Does Cigna Cover Lexapro

Explore Cigna's Lexapro coverage, reasons for denial, how to secure coverage, costs without insurance, and FAQs in this comprehensive guide.
Curex allergy drops unboxing
“Curex is changing the landscape of allergies in 2024”
man opening Curex packaging
man opening Curex packaging

 

Cigna Coverage for Lexapro

 

  • Cigna generally covers Lexapro if it is deemed medically necessary. The coverage depends on your specific Cigna plan and formulary tier.
  •  

  • To have Lexapro covered, a prescription from a licensed healthcare provider is required.
  •  

  • Cigna may require prior authorization to confirm the necessity of Lexapro for your treatment.
  •  

  • The plan may cover Lexapro for conditions such as depression and anxiety, which are common uses of the medication.
  •  

  • Coverage limits, quantity restrictions, or additional requirements may apply based on the treatment plan and diagnosis.

 

Steps to Ensure Coverage

 

  • Check the formulary of your specific Cigna plan to see if Lexapro is covered.
  •  

  • Have your doctor provide medical records or justification, if prior authorization is required.
  •  

  • Consult with Cigna or your pharmacist for alternative options if Lexapro is not covered or to explore generic equivalents.
  •  

  • Regularly review your plan benefits during open enrollment to ensure your medication needs are met.

 

Want to try immunotherapy?

Start with Curex

Covered

Uncovered

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.

How to Get Lexapro Coverage with Cigna

 

Evaluate Your Current Cigna Plan

 

  • Check your existing Cigna health plan details. Locate your policy document or log into your Cigna online account to understand the coverage benefits included.
  •  

  • Verify whether your current plan includes prescription drug coverage, and if Lexapro (escitalopram) is listed under covered medications.

 

Consult with Your Healthcare Provider

 

  • Speak with your doctor about your need for Lexapro. Ensure that it is the right medication for your condition.
  •  

  • Request a prescription for Lexapro, noting that your doctor must provide all necessary medical documentation and reasoning.

 

Check Cigna's Prescription Drug List

 

  • Access Cigna's Prescription Drug List (PDL), which is often available online, to confirm if Lexapro is included. This list is also called a formulary.
  •  

  • Determine the tier level of Lexapro. Lower-tier medications usually have lower copayments.

 

Contact Cigna Customer Service

 

  • Call Cigna's customer service using the number on your insurance card to verify coverage details for Lexapro.
  •  

  • Inquire about your copayment amount, any limitations, or requirements such as prior authorization that might apply to Lexapro.

 

Submit Prior Authorization if Required

 

  • If required, work with your healthcare provider to complete and submit a prior authorization request. This form is needed to approve specific medications not automatically covered.
  •  

  • Ensure all medical documentation clearly justifies the need for Lexapro, per Cigna’s requirements.

 

Use Cigna's Pharmacy Network

 

  • Fill your prescription at a pharmacy within Cigna’s approved network to take advantage of coverage benefits.
  •  

  • Check whether using the preferred mail-order pharmacy for ongoing prescriptions could lead to cost savings.

 

File an Appeal, if Necessary

 

  • If coverage for Lexapro is denied, consider filing an appeal with Cigna. Understand the specific reasons for the denial first, so your appeal directly addresses these points.
  •  

  • Work collaboratively with your healthcare provider to supply additional evidence or documentation supporting the medical necessity of Lexapro.

 

Consider Financial Assistance Programs

 

  • Explore patient assistance programs or manufacturer discounts if you face affordability issues. Many pharmaceutical companies offer assistance for those who qualify.
  •  

  • Check if Cigna has any additional programs that provide financial support for medications.

 

Curex allergy drops unboxing

We love helping people!

Allie, Nevada

five stars

"I have two cats I can finally cuddle!"

