Immunotherapy and Insurance: Coverage Options with Centene Corporation

Explore Centene Corporation's insurance coverage options for allergy immunotherapy. Learn about potential benefits and navigate your healthcare with confidence.
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“Curex is changing the landscape of allergies in 2024”
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Does Centene Corporation Cover Allergy Immunotherapy?

Centene Corporation typically covers allergy immunotherapy when medically necessary. Coverage details may vary, so check your specific plan for conditions and limitations.

For Centene Corporation coverage of allergy immunotherapy, patients must typically demonstrate a documented history of allergic symptoms and have a confirmed diagnosis through allergy testing. A physician needs to submit a treatment plan, which may include frequency and duration of therapy. Pre-authorization is often required to ensure coverage.

Coverage may be subject to plan-specific deductibles, copayments, and coinsurance. There may be limits on the number of treatments per year or treatment setting stipulations (e.g., in-office vs. home-based). Additionally, maintenance treatments may be subject to periodic reassessment to confirm ongoing effectiveness and necessity.

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Covered

Centene Corporation provides coverage for a range of treatments and situations catering to various healthcare needs. This insurance typically covers physician visits, preventive care services, immunizations, emergency services, hospitalization, mental health care, substance abuse treatment, prescription drugs, rehabilitation services, and lab tests. They also support maternity and newborn care and offer chronic disease management for conditions such as diabetes and heart disease. Coverage for pediatric services, including vision and dental care, is often part of the plan, ensuring a comprehensive approach to healthcare for members of all ages. Keep in mind that specific coverage details and limitations may vary based on individual policy agreements and location.

Uncovered

Centene Corporation, like any insurance provider, has specific exclusions in its coverage. Generally, treatments and situations that may not be covered can include cosmetic procedures for beautification, experimental or investigational treatments not recognized by the medical community, non-medically necessary services, and certain over-the-counter medications. Additionally, elective surgeries or procedures, some dental services unless part of a medical treatment, private nursing, and long-term custodial care might also be excluded. Coverage for specific conditions or treatments can vary based on the individual policy, hence, it is important for policyholders to review their plan documents for detailed exclusions.

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 Centene Corporation

1. Identify Coverage: Verify if your policy with Centene Corporation includes allergy immunotherapy. Check your policy booklet or summary of benefits.
2. Contact Centene: Call Centene's customer service line. This number is typically found on the back of your insurance card.
3. Gather Information: Have your insurance card, personal ID, and physician's contact information ready.
4. Specific Questions: Ask about pre-authorization requirements, coverage limits, copays, and deductibles for allergy immunotherapy.
5. Physician's Role: Inform your allergist or physician's office that you have Centene insurance and discuss any necessary pre-authorization paperwork that they may need to submit on your behalf.
6. Documentation: Keep a record of all correspondence and reference numbers from your conversations with Centene representatives.

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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
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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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Immunotherapy and Insurance: Coverage Options with Centene Corporation

Explore Centene Corporation's insurance coverage options for allergy immunotherapy. Learn about potential benefits and navigate your healthcare with confidence.
Curex allergy drops unboxing

Allergy Immunotherapy Options with Centene Corporation

For Centene Corporation coverage of allergy immunotherapy, patients must typically demonstrate a documented history of allergic symptoms and have a confirmed diagnosis through allergy testing. A physician needs to submit a treatment plan, which may include frequency and duration of therapy. Pre-authorization is often required to ensure coverage.

Coverage may be subject to plan-specific deductibles, copayments, and coinsurance. There may be limits on the number of treatments per year or treatment setting stipulations (e.g., in-office vs. home-based). Additionally, maintenance treatments may be subject to periodic reassessment to confirm ongoing effectiveness and necessity.

A weight management program tailored to you

Start with Curex

Uncovered and Covered Immunotherapy with Centene Corporation

Together with our partners we have changed the lives of over 300,000 patients.

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 Centene Corporation

1. Identify Coverage: Verify if your policy with Centene Corporation includes allergy immunotherapy. Check your policy booklet or summary of benefits.
2. Contact Centene: Call Centene's customer service line. This number is typically found on the back of your insurance card.
3. Gather Information: Have your insurance card, personal ID, and physician's contact information ready.
4. Specific Questions: Ask about pre-authorization requirements, coverage limits, copays, and deductibles for allergy immunotherapy.
5. Physician's Role: Inform your allergist or physician's office that you have Centene insurance and discuss any necessary pre-authorization paperwork that they may need to submit on your behalf.
6. Documentation: Keep a record of all correspondence and reference numbers from your conversations with Centene representatives.

Premium Medication you can trust

Our weight loss medication is delivered straight to your doorstep from a state-licensed pharmacy within our reliable network, ensuring you receive your medication when you need it.

Each pharmacy in our network undergoes rigorous third-party testing through FDA and DEA certified labs. These tests focus on four key elements, ensuring both safety and efficacy for our treatments.

