The key to having my insurance company pay is a letter from my Otolaryngologist who diagnosed me. He said and I quote:"SD was a neuromuscular disorder of the larynx which causes a strained and strangled quality of the voice which is difficult or impossible to understand. There is presetnly no cure for this disorder. however, partial paralysis of the vocal corads by injection of botulinum toxin is the best treatment available. These injections usually afford the patient anywhere from 2 to 6 months of relief from their symptoms. Unfortunately, the affects of botulinum toxin wears off and the patient requires reinjection. This goes on indefinitely. For approximately 2 to 3 weeks after each injection, the patient's voice is quite breathy and sometimes makes it difficult for them to continue work during this time, especially if they have to use their voice a great deal at work."
The above letter convinced United HealthCare to cover my Botox shots.