Insurance helper
What insurance covers
Coverage for essential tremor treatment has improved a lot. Here's what is usually covered, and what to do if you're turned down.
| Treatment | Medicare | Private insurance | VA |
|---|---|---|---|
| Focused ultrasound | Covered in all 50 states when medication hasn't controlled the tremor | Many plans, including a number of Blue Cross Blue Shield plans | Ask your VA neurologist |
| Wrist stimulation wearables (Cala kIQ, Felix) | Covered for essential tremor, dominant hand only | Varies by plan; some cover | Some VA centers provide through prosthetics departments |
| Medication | Part D plans usually cover propranolol and primidone | Usually covered | Usually covered |
| Occupational therapy | Covered with a doctor's referral | Usually covered with limits | Usually covered |
| Non-prescription aids | Usually not covered | Usually not covered; many are HSA/FSA eligible | Varies |
Coverage changes often. Always confirm with your plan before treatment. Sources: Insightec (2020), Practical Neurology (2026), Cala Health (2022).
Before any device or procedure
- Ask your doctor's office to request prior authorization from your plan.
- Get the decision in writing, including the reason if it's denied.
- Ask whether the device maker offers a trial period or help with insurance paperwork. Many do.
If you're denied: appeal letter
You have the right to appeal. Copy this letter, fill in the brackets, and ask your doctor to attach a short letter of medical necessity.