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Curex is one of America’s largest telehealth providers

Together with our partners we have changed the lives of over 300,000 patients. Here’s what some of them have to say:

“Curex has performed beyond my expectations. I am feeling tremendously better and look forward to continuing the treatment.”
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“The Curex staff has been professional, efficient, and really focused on my individual needs.”
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Everything you need is included:

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Premium medication

Overnight shipping

Ongoing support

A weight management program tailored to you

Initial Dosage

Your initial medication and dosage are carefully determined by doctors, taking into account your unique health profile. This ensures a personalized and safe treatment plan tailored to your specific needs.

Titration

We gradually adjust your dosage to reach the optimal therapeutic level, ensuring maximum effectiveness while minimizing potential side effects.

Additional Treatments

Our providers may also recommend medications such as metformin or supplements such as vitamin B12. We recognize the importance of managing side effects, so your care plan may include medication to alleviate them.

Got questions? We have answers.

Do your plans include prescriptions and medications?

Curex plans cover everything from reviewing your medical intake to providing prescription medications, with free shipping included. There are no extra or hidden charges. Prescriptions are issued only after a medical provider reviews your information to confirm that the medication is suitable for you. Our service includes continuous support and regular follow-ups to ensure your treatment stays on track.

Our clinicians may order labs and additional medications for you, which would not be covered by the plan but for which you can use your insurance.

Please note: Compounded medications are tailored to individual needs or used in case of shortages, but they are not FDA-approved for safety or effectiveness. A prescription is required. Results may vary from person to person.

What medications do your providers prescribe?

We prioritize a personalized approach to your health. If your medical provider prescribes medication, options may include GLP-1 treatments such as compounded semaglutide (the active ingredient in Wegovy®* and Ozempic®*). Our providers prescribe only combination treatments not available at your local pharmacy that may include vitamin B12, etc. to help you achieve your goals faster.

Depending on your treatment goals, other medications such as metformin may also be considered. We recognize the importance of managing side effects, so your care plan might include medication to ease symptoms like nausea. Your well-being is always our top priority!

Please note that compounded medications are customized to meet individual patient needs and are not FDA-approved for safety or effectiveness. A prescription is necessary. Results may vary from person to person.

Curex and its pharmacy partners do not have any association with Novo Nordisk.

Will I be prescribed semaglutide if I sign up?

Your health journey is unique, and we tailor our care to match. Any prescriptions, including semaglutide, will be based on the expert assessment of the medical provider matched with you through our platform. You can trust that your treatment plan will be personalized to fit your specific needs. And if semaglutide is not prescribed, we will provide a full refund.

What is compounded medication?

Compounding involves creating customized medications to meet the specific needs of individual patients. For instance, a patient may require a liquid version of a medication that is only available in tablet form. Pharmacies can also compound medications using FDA-approved drugs that are on the FDA’s shortage list.

These compounded medications are made by state-licensed pharmacies that follow both federal and state regulations, including quality standards. However, when compounded in accordance with these laws, these medications are not subject to FDA approval and are not evaluated for safety or effectiveness.

Is compounded medication the same as generic medication?

Compounded medications differ from generic drugs. Generics require FDA approval by demonstrating bio-equivalence to the brand-name drug. In contrast, compounded medications are not FDA-approved. They are made based on a personalized prescription that may not be commercially available elsewhere or when a drug appears on the FDA’s shortage list. Compounding pharmacies must have the proper licensed facilities and comply with state and federal regulations before dispensing these medications.

Is insurance required?

No, Curex doesn’t require insurance. We offer clear and simple pricing, along with affordable medication options, making it easy and accessible to take care of your health.

Can I pay with an FSA or HSA card?

Yes! You can pay with your HSA or FSA card.

How much does treatment cost?

The initial sign-up fee of $19.99 covers the review of your medical information as well as the prescription. For the medication itself, we have different plans at unbeatable prices. Semaglutide starts at $149 per month and tirzepatide starts at $299 per month. Your Curex care manager will help you find the right plan. Insurance is not needed. You can use your FSA/HSA account. There are no membership fees and no upcharges for higher dosages.

Can you prescribe Ozempic®* or Wegovy®*?

Our providers focus on personalized medications and dosages that aren’t commercially available at your local pharmacy. While we don’t prescribe Ozempic®* or Wegovy®* directly, we may prescribe treatments containing the same active ingredient. These medications are specially compounded for you by a licensed pharmacy to meet your specific needs.

Are video visits with a provider required?

Our providers will review your information 100% online. Depending on where you live and the specifics of your medical history, our providers may require you to have a video visit or asynchronous visit via text message. If prescribed, you’ll get unlimited online access to message your provider as needed for follow-ups, adjustments, and answers to your questions.

What states do you serve?

Currently, we do not serve Alaska, Arkansas, Connecticut, and New Mexico. However, we are always working to expand our reach, so stay in touch with us at hi@getcurex.com.