Does Security Health Plan Cover Eliquis

Explore Eliquis coverage by Security Health Plan, reasons for denial, alternatives for coverage, cost without insurance, and FAQs about Eliquis.
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Coverage for Eliquis

 

  • Security Health Plan typically covers Eliquis for conditions such as atrial fibrillation, deep vein thrombosis, and pulmonary embolism.
  •  

  • Coverage may vary depending on your specific plan and whether Eliquis is listed in your formulary.

 

Basic Rules & Criteria

 

  • A prescription from a healthcare provider is required to obtain coverage.
  •  

  • Prior authorization might be necessary for the prescription to be approved.
  •  

  • It’s suggested to confirm with Security Health Plan directly regarding co-pays, deductibles, or any step therapy requirements that may apply.
  •  

  • Eligibility for coverage could depend on meeting certain medical conditions or treatments.

 

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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 Eliquis Coverage with Security Health Plan

 

Research Your Current Plan

 

  • Contact Security Health Plan's customer service to understand what your current plan covers with respect to Eliquis or similar medications.
  •  

  • Review your insurance policy documents to check for any mention of coverage for prescription drugs, particularly for Eliquis.

 

Consult with Your Healthcare Provider

 

  • Speak with your doctor or pharmacist to obtain necessary documentation or a formal prescription statement that justifies the necessity of Eliquis for your condition.
  •  

  • Ask for any specific medical records or diagnoses that may support your request for Eliquis coverage under your health plan.

 

Initiate a Coverage Inquiry

 

  • Call Security Health Plan's customer service to ask about the protocol for initiating a coverage request for Eliquis.
  •  

  • Provide them with details such as your prescription, doctor's information, and any relevant health records that support the need for Eliquis.

 

Submit a Formal Request

 

  • Fill out any required forms provided by Security Health Plan for medication coverage requests.
  •  

  • Include all necessary documents such as doctor's prescription, justification letters, and any other required medical documentation.
  •  

  • Submit the completed forms and documents to the appropriate department at Security Health Plan, either via mail, fax, or through their online portal, if available.

 

Follow Up on Your Request

 

  • Contact Security Health Plan to check on the status of your coverage request after submitting all documents.
  •  

  • Be persistent and proactive, especially if additional documentation or verification is needed for your request to be processed.

 

Explore Alternative Options if Necessary

 

  • If your request is denied, ask Security Health Plan for the reason and inquire about the appeals process to contest the decision.
  •  

  • Consider discussing generic alternatives with your doctor that may be more readily covered by your insurance plan.

 

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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

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Studies that have been reviewed by certified physicians show that sublingual immunotherapy is a safe treatment option
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FAQs

Does Security Health Plan Cover Eliquis

Explore Eliquis coverage by Security Health Plan, reasons for denial, alternatives for coverage, cost without insurance, and FAQs about Eliquis.
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Is Eliquis Covered by Security Health Plan

 

Coverage for Eliquis

 

  • Security Health Plan typically covers Eliquis for conditions such as atrial fibrillation, deep vein thrombosis, and pulmonary embolism.
  •  

  • Coverage may vary depending on your specific plan and whether Eliquis is listed in your formulary.

 

Basic Rules & Criteria

 

  • A prescription from a healthcare provider is required to obtain coverage.
  •  

  • Prior authorization might be necessary for the prescription to be approved.
  •  

  • It’s suggested to confirm with Security Health Plan directly regarding co-pays, deductibles, or any step therapy requirements that may apply.
  •  

  • Eligibility for coverage could depend on meeting certain medical conditions or treatments.

 

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Security Health Plan's Approved Criteria for Eliquis Coverage

 

Approved Criteria for Eliquis Coverage

 

  • **Approved Diagnosis**: Patients must have a diagnosis of non-valvular atrial fibrillation, deep vein thrombosis, or pulmonary embolism, or be undergoing hip or knee replacement surgery which requires anticoagulation management.
  •  

  • **Age Requirement**: Coverage is available for individuals aged 18 and older who require anticoagulant medication.
  •  

  • **Prescription Requirement**: Must have a valid prescription from a licensed healthcare provider.
  •  

  • **Dosage and Usage**: Coverage is contingent upon using Eliquis as prescribed, in the standard doses recommended for the approved indications.
  •  

  • **Previous Anticoagulant Therapy**: Patients who have tried other anticoagulant medications and either did not achieve desired therapeutic goals or experienced adverse effects may qualify.
  •  

  • **Medical History Evaluation**: Requires a comprehensive medical history evaluation to ensure the patient is a suitable candidate for Eliquis, focusing on bleeding risks and kidney function.
  •  

  • **Duration of Coverage**: Initial coverage duration is typically for a 3-month period, subject to renewal based on treatment evaluation and continued need assessment.
  •  

  • **Monitoring**: Regular follow-up appointments and monitoring to assess the effectiveness and safety of the treatment must be documented.
  •  

  • **secondary conditions**: Coverage may extend to stroke prevention in patients diagnosed with non-valvular atrial fibrillation.

