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Immunotherapy and Insurance: Coverage Options with Presbyterian Healthcare Services

Explore allergy immunotherapy coverage options with Presbyterian Healthcare Services. Discover how your insurance provider supports your treatment needs.
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“Curex is changing the landscape of allergies in 2024”
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Does Presbyterian Healthcare Services Cover Allergy Immunotherapy?

Presbyterian Healthcare Services typically covers allergy immunotherapy, including allergy shots and sublingual tablets, subject to plan specifics and medical necessity. Always refer to your policy for detailed coverage information.

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.

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Covered

Presbyterian Healthcare Services provides coverage for a range of treatments and situations to support the health of its members. This includes preventive care such as vaccinations and screenings, emergency medical services, and hospitalization. Members can access primary care consultations, specialist visits, prescription drugs, and maternity care. The plan also covers mental health services, including therapy and counseling, along with rehabilitation services like physical therapy. For those with chronic conditions, disease management programs may be available. It's also worth noting that various surgical procedures, diagnostic imaging, and lab tests are typically covered under Presbyterian plans. Coverage specifics can vary, so members should consult their plan details for precise information on what is included.

Uncovered

In the landscape of health insurance, Presbyterian Healthcare Services often delineates specific areas that fall outside of its coverage scope. Notably, this includes over-the-counter medications and treatments. These items, readily available without a doctor's prescription, are typically not covered under their plans. Furthermore, treatments classified as experimental or investigational do not receive coverage due to their unproven status in mainstream medical practice. Also excluded are procedures and treatments that are not recognized as medically necessary. These criteria, set by healthcare professionals, help to define what is essential for health and what falls outside of this realm. Such exclusions are standard in the industry and are an important aspect for policyholders to understand when navigating their healthcare coverage.

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 Presbyterian Healthcare Services

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.

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Dust and mold allergies

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“I've noticed less sneezing and shortness of breath.”

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I love the convenience!

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50,000+ users have overcome their allergies
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We Treat Food, Indoor & Outdoor Allergies

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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

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

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