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For Oscar Health insurance to cover allergy immunotherapy, patients must first obtain a referral from their primary care physician for an allergist or immunologist. Next, the specialist will conduct allergy testing to confirm the necessity of immunotherapy. Documentation, such as test results and a treatment plan, is required for Oscar Health's preauthorization process.
Coverage is usually provided for standard allergy shots (subcutaneous immunotherapy), but might be limited for sublingual immunotherapy unless it's proven to be medically necessary. Certain plans may cover home administration of immunotherapy, but this typically requires additional approval.
Patients must adhere to the immunotherapy protocol, as deviations may affect coverage. Lifetime and annual limits on immunotherapy treatments may also apply, so it’s crucial to review your specific plan details.
Want to try immunotherapy?
Start with CurexReview your allergy test results with a Curex allergist.
Starting the Process for Allergy Immunotherapy with Oscar Health:
1. Member Log-In: Begin by logging in to your Oscar Health account for personalized information.
2. Digital Assistant: Use Oscar's digital assistant feature on the website or app for guidance.
3. Customer Service: Call Oscar Health customer service directly at the number listed on your insurance card for specific assistance.
4. Inquiry: Ask about coverage for allergy immunotherapy and any necessary referral or pre-authorization processes.
5. Doctor’s Input: Consult with your allergist or healthcare provider about the need for immunotherapy.
6. Documentation: Gather any medical documents or allergy test results to support your case.
7. Follow-Up: Keep track of any reference numbers or contacts for future correspondence with Oscar Health.
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.