Authored by: Dr. Juan Chavez, MD and Dr. Lucia Mireles-Chavez, MD
The short answer is no, most insurance plans do not cover the O Shot, or Orgasm Shot, because it's classified as an elective procedure focused on sexual wellness rather than a medical necessity. The O Shot uses platelet-rich plasma (PRP) from a patient's own blood, injected into the vaginal area, to improve sexual function, enhance sensitivity, and help with urinary incontinence and vaginal dryness.
Many women seek this non-surgical procedure for significant improvements in sexual health and quality of life, but it's essential to understand the financial side: you'll likely have to pay out-of-pocket, though some clinics offer payment plans.
The O Shot is an innovative procedure designed to support sexual health by using the body's own healing abilities. A small blood sample is draw from the patient. This blood is processed to separate the platelet-rich plasma (PRP), which is packed with growth factors and stem cells.
Once the PRP is ready, the provider applies a topical numbing cream or local anesthesia to the vaginal area, especially to the vaginal wall and clitoral glans, to ensure comfort. Then, the PRP is injected with precision into specific areas of the vaginal tissue. The goal is stimulate tissue regeneration, increase blood flow, and enhance sensitivity.
Most women find the O Shot to be a straightforward, non surgical procedure. Many patients report reduced pain during intercourse, stronger orgasms, increased sexual desire, and improved urinary incontinence after treatment. Because the procedure relies on the patient's blood, risks of allergic reactions are minimal. The entire process is performed in a sterile environment, and most patients resume sexual activity within a day or two.
Women choose the O Shot for a wide range of sexual wellness and quality-of-life benefits. The main motivations often include alleviating sexual dysfunction and tackling symptoms that impact overall well being.
Many women experience stress urinary incontinence, leakage that happens during sneezing, coughing, or exercise. The O Shot has offered significant improvements for some women by supporting tissue regeneration in the vaginal wall and surrounding structures.
Others turn to this therapy for relief from vaginal dryness, which can cause pain during intercourse and reduce sexual activity.
Sexual dysfunction, difficulty reaching orgasm, and decreased sexual desire are common reasons women seek innovative procedures like the O Shot. Patients report enhancements such as increased sensitivity, stronger orgasms, and heightened sexual arousal.
For some, it's about overcoming long-standing issues with orgasm intensity or frustration with reduced libido. Eventually, the O Shot appeals to women seeking non surgical solutions for sexual health, comfort, and overall well-being.
The question, "is the O Shot covered by insurance?" comes up daily, and knowing the answer upfront can save time and stress. Currently, most insurance plans consider the O Shot an elective procedure, not a medical necessity. That applies whether you're on employer insurance, private insurance, or federal programs like Medicare.
Insurance companies classify O Shot treatment as non-surgical vaginal rejuvenation, aimed at lifestyle enhancements or sexual wellness. Since it isn't considered essential to treat a specific disease or medical condition, insurance plans do not cover the O Shot or similar shot treatments. This applies even for symptoms like urinary incontinence or sexual dysfunction, unless there's clear documentation that a medically necessary intervention is required.
There are rare instances when some additional services for urinary incontinence are covered, but this typically involves excluded therapies. Coverage for platelet-rich plasma injections in the context of sexual health, vaginal dryness, or sexual arousal is very rare. In almost every case, patients should prepare for the O Shot cost to be an out-of-pocket expense.
The reality of O Shot treatment is that most patients need to budget for out-of-pocket costs. The typical O-shot cost in Fresno, CA ranges from $1,000 to $2,000 per session.
Because insurance doesn't cover the O Shot, at the Optimal Medical Group in Fresno, CA understand the financial challenge and offer payment plans or financing options. These arrangements allow patients to spread costs over time, making the procedure accessible to more women interested in sexual function and urinary incontinence improvements.
When weighing the shot cost, consider not only the financial aspect but also the reported benefits from many patients, such as improved urinary incontinence, increased sexual arousal, and reduced pain during intercourse. For most women, these improvements in sexual wellness and quality of life are the primary motivation, even if insurance does not pay.
No, the O Shot is generally not covered by insurance. Most insurers consider the procedure elective since it focuses on sexual wellness rather than treating a medically necessary condition.
Insurance companies classify the O Shot as a non-surgical, elective treatment aimed at lifestyle or sexual wellness, not as a required medical intervention. Unless it's proven medically necessary for a specific health condition, it is not eligible for insurance coverage.
The O Shot in Fresno, CA usually costs between $1,000 and $2,000 per session. Costs can vary depending on whether additional services or package deals are included.
At the Optimal Medical Group payment plans and financing options are available to help patients manage the cost of the O Shot. These plans let you spread payments over time.
Yes, alternatives like pelvic floor physical therapy, hormonal treatments, prescriptions for vaginal dryness, and counseling for sexual dysfunction are often covered by insurance if deemed medically necessary.
The O Shot is a non surgical procedure designed to improve sexual function and relieve urinary incontinence and vaginal dryness, but it is rarely covered by insurance. Most patients should expect to pay out-of-pocket, though many clinics offer payment plans to ease the financial burden. While the O Shot uses your own blood to support tissue regeneration and increased sensitivity, insurance companies almost always classify it as elective and not medically necessary.
For those navigating female sexual dysfunction or bladder concerns, alternative treatments like pelvic floor therapy or prescription medications may provide insurance-covered solutions. Eventually, a thorough discussion with your medical provider can help you weigh the expected results, financial impact, and insurance options, empowering you to make a choice that best supports your sexual wellness and overall well-being.
Enhance Sensation. Boost Desire. Reclaim Intimacy.
Unlike creams or medications that mask symptoms, the Orgasm Shot (O-Shot) uses your body's own platelet-rich plasma (PRP) to naturally rejuvenate intimate tissue and restore sexual function. It's like awakening your body's natural capacity for pleasure using cutting-edge regenerative medicine.
This isn't your typical women's sexual wellness solution. Our advanced non-surgical vaginal rejuvenation technique using PRP for women's sexual health stimulates tissue regeneration, increases sensitivity, and enhances natural lubrication for results that bring back the pleasure you've been missing.
Experience Benefits You Can Actually FEEL:
Why settle for frustration when you can have pleasurable fulfillment? The O-Shot uses proven regenerative medicine that thousands of women trust to restore their intimate sexual wellness. Many patients experience improvements they thought were gone forever after just one comfortable treatment.
At Optimal Medical Group, we combine advanced PRP technology with compassionate medical expertise for results that transform your intimate life.
Schedule Your O-Shot Consultation here, or call us today at (559) 840-0066 and discover how women are reclaiming their sexual intimacy across Fresno!
Cover Photo Illustration by: The Optimal Medical Group.
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