Page Synopsis: Until the site is updated to include HBOT (as it applies specifically to tbi), this page is a repeat of page 36
As stated earlier, this is a huge recommendation
Skill Level 5
Relevance:5 Technical Level:2
page 60 PTBICF > COGNITION HEALING from STROKE (also helpful with TBI > ALTERNATIVE THERAPIES > 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
About HBOT (click to open)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.oxyhealth.com/solace-210.html?fbclid=IwAR33AtBkMZ3W5EWhdVm7jspoPqk-8MJmuo2CSLA1tzFwGQg7x3Va4eAL3H8 https://bmjopen.bmj.com/content/8/9/e023387?fbclid=IwAR0-6URrF88WHTgD6X4nupwXSCDCmlJmmtLCroRm_6_tDG0Fua2aZAob7zE 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) Clinicshttps://newtownehyperbarics.com/?gclid=Cj0KCQiAkZKNBhDiARIsAPsk0WhQ7yqUO4RJjDrssm6G1HdoJhn5SF7WYtoy0sjbZ0c-VM8anpH9K9oaAnAnEALw_wcB https://www.oxyhealth.com/hyperbaric-chamber-rental-rfi5.html 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
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 https://bmjopen.bmj.com/content/8/9/e023387 3) The Complete Guide to Hyperbaric Oxygen Therapyhttps://elanaspantry.com/the-complete-guide-to-hyperbaric-oxygen-therapy/?fbclid=IwAR1HSk7Y_JJm-nkkUp4eXsQzgDPZC4RsxVHuZyHNbVLN7dVTjsTd7jl7_zE 4) Can Hyperbaric Oxygen Repair the Damaged Brain?https://www.dana.org/article/can-hyperbaric-oxygen-repair-the-damaged-brain/?fbclid=IwAR3sFgscF2wkuHUqyfNm8L-8eE13NOYtiia6SkGpgCCjn3XoJGrWsWIDJNY 5) Forever young – We can reverse aging with HBOThttps://www.aha-hyperbarics.com/blog/2020/11/27/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 https://bmjopen.bmj.com/content/8/9/e023387 7) The Complete Guide to Hyperbaric Oxygen Therapyhttps://elanaspantry.com/the-complete-guide-to-hyperbaric-oxygen-therapy 8) Can Hyperbaric Oxygen Repair the Damaged Brain?https://www.dana.org/article/can-hyperbaric-oxygen-repair-the-damaged-brain 9) A BREAKTHROUGH OXYGEN THERAPY MAY BE ABLE TO REVERSE BRAIN DAMAGEhttps://futurism.com/neoscope/a-breakthrough-oxygen-therapy-may-be-able-to-reverse-brain-damage 10) Study Reveals Oxygen-Rich Air Can Reverse Severe Brain Damagehttps://nocamels.com/2013/02/study-reveals-oxygen-rich-air-can-reverse-severe-brain-damage 11) Long-term daily mHBOT and full recoveries w/ ongoing maintenancehttps://forums.phoenixrising.me/threads/long-term-daily-mhbot-and-full-recoveries-w-ongoing-maintenance.54006 12) Israeli scientists claim they’ve partially REVERSED cellular aging process for 1st time in historyhttps://www.rt.com/news/507255-scientists-reverse-cellular-aging 13) Hyperbaric oxygen treatment: Clinical trial reverses two biological processes associated with aging in human cellshttps://www.sciencedaily.com/releases/2020/11/201120150728.htm https://www.drmyhill.co.uk/wiki/Hyperbaric_oxygen_therapy_(HBOT)Long-Term Hyperbaric Oxygen Treatment Induces Significant Remyelination and a Recovery of Sensorimotor Functionhttps://journals.plos.org/plosone/article?id=10.1371%2Fjournal.pone.0097750
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
Compartment Syndrome/Crush Injury/Other Traumatic Ischemias*
Compromised Skin Grafts and Flaps
Decompression Sickness (Bends)
Diabetic and Selected Wounds
Exceptional Blood Loss (Anemia)
Necrotizing Soft Tissue Infection*
Osteoradionecrosis and Radiation Tissue Damage*
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:
Post Traumatic Stress Disorder (PTSD)
Recovery from Plastic Surgery
Traumatic Brain Injury
Anoxic Brain Injury
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
page 60 PTBICF > COGNITION HEALING from STROKE (also helpful with TBI > ALTERNATIVE THERAPIES > HBOT
Testing Laboratories, Treatment Centers, Specialists and Clinics
Testing for amount and kind of brain cells by evaluating R2t* signal from MRI scan
Hormone Replacement Therapy (HRT)
Disruption in Blood Brain Barrier and (mast cell or astrocyte) production cytokine