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To have allergy immunotherapy covered by Presbyterian Healthcare Services, the treatment must be deemed medically necessary and prescribed by a healthcare provider. Prior authorization may be required. Patients should ensure their provider submits comprehensive documentation, including a detailed history of allergies, proof of failed conventional treatments, and results from allergy tests. Coverage might be limited to specific types of immunotherapy, such as subcutaneous injections over sublingual methods. Dosage, frequency, and duration of therapy could be subject to plan restrictions. Exclusions may apply for experimental procedures or for services not deemed standard care. Always check your specific plan for additional limitations or patient responsibility.
Want to try immunotherapy?
Start with CurexReview your allergy test results with a Curex allergist.
1. Visit Presbyterian Healthcare Services website.
2. Locate the 'Contact Us' page for member services contact information.
3. Call the member services hotline, ensuring you have your ID card at hand.
4. Inquire about coverage details for allergy immunotherapy under your specific plan.
5. Ask about the pre-authorization process and necessary medical criteria.
6. Request a list of in-network providers who specialize in allergy immunotherapy.
7. Follow instructions for submitting any required referrals or pre-treatment assessments.
8. Schedule an appointment with the in-network allergy specialist.
9. Ensure to keep all documentation for future reference and claims.
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.