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Immunotherapy and Insurance: Coverage Options with Network Health

Explore insurance coverage options for allergy immunotherapy with Network Health. Learn how your insurance plan can support your treatment needs.
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“Curex is changing the landscape of allergies in 2024”
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Does Network Health Cover Allergy Immunotherapy?

Network Health typically covers allergy immunotherapy when deemed medically necessary. Coverage specifics, such as copays or deductibles, depend on your individual plan details.

With Network Health, to get immunotherapy covered, you'll need to follow these steps:

1. Obtain a referral from your primary care physician to see an allergist.
2. Your allergist must conduct allergy testing to confirm the specific allergens.
3. Documentation of test results and a treatment plan, including the expected duration of immunotherapy, must be submitted to Network Health.
4. Ensure the immunotherapy is deemed medically necessary for your condition.

Coverage restrictions may include:

- Limitations on the number of treatments covered per year.
- Pre-authorization may be required for certain medications used in the treatment.
- Exclusions for over-the-counter or non-standard allergy treatments.
- Immunotherapy via oral tablets may have differing coverage rules than injections.

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Covered

Network Health provides coverage for a variety of allergy immunotherapy treatments, catering to the needs of individuals suffering from allergies. Coverage typically includes standard allergy testing procedures used to identify specific allergens responsible for triggering symptoms. Once identified, Network Health may cover the cost of allergen immunotherapy, which can encompass subcutaneous injections (allergy shots) that are administered over a period of time to reduce sensitivity to allergens. Additionally, sublingual immunotherapy in the form of oral drops or tablets placed under the tongue may also be covered, offering an alternative to injections for some patients. These treatments are designed to gradually build up a patient's tolerance to allergens, thereby reducing symptom severity over time. The coverage extends to medically necessary diagnostics and treatments prescribed by healthcare providers, aligning with the overall goal of improving patient quality of life through effective allergy management.

Uncovered

Network Health's insurance policies, similar to many in the industry, exclude certain items from coverage. This typically includes over-the-counter medications and treatments, which are not covered as they can be purchased without a prescription. Also excluded are treatments classified as experimental or investigational, due to their unestablished status in the medical community. Furthermore, procedures not deemed medically necessary by healthcare professionals are not covered. Awareness of these exclusions is crucial for policyholders to effectively manage their healthcare plans.

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 Network Health

1. Contact Network Health Customer Service: Call the number on your insurance card or visit the Network Health website to find the contact details.
2. Ask for Coverage Details: Inquire about the specifics of allergy immunotherapy coverage under your plan.
3. Request a List of In-Network Providers: Get information on allergists or immunotherapists that are in-network for your insurance.
4. Referral and Pre-Authorization: Check if you need a referral from your primary care provider or a pre-authorization for the therapy.
5. Documentation: Ask what documentation or medical records are necessary to support the necessity of the immunotherapy.
6. Cost and Copayment: Verify your deductible, copayment, or coinsurance amounts for the therapy sessions.
7. Claim Submission Process: Understand how to submit claims or if the provider will handle it directly.

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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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