Injectable Dermal Fillers and Bulking Agents – Commercial and Individual Exchange Medical Policyopen_in_new

UnitedHealthcare covers Radiesse and Sculptra as medically necessary reconstructive treatment for HIV-related facial lipoatrophy and covers FDA‑cleared injectable bulking agents for vocal fold insufficiency, while all other dermal fillers and non‑HIV uses of Radiesse/Sculptra are cosmetic and not medically necessary. Coverage requires use per FDA labeling and ALA guidance (including listed contraindications), is determined by the member’s specific benefit plan, and may require medical-record documentation to verify clinical criteria.

"Radiesse and Sculptra are considered reconstructive and medically necessary for the treatment of facial defects due to facial lipoatrophy in individuals living with human immunodeficiency virus (HI..."

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