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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.
Want to try immunotherapy?
Start with CurexReview your allergy test results with a Curex allergist.
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.
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.