Immunotherapy and Insurance: Coverage Options with Cigna

Explore Cigna's coverage options for allergy immunotherapy. Understand how your insurance provider supports treatment and manage allergy care effectively.
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Does Cigna Cover Allergy Immunotherapy?

Cigna typically covers allergy immunotherapy, including both subcutaneous injections and sublingual tablets, when medically necessary and prescribed by a healthcare provider.

For Cigna insurance coverage of allergy immunotherapy:

1. Obtain a diagnosis of allergies from a Cigna-approved provider.
2. Allergist must recommend immunotherapy as necessary treatment.
3. Pre-authorization might be required; check policy details or contact Cigna.
4. Document medical necessity through allergy testing results and treatment history.
5. Standard immunotherapy (allergy shots) is usually covered, but alternative methods like sublingual drops may have limitations.
6. Frequency, duration, and dosage must align with accepted medical guidelines.
7. Coverage may have a cap on visits per year; exceeding this may result in out-of-pocket costs.
8. Copayments or deductibles apply per your plan specifics.

It's essential to review your specific plan details or consult with a Cigna representative for exact coverage limitations and procedures.

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Covered

Cigna covers a diverse range of treatments and situations for allergy immunotherapy, providing coverage for both diagnostic testing and ongoing treatment. This includes skin tests that identify allergenic substances, as well as blood tests where necessary for diagnosing allergies. After diagnosis, Cigna's coverage extends to allergy shots, which are a form of immunotherapy designed to incrementally reduce sensitivity to allergens. Additionally, under doctor prescription, sublingual immunotherapy may also be covered, where tablets or drops are administered under the tongue as an alternative to injections. Coverage is always subject to plan specifics and the individual's policy terms, including co-pays, deductibles, and co-insurance. It's essential to review your specific policy and consult with a Cigna representative for comprehensive understanding of coverage related to allergy immunotherapy.

Uncovered

Cigna may exclude coverage for services deemed experimental, investigational, or unproven, such as certain new drugs or medical devices not yet approved by the FDA. Treatments that are considered cosmetic, like plastic surgery for aesthetic purposes, may not be covered. Over-the-counter medications, unless prescribed by a doctor, fertility treatments in some cases, and treatments for weight control or hair growth might also be excluded. Additionally, exclusions can extend to services received without proper authorization or not provided by network providers, depending on the plan specifics. Coverage for alternative therapies, like acupuncture or homeopathy, may be limited or excluded as well.

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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 Cigna

1. Contact Cigna: Call the number on your insurance card to reach customer service.
2. Confirmation of Coverage: Confirm that allergy immunotherapy is covered under your plan.
3. Referral & Provider Network: Ask if a referral from your primary care physician is necessary and verify in-network allergists.
4. Pre-authorization: Inquire about the pre-authorization process for the therapy.
5. Documentation: Request details on any necessary documentation or medical records needed from your allergist.
6. Costs & Copayments: Clarify your copayment amounts, deductibles, and any out-of-pocket expenses.
7. Follow-Up: Take note of and follow any instructions provided by Cigna for the next steps.

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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
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Clinicaly made allergen extracts are customized for your allergies

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

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