Immunotherapy and Insurance: Coverage Options with Sharp Health Plan

Discover allergy immunotherapy coverage options with Sharp Health Plan. Learn how your insurance provider can support your treatment needs.
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“Curex is changing the landscape of allergies in 2024”
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Does Sharp Health Plan Cover Allergy Immunotherapy?

Sharp Health Plan typically covers allergy immunotherapy if deemed medically necessary. Coverage details may vary, so check your specific plan for benefit specifics.

Under Sharp Health Plan, patients seeking coverage for allergy immunotherapy must have documented evidence of allergies from an in-network provider. The provider should perform and submit results of skin or blood tests confirming the specific allergens. Prior authorization from Sharp Health Plan is required to ensure eligibility for coverage. A detailed treatment plan, including duration and dosage of allergen extracts, must be outlined by an allergist. Treatment with FDA-approved extracts is generally covered, but experimental or unproven therapies may not be eligible for reimbursement. There may be limits on the number of treatments covered per year, and co-pays or deductibles can apply depending on the patient's specific plan.

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Covered

Sharp Health Plan, catering to the diverse healthcare needs of its members, includes comprehensive coverage for a variety of treatments and situations, ensuring peace of mind when it comes to medical care. Allergy sufferers can breathe easier knowing that Sharp Health Plan typically provides coverage for allergy testing and immunotherapy, including both subcutaneous injections and sublingual treatments, as a means to diagnose and manage allergies effectively. Additionally, emergency services, hospitalization, prescription drugs, and preventive care are part of the essential health benefits. Members also have access to specialist visits, which could be crucial for those requiring more in-depth investigation of their allergic reactions or for routine management of chronic allergies. Mental health services, chronic disease management, and rehabilitative services are included to support overall health and wellness. It is key to remember that benefits are subject to plan-specific guidelines, pre-authorization requirements, and member eligibility at the time of service.

Uncovered

Sharp Health Plan may exclude coverage for services considered not medically necessary, cosmetic surgery not related to an accidental injury or to improve function, weight loss surgery, unless certain criteria are met, and treatment for fertility issues not related to a diagnosed medical condition. It might also not cover experimental treatments, over-the-counter medications, and elective procedures that do not directly affect health outcomes. Additionally, care received outside of the network without proper authorization, or specific types of alternative therapies such as acupuncture or chiropractic services, may have limitations or are not covered depending on the plan details. As policies can vary, it’s essential to check your specific plan for a detailed list of 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 Sharp Health Plan

Starting the process with Sharp Health Plan for allergy immunotherapy:

1. Contact Customer Care:
- Phone: Find the number on the back of your insurance card.
- Online: Log in to your Member Center on the Sharp Health Plan website.
2. Ask the representative:
- Confirm coverage specifics for allergy immunotherapy.
- Inquire about required referrals or pre-authorizations.
- Request a list of in-network allergists.
3. Schedule an Appointment:
- Choose an in-network allergist from the provided list.
- Ensure the doctor's office is aware that Sharp is your provider.
4. Follow-Up:
- Obtain necessary referral from your primary care physician if required.
- Confirm that your allergist's office has submitted pre-authorization if needed.

Remember to have your Member ID and personal details ready for all communications.

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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

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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 Sharp Health Plan

Discover allergy immunotherapy coverage options with Sharp Health Plan. Learn how your insurance provider can support your treatment needs.
Curex allergy drops unboxing

Allergy Immunotherapy Options with Sharp Health Plan

Under Sharp Health Plan, patients seeking coverage for allergy immunotherapy must have documented evidence of allergies from an in-network provider. The provider should perform and submit results of skin or blood tests confirming the specific allergens. Prior authorization from Sharp Health Plan is required to ensure eligibility for coverage. A detailed treatment plan, including duration and dosage of allergen extracts, must be outlined by an allergist. Treatment with FDA-approved extracts is generally covered, but experimental or unproven therapies may not be eligible for reimbursement. There may be limits on the number of treatments covered per year, and co-pays or deductibles can apply depending on the patient's specific plan.

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Uncovered and Covered Immunotherapy with Sharp Health Plan

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 Sharp Health Plan

Starting the process with Sharp Health Plan for allergy immunotherapy:

1. Contact Customer Care:
- Phone: Find the number on the back of your insurance card.
- Online: Log in to your Member Center on the Sharp Health Plan website.
2. Ask the representative:
- Confirm coverage specifics for allergy immunotherapy.
- Inquire about required referrals or pre-authorizations.
- Request a list of in-network allergists.
3. Schedule an Appointment:
- Choose an in-network allergist from the provided list.
- Ensure the doctor's office is aware that Sharp is your provider.
4. Follow-Up:
- Obtain necessary referral from your primary care physician if required.
- Confirm that your allergist's office has submitted pre-authorization if needed.

Remember to have your Member ID and personal details ready for all communications.

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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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

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Ongoing support

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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.