Cat and dog allergies

Zachary, Texas

five stars

“I can breathe through my nose for the first time in like 20 years!"

dust allergy
mold allergy

Dust and mold allergies

Erika, New York

five stars

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

tree allergy
grass allergy

Tree and grass allergies

Richard, Texas

five stars


I love the convenience!

tree allergy

Tree and cat allergies

We Treat Food, Indoor & Outdoor Allergies

tree allergy
Tree Pollens
maple leaf icon
Weed Pollens
Cat Allergies
Dog Allergies
insect icon
Dust Mites
mold allergy
Molds
Food Allergies
 curex user showing allergy treatment kita patient showing allergy treatment boxa male patient showing allergy drops vial
50,000+ users have overcome their allergies
Am I eligible?

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
male medical practitioner smiling

Treatment prescribed
by clinician

1
right line icon
Curex packaging

Clinicaly made allergen extracts are customized for your allergies

2
right line icon
insect icon
grass icon
man opening Curex packaging

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

3

FAQs

Does Cigna Cover Lexapro

Explore Cigna's Lexapro coverage, reasons for denial, how to secure coverage, costs without insurance, and FAQs in this comprehensive guide.
Curex allergy drops unboxing

Is Lexapro Covered by Cigna

 

Cigna Coverage for Lexapro

 

  • Cigna generally covers Lexapro if it is deemed medically necessary. The coverage depends on your specific Cigna plan and formulary tier.
  •  

  • To have Lexapro covered, a prescription from a licensed healthcare provider is required.
  •  

  • Cigna may require prior authorization to confirm the necessity of Lexapro for your treatment.
  •  

  • The plan may cover Lexapro for conditions such as depression and anxiety, which are common uses of the medication.
  •  

  • Coverage limits, quantity restrictions, or additional requirements may apply based on the treatment plan and diagnosis.

 

Steps to Ensure Coverage

 

  • Check the formulary of your specific Cigna plan to see if Lexapro is covered.
  •  

  • Have your doctor provide medical records or justification, if prior authorization is required.
  •  

  • Consult with Cigna or your pharmacist for alternative options if Lexapro is not covered or to explore generic equivalents.
  •  

  • Regularly review your plan benefits during open enrollment to ensure your medication needs are met.

 

A weight management program tailored to you

Start with Curex

Cigna's Approved Criteria for Lexapro Coverage

 

Cigna's Approved Criteria for Lexapro Coverage

 

  • **Prescription by an Authorized Healthcare Professional:** Lexapro must be prescribed by a licensed healthcare provider such as a psychiatrist, primary care physician, or nurse practitioner.
  •  

  • **FDA-Approved Indications:** Coverage is available for conditions approved by the FDA, such as major depressive disorder and generalized anxiety disorder.
  •  

  • **Clinical Assessment:** The patient must undergo a thorough clinical evaluation indicating that Lexapro is an appropriate treatment option. This assessment should be documented and consistent with clinical guidelines.
  •  

  • **Treatment Plan:** A comprehensive treatment plan including Lexapro should be developed, highlighting anticipated benefits, dosage, and duration of therapy.
  •  

  • **Medical Necessity:** Justification of medical necessity as per patient's specific clinical needs should be evident in the patient's medical records to support Lexapro as a preferred therapy.
  •  

  • **Medication History:** Documentation of previous treatments that have been ineffective or not tolerated is necessary if Lexapro is being considered as an alternative therapy.
  •  

  • **Age Criteria:** Patients must meet age criteria set by the FDA or other authoritative bodies for Lexapro prescribing, typically including adolescents and adults.
  •  

  • **Ongoing Monitoring:** Evidence of planned ongoing monitoring for treatment efficacy and potential side effects is necessary for continued coverage.

 

Why Cigna Might Deny Lexapro Coverage

 

Reasons Cigna Might Deny Lexapro Coverage

 

  • Lexapro is not listed on the formulary or preferred drug list for the specific plan the member is enrolled in. Cigna may have alternative preferred medications that they cover instead.
  •  

  • The prescription does not meet Cigna's prior authorization requirements. This means Cigna may require specific criteria to be met, such as trying a different medication first or providing additional documentation from a healthcare provider.
  •  

  • The use of Lexapro is deemed non-medically necessary according to Cigna's guidelines, which may occur if the drug is being prescribed for an off-label use that is not accepted under Cigna's policy.
  •  

  • The member's plan has specific exclusions for certain conditions or medications, which may impact the coverage for Lexapro if the plan details explicitly exclude it.
  •  

  • Failure to provide necessary supporting documentation within the required timeframe, such as a letter of medical necessity or detailed diagnosis from the prescribing physician, can result in denial.
  •  

  • Coverage limitations based on age, quantity, or dosage not aligning with what has been prescribed. If the prescription exceeds these limitations and does not receive exception approval, coverage might be denied.

