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Immunotherapy Insurance: Does WellCare 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 WellCare

WellCare generally provides coverage for allergy immunotherapy if medically necessary, as indicated in their health plan benefits. Coverage specifics can vary, so refer to your individual plan for details.

Allergy Immunotherapy Options with WellCare

Curex allergy drops unboxing

To secure coverage for allergy immunotherapy under WellCare, patients must typically have a diagnosis of allergic rhinitis or asthma with an allergy component, confirmed through diagnostic testing. Prior authorization is often required, ensuring that the treatment is deemed medically necessary. The prescribing physician must submit a detailed treatment plan, including the type and duration of immunotherapy, such as subcutaneous injections or sublingual tablets.

Coverage restrictions may include limitations on the number of visits, doses, or a specified list of allergen extracts that are covered. Maintenance treatments may only be covered after the initial escalation phase is completed. Exclusions may apply for experimental or non-standard procedures. Always check with WellCare for the most current policy specifics and potential updates to coverage rules.

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"Immunotherapy can be amazing"
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Uncovered and Covered Immunotherapy with WellCare

Covered

WellCare insurance typically provides coverage for a variety of healthcare treatments and situations to ensure the well-being of its members. When it comes to allergy immunotherapy, a patient with WellCare may find their insurance covers tests to determine allergen sensitivities, as well as the administration of allergy shots (subcutaneous immunotherapy) designed to reduce sensitivity to allergens. Coverage often includes both standard and rush immunotherapy, where applicable, to accommodate the urgency of symptom relief. In addition to in-office procedures, WellCare may also cover prescription medications aimed at managing and treating allergy symptoms, ranging from antihistamines to corticosteroids. Importantly, the specifics of what WellCare covers can vary by plan and individual member agreements, so checking with WellCare directly or reviewing your policy is crucial for accurate information on coverage details.

Uncovered

WellCare generally does not cover treatments or situations that fall under cosmetic procedures, experimental or investigational treatments, and non-medically necessary services. Additionally, over-the-counter medications, most dental services unless part of a covered medical procedure, and elective procedures such as weight loss surgery not deemed medically necessary, may not be covered. Personal comfort items, hearing aids for adults, and routine foot care often fall outside of their coverage scope. It's also common for fertility treatments, like in-vitro fertilization, to be excluded, along with long-term custodial care. Keep in mind, specifics can vary by plan and state, and coverage determinations are made on a case-by-case basis following WellCare's policies.

Step-by-Step Guide to Starting Allergy Immunotherapy with WellCare

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1. Locate WellCare member card or documents for contact information.
2. Call WellCare’s customer service number provided on the card.
3. Request to speak with a representative knowledgeable about allergy immunotherapy coverage.
4. Gather personal identification information, policy details, and medical records regarding allergy history.
5. Inquire about:
- The process for pre-authorization for allergy immunotherapy.
- Required paperwork or forms to be completed by you or your allergist.
- Coverage specifics, including copayments, deductibles, and covered medications or procedures.
6. Ask for a case number or reference for follow-up calls.
7. Contact your allergist with the insurance information to initiate the treatment pre-authorization process.

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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 Indoor & Outdoor Allergies

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Weed Pollens
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Dust Mites
mold allergy
Molds
tree allergy
Tree Pollens
Cat Allergies
Dog Allergies
maple leaf icon
Weed Pollens
insect icon
Dust Mites
mold allergy
Molds
tree allergy
Tree Pollens
Cat Allergies
Dog Allergies

We do not treat food allergies at this time.

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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

1
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Curex packaging

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

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
curex patient showing allergy treatment kit with her dog next to her

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

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

curex user showing allergy drops vial while smiling

Lauren S.

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

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

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

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

Lauren S.

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

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

FAQs

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