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Immunotherapy and Insurance: Coverage Options with CareFirst BlueCross BlueShield

Explore allergy immunotherapy coverage options with CareFirst BlueCross BlueShield. Learn how your insurance plan supports your treatment journey.
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“Curex is changing the landscape of allergies in 2024”
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Does CareFirst BlueCross BlueShield Cover Allergy Immunotherapy?

CareFirst BlueCross BlueShield typically covers allergy immunotherapy, including allergy shots and sublingual tablets, if deemed medically necessary and prescribed by a healthcare professional. Coverage details may vary by plan.

Under CareFirst BlueCross BlueShield, immunotherapy coverage typically requires a confirmed diagnosis of allergies from a certified allergist. Pre-authorization might be necessary before treatment commences. Documentation should include allergy test results and a treatment plan outlining the specific allergens and dosing schedule. Coverage may be limited to a certain number of sessions per year, and maintenance treatments may have different coverage rules. Copayments, coinsurance, or deductibles might apply. Exclusions can arise based on the treatment's experimental status or if it's deemed not medically necessary. Always consult with CareFirst directly for the most accurate and personalized information regarding coverage specifics and any changes to the policy.

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Covered

CareFirst BlueCross BlueShield provides coverage for a variety of allergy immunotherapy treatments under certain plans. They typically cover allergy testing to identify specific allergens responsible for allergic reactions. Once allergies are identified, CareFirst policies may pay for prescribed allergen immunotherapy, which can include subcutaneous injections (allergy shots) administered by healthcare professionals. Sublingual immunotherapy (SLIT) in the form of allergy drops or tablets placed under the tongue may also be covered. These treatments are intended to desensitize patients to allergens, thereby potentially reducing or eliminating allergic symptoms over time. Coverage specifics such as duration of treatment, frequency of immunotherapy, and any co-payments or deductibles can depend on the patient's individual policy and the CareFirst plan guidelines. It's essential for patients to consult their plan details or speak with a CareFirst representative to understand the full extent of their coverage for allergy immunotherapy.

Uncovered

CareFirst BlueCross BlueShield may not cover certain treatments and situations, including but not limited to cosmetic surgery not related to an accidental injury or to improve function, experimental or investigational drugs and procedures, non-prescription contraceptives, erectile dysfunction medication not deemed medically necessary, weight loss procedures or treatments not related to a diagnosed medical condition, private nursing, and routine foot care. Coverage for services like acupuncture, chiropractic care, and physical therapy could also be limited or excluded, depending on the plan specifics. Remember that plans vary, and exclusions can depend on individual policy details and state mandates.

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 CareFirst BlueCross BlueShield

1. Gather Your Documentation: Have your policy number and medical records related to your allergy diagnosis handy.
2. Visit CareFirst’s Website: Access their official portal to find specific contact information and claim forms.
3. Contact Customer Service: Call CareFirst's customer service at the number provided on your insurance card to inquire about coverage for allergy immunotherapy.
4. Ask Key Questions: Inquire about covered treatments, necessary referrals, pre-authorization requirements, and possible co-pays or deductibles.
5. Physician Coordination: Discuss the process with your allergist or primary care physician who can submit a pre-authorization request on your behalf.
6. Follow Up: Regularly check the status of your pre-authorization request and prepare for any additional information or documentation that may be requested.

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Dust and mold allergies

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“I've noticed less sneezing and shortness of breath.”

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I love the convenience!

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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

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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.

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