 

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

How Much Does Lexapro Cost without Insurance?

 

Approximate Cost of Lexapro Without Insurance

 

  • The cost of Lexapro, a commonly prescribed antidepressant, can vary based on dosage and location. Without insurance, patients might encounter prices that range from approximately $10 to $450 for a 30-day supply.
  •  

  • Different dosages available, such as 5 mg, 10 mg, 15 mg, and 20 mg, might influence the price. Higher dosages may often cost more than lower ones.
  •  

  • Prices may vary greatly between different pharmacies. It's advisable to compare costs at several locations or consider using prescription discount cards or online services to help reduce the expense.
  •  

  • Generic versions, known as escitalopram, can be significantly less expensive, offering more affordable options to those without insurance coverage.
  •  

  • Pharmacy discount programs or membership plans may be available and can help lower the cost further for those not utilizing insurance.

 

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.

How to Get Lexapro Coverage with Cigna

 

Evaluate Your Current Cigna Plan

 

  • Check your existing Cigna health plan details. Locate your policy document or log into your Cigna online account to understand the coverage benefits included.
  •  

  • Verify whether your current plan includes prescription drug coverage, and if Lexapro (escitalopram) is listed under covered medications.

 

Consult with Your Healthcare Provider

 

  • Speak with your doctor about your need for Lexapro. Ensure that it is the right medication for your condition.
  •  

  • Request a prescription for Lexapro, noting that your doctor must provide all necessary medical documentation and reasoning.

 

Check Cigna's Prescription Drug List

 

  • Access Cigna's Prescription Drug List (PDL), which is often available online, to confirm if Lexapro is included. This list is also called a formulary.
  •  

  • Determine the tier level of Lexapro. Lower-tier medications usually have lower copayments.

 

Contact Cigna Customer Service

 

  • Call Cigna's customer service using the number on your insurance card to verify coverage details for Lexapro.
  •  

  • Inquire about your copayment amount, any limitations, or requirements such as prior authorization that might apply to Lexapro.

 

Submit Prior Authorization if Required

 

  • If required, work with your healthcare provider to complete and submit a prior authorization request. This form is needed to approve specific medications not automatically covered.
  •  

  • Ensure all medical documentation clearly justifies the need for Lexapro, per Cigna’s requirements.

 

Use Cigna's Pharmacy Network

 

  • Fill your prescription at a pharmacy within Cigna’s approved network to take advantage of coverage benefits.
  •  

  • Check whether using the preferred mail-order pharmacy for ongoing prescriptions could lead to cost savings.

 

File an Appeal, if Necessary

 

  • If coverage for Lexapro is denied, consider filing an appeal with Cigna. Understand the specific reasons for the denial first, so your appeal directly addresses these points.
  •  

  • Work collaboratively with your healthcare provider to supply additional evidence or documentation supporting the medical necessity of Lexapro.

 

Consider Financial Assistance Programs

 

  • Explore patient assistance programs or manufacturer discounts if you face affordability issues. Many pharmaceutical companies offer assistance for those who qualify.
  •  

  • Check if Cigna has any additional programs that provide financial support for medications.

 

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.

Lexapro FAQ

What are the common side effects of Lexapro?

 

Common Side Effects of Lexapro

 

  • Gastrointestinal Issues: Nausea, diarrhea, and constipation are frequently reported.
  •  

  • Sleep Disturbances: Insomnia or drowsiness can occur, affecting one's sleep patterns.
  •  

  • CNS Effects: Dizziness, headache, and increased sweating are common central nervous system-related effects.
  •  

  • Sexual Dysfunction: Decreased libido, delayed ejaculation, and anorgasmia may occur.
  •  

  • Weight Changes: Some individuals might experience weight gain or loss.
  •  

  • Emotional Effects: Anxiety and some degree of nervousness might manifest, especially during initial weeks.