 

Why Security Health Plan Might Deny Eliquis Coverage

 

Reasons for Denial of Eliquis Coverage

 

  • The patient does not meet the medical necessity criteria as defined by Security Health Plan policies.
  •  

  • Eliquis is prescribed for an off-label use that is not covered under the plan’s formulary guidelines.
  •  

  • The prescription lacks prior authorization when it is required under the specific plan coverage.
  •  

  • The patient is found to have a condition for which Eliquis is contraindicated, making its use non-compliant with coverage terms.
  •  

  • The patient failed to try and respond to preferred alternatives or first-line therapies that the plan covers for the condition.
  •  

  • The prescribed dosage or frequency does not conform to the approved guidelines and lacks special justification.
  •  

  • Coverage is denied due to policy exclusions related to high-cost medications when generic alternatives are available.

 

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

How Much Does Eliquis Cost without Insurance?

 

Approximate Cost of Eliquis without Insurance

 

  • The cost of Eliquis, a commonly prescribed blood thinner, can vary based on the pharmacy, location, and any available discounts or coupons. On average, without insurance, Eliquis can cost around $550 to $650 for a 30-day supply.
  •  

  • Some pharmacies or online platforms may offer discounts or generic options that can lower the cost, so it's advisable to shop around. Patients should also inquire about manufacturer coupons or assistance programs that might help reduce the price.
  •  

  • Price comparison tools and websites can be helpful in finding the best available prices for Eliquis in your area.

 

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 Eliquis Coverage with Security Health Plan

 

Research Your Current Plan

 

  • Contact Security Health Plan's customer service to understand what your current plan covers with respect to Eliquis or similar medications.
  •  

  • Review your insurance policy documents to check for any mention of coverage for prescription drugs, particularly for Eliquis.

 

Consult with Your Healthcare Provider

 

  • Speak with your doctor or pharmacist to obtain necessary documentation or a formal prescription statement that justifies the necessity of Eliquis for your condition.
  •  

  • Ask for any specific medical records or diagnoses that may support your request for Eliquis coverage under your health plan.

 

Initiate a Coverage Inquiry

 

  • Call Security Health Plan's customer service to ask about the protocol for initiating a coverage request for Eliquis.
  •  

  • Provide them with details such as your prescription, doctor's information, and any relevant health records that support the need for Eliquis.

 

Submit a Formal Request

 

  • Fill out any required forms provided by Security Health Plan for medication coverage requests.
  •  

  • Include all necessary documents such as doctor's prescription, justification letters, and any other required medical documentation.
  •  

  • Submit the completed forms and documents to the appropriate department at Security Health Plan, either via mail, fax, or through their online portal, if available.

 

Follow Up on Your Request

 

  • Contact Security Health Plan to check on the status of your coverage request after submitting all documents.
  •  

  • Be persistent and proactive, especially if additional documentation or verification is needed for your request to be processed.

 

Explore Alternative Options if Necessary

 

  • If your request is denied, ask Security Health Plan for the reason and inquire about the appeals process to contest the decision.
  •  

  • Consider discussing generic alternatives with your doctor that may be more readily covered by your insurance plan.

 

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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.

Eliquis FAQ

What are the side effects of Eliquis?

 

Common Side Effects of Eliquis

 

  • Mild bleeding or bruising due to its anticoagulant effect.
  • Nausea, which may occur as your body adjusts to the medication.
  • Skin rash or minor allergic reactions.
  • Fatigue or general weakness.

 

Serious Side Effects

 

  • Severe bleeding, including unusual bleeding from gums, nosebleeds, or heavier than usual menstrual bleeding.
  • Red, pink, or brown urine and black or bloody stools indicating internal bleeding.
  • Severe headache, dizziness, or fainting, which could indicate a bleed in the brain.
  • Signs of anemia, such as pale skin, weakness, or fatigue.

 

Consult Your Doctor

 

  • Always report any unusual symptoms to your healthcare provider promptly.
  • Seek emergency medical attention for significant bleeding or symptoms of a serious allergic reaction like difficulty breathing.

 

Is Eliquis a blood thinner?

 

Is Eliquis a Blood Thinner?

 

  • Yes, Eliquis (apixaban) is a blood thinner, also known as an anticoagulant.
  •  

  • It prevents blood clots by inhibiting Factor Xa, which is crucial in the clotting process.
  •  

  • Doctors prescribe Eliquis to reduce stroke risk in patients with atrial fibrillation and to treat or prevent deep vein thrombosis (DVT) and pulmonary embolism (PE).
  •  

  • Ensure regular monitoring and follow-ups with your healthcare provider while on Eliquis for safe management.
  •  

  • Contact a healthcare professional if you have concerns about bleeding risks or interactions with other medications.

 

Can you take Eliquis with alcohol?

 

Alcohol and Eliquis Interaction

 

  • Moderate alcohol consumption might be safe, but heavy drinking can increase bleeding risk.
  •  

  • Consult your healthcare provider to assess your specific condition and alcohol tolerance.

 

Potential Effects of Combining

 

  • Both Eliquis and alcohol affect blood clotting, raising potential for heightened bleeding.
  •  

  • Alcohol can augment Eliquis' effects, complicating the management of conditions like atrial fibrillation.

 

Recommendations for Use

 

  • If you drink, limit to one or two standard drinks occasionally and monitor for bruising or bleeding.
  •  

  • Report any unusual symptoms to your healthcare provider immediately.

 

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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?

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.

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