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Immunotherapy and Insurance: Coverage Options with Blue Cross Blue Shield of Illinois

Discover coverage options for allergy immunotherapy with Blue Cross Blue Shield of Illinois. Learn how your insurance provider can support your treatment needs.
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“Curex is changing the landscape of allergies in 2024”
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Does Blue Cross Blue Shield of Illinois Cover Allergy Immunotherapy?

Blue Cross Blue Shield of Illinois typically offers coverage for allergy immunotherapy, subject to plan specifics and medical necessity qualifications. Check your policy details for the extent of coverage.

For immunotherapy coverage under Blue Cross Blue Shield of Illinois, patients must have a confirmed diagnosis of an allergy through appropriate testing. The treatment must be deemed medically necessary, with documentation of the specific allergens and the failure of conventional treatment. Pre-authorization is often required. Coverage restrictions may include limits on the number of treatments per week, duration of therapy, and specific allergen extracts covered. Additionally, treatment must be administered by a qualified healthcare professional. Keep in mind that coverage can vary based on individual plans, and it’s crucial to refer to the patient's policy for precise benefits and limitations.

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Covered

Blue Cross Blue Shield of Illinois offers coverage for a variety of treatments and situations related to allergy immunotherapy, which may include diagnostic testing to identify allergens, medical evaluations by a specialist to assess allergy severity, and standard immunotherapy injections—commonly referred to as allergy shots. Coverage typically extends to both subcutaneous immunotherapy (SCIT) and sublingual immunotherapy (SLIT) provided that such treatments are deemed medically necessary and prescribed by a healthcare professional. The extent of coverage for allergy immunotherapy would be detailed in a member’s specific health plan, including any applicable co-pays, co-insurance, and deductibles. Pre-authorization may be required for certain services, ensuring that the prescribed treatment aligns with the insurer's medical guidelines for effectiveness and necessity.

Uncovered

Blue Cross Blue Shield of Illinois typically does not cover treatments and situations deemed not medically necessary, experimental or investigational in nature. This may include certain off-label medication usage, holistic or alternative therapies, and elective procedures. It also excludes coverage for comfort or convenience items and services, educational interventions, and work-related conditions which are covered under workers' compensation. Furthermore, cosmetic procedures not related to accidental injury or congenital anomalies are generally not covered. Specific limitations and exclusions vary by plan, and a treatment's coverage status may change as new medical evidence emerges and standards of care evolve.

Treat your allergies with Curex - $49  $9.99

Review your allergy test results with a Curex allergist.

Our team is here to help!

Dr. Neeta Ogden, MD

Curex is poised to revolutionize the way allergies are treated in America, expanding access to clinical care and treatments that can meaningfully improve patients quality of life.

Dr. Ravi Patel, VP Telemedicine

At Curex, our mission is to help people improve their health and quality of life by understanding their allergies and treating them at their source.We provide more than individualized prescription treatments; we provide individualized care.

Jill Hamburg, PA - C

Immunotherapy made simple.  We enable patients to receive personalized allergy care on their own time. No more waiting rooms.

Dr. Chet Tharpe, Medical Director

Curex has set the standard for the virtual allergy experience. From the comfort of their home, patients nationwide are able to receive a personalized treatment plan from an experienced clinician, aimed at treating the source of their allergies, not just the symptoms.

Kayla Mardaga, NP

Curex offers convenient at-home allergy testing options. Our goal is to determine if a patient would benefit from immunotherapy and then customize a treatment plan that can reduce both the symptoms and the reliance on allergy medications.

Step-by-Step Guide to Starting Allergy Immunotherapy with Blue Cross Blue Shield of Illinois

1. Gather your insurance ID card and personal identification.
2. Schedule an appointment with an in-network allergist for an evaluation.
3. During the visit, express your interest in allergy immunotherapy.
4. Ask your allergist to provide a Letter of Medical Necessity for the treatment.
5. Contact Blue Cross Blue Shield of Illinois:
- Phone: Call the number on the back of your ID card.
- Online: Log in to your member account at bcbsil.com and send a secure message.
6. Inquire about coverage specifics for allergy immunotherapy, including:
- Pre-authorization requirements
- Copayments
- Deductibles
- Coverage limits
7. Start treatment upon receiving approval and understanding your cost-sharing responsibilities.

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50,000+ users have overcome their allergies
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We Treat Food, Indoor & Outdoor Allergies

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Benefits of Curex

At-home treatment

Apply treatments in minutes from the comfort of your own home with under-the-tongue applications instead of shots or pills

5-30x higher cumulative dose vs allergy shots

Sublingual immunotherapy delivers a higher dose of allergens over the course of treatment.

Potential for results in as few as 6 months

Individual results vary but some users have reported a noticeable difference in as few as 6-12 months since starting treatments

Excellent safety profile

Studies that have been reviewed by certified physicians show that sublingual immunotherapy is a safe treatment option
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Treatment prescribed
by clinician

1
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Clinicaly made allergen extracts are customized for your allergies

2
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Your immune system gets desensitized to allergens, giving you long-term relief.

3

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