 

How long does it take for Lexapro to start working?

 

When Lexapro Starts Working

 

  • Initial effects might be felt in 1-2 weeks, but these are often minor changes.
  •  

  • For full therapeutic effects, it commonly takes 4-6 weeks.
  •  

  • Some people may experience relief sooner, while others might need up to 8 weeks.

 

Factors Influencing Timeframe

 

  • Dosage level and adherence to prescribed regimen influence the response.
  •  

  • Individual differences in metabolism and genetics play a role.
  •  

  • Concurrent medications or health conditions can affect efficacy.

 

What to Do if Improvement is Slow

 

  • Consult your doctor if no improvement is seen after several weeks.
  •  

  • Do not adjust the dosage without medical advice.
  •  

  • Consider discussing therapy as a complementary treatment with your healthcare provider.

 

Can Lexapro cause weight gain?

 

Lexapro and Weight Gain

 

  • Lexapro (escitalopram) is commonly prescribed for depression and anxiety. Some patients report weight changes while using it.
  •  

  • **Possible Causes**: Increased appetite, metabolic changes, or decreased physical activity often cause weight gain.
  •  

  • **Individual Variability**: Not everyone experiences weight gain, and some might even lose weight. Individual metabolic responses can vary due to genetics and lifestyle.
  •  

  • **Monitoring Changes**: Regular weight monitoring and lifestyle adjustments, like balanced diet and exercise, can help manage potential weight changes.
  •  

  • **Consult Your Doctor**: Always discuss concerns with your healthcare provider, who can recommend personalized strategies or adjust medication if necessary.

 

Have questions left?

Get a personalized online consultation with a doctor at Curex

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.”
Becky D.
"If I could give 6 stars, I would. BEST... BEST… BEST… service.”
Ferdian K.
“The Curex staff has been professional, efficient, and really focused on my individual needs.”
Ana C.

Start your
journey now

Everything you need is included:

Online consultation

Your prescription

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?

Semaglutide Injections:

Prices for semaglutide start at only $149 per month for weekly doses of 0.25mg and 0.5mg. You can cancel anytime. Some people experience weight loss at these doses and higher doses aren't advisable due to a higher risk of side effects. If you need a higher dose to achieve your weight loss goals, we offer higher-dose plans for 1mg, 1.7mg and 2.4mg of semaglutide for an additional $50 per month for each plan.

Tirzepatide Injections:

Prices for tirzepatide start at only $249 per month for weekly doses of 2.5mg and 5mg of tirzepatide.You can cancel anytime. Some people experience weight loss at these doses and higher doses aren't advisable due to a higher risk of side effects. If you need a higher dose to achieve your weight loss goals, we offer higher-dose plans for 7.5mg, 10mg and 12.5mg of tirzepatide for an additional $100 per month for each plan.

Semaglutide Tablets:

Prices for semaglutide tablets start at only $149 per month for daily doses of 2mg. You can cancel anytime. Some people experience weight loss at this dose and higher doses aren't advisable due to a higher risk of side effects. If you need a higher dose to achieve your weight loss goals, we offer higher-dose plans for 4mg and 8mg of semaglutide daily for an additional $50 per month for each plan.

Tirzepatide Tablets:

Prices for tirzepatide start at only $199 per month for daily dosees of 3mg of tirzepatide. You can cancel anytime. Some people experience weight loss at these doses and higher doses aren't advisable due to a higher risk of side effects. If you need a higher dose to achieve your weight loss goals, we offer higher-dose plans for 6mg and 12 mg of tirzepatide daily for an additional $100 per month for each plan.

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 Arkansas, Connecticut, and New Mexico. However, we are always working to expand our reach, so stay in touch with us at hi@getcurex.com.

Made in Webflow