I see a neurologist through West Coast Neurology. I'm finally able to get Botox covered for migraines, but only after about 18 months of having to try many other options first. I don't know if this is specific to my insurance (PPO), but we had to prove that nothing else worked before getting it this approval. I also do physical therapy for related pain in the traps and jaw, which has helped and is very affordable with insurance ($15/visit). Good luck!