to Hyperbaric Oxygen Therapy 4) Can Hyperbaric Oxygen Repair the Damaged Brain? 5) Forever young – We can reverse aging with HBOT 6) Effect of hyperbaric oxygen therapy on chronic neurocognitive deficits of post-traumatic brain injury patients: retrospective analysis 7) The Complete Guide to Hyperbaric Oxygen Therapy 8) Can Hyperbaric Oxygen Repair the Damaged Brain? 9) A BREAKTHROUGH OXYGEN THERAPY MAY BE ABLE TO REVERSE BRAIN DAMAGE 10) Study Reveals Oxygen-Rich Air Can Reverse Severe Brain Damage 11) Long-term daily mHBOT and full recoveries w/ ongoing maintenance 12) Israeli scientists claim they’ve partially REVERSED cellular aging process for 1st time in history 13) Hyperbaric oxygen treatment: Clinical trial reverses two biological processes associated with aging in human cells Hyperbaric oxygen therapy (HBOT) Hyperbaric Oxygen Treatment Induces Significant Remyelination and a Recovery of Sensorimotor Function


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:



Lyme Disease


Multiple Sclerosis

Near Drowning

Post Traumatic Stress Disorder (PTSD)

Recovery from Plastic Surgery

Sports Injuries


Traumatic Brain Injury



Anoxic Brain Injury

Avascular Necrosis

Cerebral Palsy

Crohn’s Disease

Circulation conditions


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




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