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To have allergy immunotherapy covered by Blue Shield of California, patients must first have a confirmed diagnosis of allergic rhinitis or asthma through proper testing. A referral or prescription by an in-network specialist for immunotherapy is often required. Documentation should demonstrate that conservative treatments have been tried and were unsuccessful or not tolerated.
Coverage is typically granted for standard allergenic extracts, while experimental or non-standard treatments may be excluded. Pre-authorization is usually necessary, and treatments should be aligned with established medical guidelines. Benefits may be subject to plan specifics, including co-pays, deductibles, and annual limits.
Patients should ensure that their immunotherapy provider is part of the Blue Shield network to maximize coverage and reduce out-of-pocket costs. Each plan may have unique restrictions, so it's essential for patients to review their policy details or contact Blue Shield of California directly for clarification.
Want to try immunotherapy?
Start with CurexReview your allergy test results with a Curex allergist.
1. Contact Blue Shield of California: Call the customer service number on your insurance card to connect with a representative.
2. Gather Information: Have your insurance ID number ready and specific details about your allergy condition.
3. Request Coverage Details: Ask about coverage for allergy immunotherapy under your plan.
4. Obtain a List of In-Network Providers: Request a list of allergists who are in-network to minimize out-of-pocket expenses.
5. Referral Requirement: Inquire if a referral from a primary care physician is needed to see an allergist.
6. Pre-Authorization: Ask if pre-authorization is required for the immunotherapy procedures.
7. Documentation: Confirm what documentation or medical records are needed to support the necessity of immunotherapy.
8. Follow-Up: Secure a reference number for your call and inquire about the next steps in the process.
Treatment prescribed
by clinician
Clinicaly made allergen extracts are customized for your allergies
Your immune system gets desensitized to allergens, giving you long-term relief.