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Immunotherapy Insurance: Does Horizon Blue Cross Blue Shield of New Jersey Offer Coverage?

Find the right insurance for allergy immunotherapy with Curex. Explore our curated list of insurers and get expert guidance on coverage options for your allergy treatment needs.
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Allergy Immunotherapy Insurance: Protecting Your Health Journey with Horizon Blue Cross Blue Shield of New Jersey

Horizon Blue Cross Blue Shield of New Jersey typically covers allergy immunotherapy if deemed medically necessary after evaluation. Coverage details may vary based on individual plans.

Allergy Immunotherapy Options with Horizon Blue Cross Blue Shield of New Jersey

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To have immunotherapy covered by Horizon Blue Cross Blue Shield of New Jersey, ensure that the treatment is deemed medically necessary for managing allergies. An allergist must perform standardized allergy testing and document the severe and persistent nature of allergies despite conventional treatment. A detailed treatment plan, including the types, frequency, and duration of immunotherapy, must be submitted.

Coverage restrictions include limitations on types of allergens and duration of therapy, typically aligning with FDA-approved protocols. Experimental or off-label use may not be covered. Prior authorization is usually required, and copays or deductibles may apply based on your specific plan. Regular review of the therapy’s efficacy is expected for continuing coverage.

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"Immunotherapy can be amazing"
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Uncovered and Covered Immunotherapy with Horizon Blue Cross Blue Shield of New Jersey

Covered

Horizon Blue Cross Blue Shield of New Jersey typically provides coverage for various allergy immunotherapy treatments, contingent upon medical necessity and specific plan details. This often includes skin prick tests to identify allergens, blood tests for immune response evaluation, and allergy shots (subcutaneous immunotherapy) tailored to desensitize the body against specific triggers. Moreover, sublingual immunotherapy in the form of dissolvable tablets may be covered for certain allergens such as grass pollens, ragweed, and dust mites. The extent of coverage for each treatment or situation may vary and pre-approval may be required; therefore, members should review their individual policy or consult with Horizon BCBSNJ for personalized information regarding their coverage.

Uncovered

Horizon Blue Cross Blue Shield of New Jersey's insurance plans typically exclude certain treatments and situations. Cosmetic surgeries not deemed medically necessary, experimental treatments without substantial medical evidence, and over-the-counter medications are not covered. Services from family members or residents in the insured's home, and work-related injuries covered under Worker’s Compensation, are also excluded. The plans generally do not cover dental treatments unless related to a covered injury or disease, private nursing care, and custodial care like home health aides. Infertility treatments exceeding plan limits, elective procedures, certain weight control services, and routine foot care not associated with a medical condition are also not included in the coverage. Policyholders are advised to check their specific plan documents or contact Horizon BCBS of NJ for detailed coverage information

Step-by-Step Guide to Starting Allergy Immunotherapy with Horizon Blue Cross Blue Shield of New Jersey

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1. Log in to your member account at https://www.horizonblue.com/ or register if you haven't already.
2. Use the "Doctor & Hospital Finder" to locate an in-network allergist.
3. Schedule an appointment with the allergist for an evaluation.
4. During your visit, discuss immunotherapy eligibility and ask for the necessary pre-authorization forms.
5. Collect all documentation: medical history, allergy test results, proposed treatment plan.
6. Contact Horizon BCBSNJ Member Services at 1-800-355-BLUE (2583).
7. Inquire about allergy immunotherapy coverage details, including copay, deductible, and out-of-pocket maxima.
8. Submit pre-authorization forms through the allergist if required by Horizon BCBSNJ.
9. Wait for approval before beginning treatment.

Ensure all steps align with your specific plan's guidelines for coverage of allergy immunotherapy.

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Why prevention is more effective than allergy medicine

Exposure therapy:
Train your immune system to fight allergies rather than treat them with medications
Desensitization: Symptoms subside as your body desensitized to allergies reducing or eliminating the need for daily medication
Prevention: Immunotherapy helps prevent and fight allergies at the source

We Treat Food, Indoor & Outdoor Allergies

tree allergy
Tree Pollens
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Weed Pollens
Cat Allergies
Dog Allergies
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Dust Mites
mold allergy
Molds
Food Allergies
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What makes Curex the top choice

Over 50,000 Users Choose Curex

Curex has more satisfied customers than any other telemedicine clinic. Our clinical team delivers great outcomes to allergy patients in every U.S. state.
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Curex is the only online allergy clinic accepting insurance

Our insurance network is growing everyday so you can get the most affordable treatment available.
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High quality testing

Curex uses hospital-grade allergy tests that are covered by insurance. This means better treatment, lower costs and no need to re-test!
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Treatment prescribed
by clinician

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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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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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Lauren S.

No longer having to go the doctor's office a few times a week for painful shots.

Reviewed on

Tony P.

I have done allergy shots in the past but found it pretty inconvenient to go every week. I really like the ease as compared with physically going to the doctors office.

Reviewed on

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Robert S.

The treatment is much less expensive than a course of allergy shots at a doctor's office and eliminates numerous trips to the doctor's and all the waiting time.

Reviewed on

Janie L.

My seasonal allergies were much less severe than years prior. Most importantly, the convenience of taking drops in my own home is unbeatable.

Reviewed on

curex user holding curex allergy treatment kit

Lauren S.

No longer having to go the doctor's office a few times a week for painful shots.

Reviewed on

Tony P.

I have done allergy shots in the past but found it pretty inconvenient to go every week. I really like the ease as compared with physically going to the doctors office.

Reviewed on

Robert S.

The treatment is much less expensive than a course of allergy shots at a doctor's office and eliminates numerous trips to the doctor's and all the waiting time.

Reviewed on

Janie L.

My seasonal allergies were much less severe than years prior. Most importantly, the convenience of taking drops in my own home is unbeatable.

Reviewed on

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