Does SelectHealth Cover Eliquis

Discover why SelectHealth may deny Eliquis coverage, how to secure it, the cost without insurance, and answers to common Eliquis questions.
Curex allergy drops unboxing
“Curex is changing the landscape of allergies in 2024”
man opening Curex packaging
man opening Curex packaging

 

Does SelectHealth Cover Eliquis?

 

  • SelectHealth may cover Eliquis, depending on individual plan benefits and medical necessity.
  •  

  • Coverage typically includes situations such as preventing strokes and blood clots in patients with atrial fibrillation, deep vein thrombosis, or pulmonary embolism.
  •  

  • Approval commonly requires prior authorization from the healthcare provider to confirm medical necessity.
  •  

  • Patients might need to try and fail other treatments before Eliquis is approved, depending on the policy specifics.
  •  

  • Checking with SelectHealth customer service or reviewing the specific plan policy can offer detailed information on coverage and criteria.

 

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 Eliquis Coverage with SelectHealth

 

Research Your Plan Details

 

  • Visit the SelectHealth website and log into your member portal to access your specific plan details.
  • <li>Review your prescription drug coverage document, paying special attention to the formulary list to check if Eliquis is covered.</li>
    
    <li>Look for information on drug tier levels, as this will indicate your out-of-pocket costs for Eliquis.</li>
    

 

Contact SelectHealth Customer Service

 

  • Call the SelectHealth customer service number found on your insurance card to confirm the coverage details of Eliquis.
  • <li>Have your policy number ready, and be prepared to ask specific questions about prior authorization requirements or alternative covered medications.</li>
    
    <li>Request a copy of the formulary to be sent to you if it's not available through your member portal.</li>
    

 

Consult with Your Healthcare Provider

 

  • Discuss the need for Eliquis with your doctor, and address any alternatives if necessary.
  • <li>If Eliquis is covered but requires prior authorization, work with your provider to ensure that the necessary paperwork is completed.</li>
    
    <li>Request that your healthcare provider provides you with a prescription for Eliquis that you can submit to a SelectHealth in-network pharmacy.</li>
    

 

Submit a Prior Authorization Request

 

  • If Eliquis requires prior authorization, obtain the necessary forms from the SelectHealth website or through customer service.
  • <li>Your healthcare provider will need to complete the prior authorization form, outlining medical necessity for Eliquis.</li>
    
    <li>Submit the completed form via fax or your member portal as instructed by SelectHealth.</li>
    

 

Visit an In-Network Pharmacy

 

  • Locate a pharmacy within the SelectHealth network to ensure you receive coverage benefits.
  • <li>Present your SelectHealth insurance ID card along with the prescription for Eliquis from your healthcare provider.</li>
    
    <li>Discuss your plan's coverage with the pharmacist to clarify any copays or additional costs associated with Eliquis.</li>
    

 

Appeal If Necessary

 

  • If your prior authorization or claim for Eliquis is denied, review the denial letter for specific reasons and instructions on how to appeal.
  • <li>Gather supporting documentation from your healthcare provider that reinforces the medical necessity of Eliquis.</li>
    
    <li>Follow the SelectHealth appeals process, ensuring all documentation is submitted within any specified timeframes.</li>
    

 

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 SelectHealth Cover Eliquis

Discover why SelectHealth may deny Eliquis coverage, how to secure it, the cost without insurance, and answers to common Eliquis questions.
Curex allergy drops unboxing

Is Eliquis Covered by SelectHealth

 

Does SelectHealth Cover Eliquis?

 

  • SelectHealth may cover Eliquis, depending on individual plan benefits and medical necessity.
  •  

  • Coverage typically includes situations such as preventing strokes and blood clots in patients with atrial fibrillation, deep vein thrombosis, or pulmonary embolism.
  •  

  • Approval commonly requires prior authorization from the healthcare provider to confirm medical necessity.
  •  

  • Patients might need to try and fail other treatments before Eliquis is approved, depending on the policy specifics.
  •  

  • Checking with SelectHealth customer service or reviewing the specific plan policy can offer detailed information on coverage and criteria.

 

A weight management program tailored to you

Start with Curex

SelectHealth's Approved Criteria for Eliquis Coverage

 

SelectHealth's Approved Criteria for Eliquis Coverage

 

  • **Diagnosis of Nonvalvular Atrial Fibrillation:** Patients must have a documented diagnosis of nonvalvular atrial fibrillation and be at risk for stroke or systemic embolism.
  •  

  • **Deep Vein Thrombosis (DVT) and Pulmonary Embolism (PE):** Individuals must have a confirmed diagnosis of DVT or PE requiring anticoagulation therapy. This includes both treatment and prevention of recurrence.
  •  

  • **Prophylaxis After Hip or Knee Replacement Surgery:** Eliquis may be approved for patients who require anticoagulation for the prevention of DVT, which may lead to PE following hip or knee replacement surgery.
  •  

  • **Reduction of Risk in Recurrent DVT and PE:** Approval may be given for the continued use of Eliquis to reduce the risk of recurrent DVT or PE in patients who have previously been treated for these conditions.
  •  

  • **Evidence of Prior Anticoagulation Therapy:** There should be evidence of a need for anticoagulation as determined by previous therapies, lab reports, or physician assessments that align with current guidelines for the use of anticoagulants.
  •  

  • **No Contraindications to Eliquis Use:** Patients must not have known hypersensitivity or contraindications to Eliquis that would render its use unsafe based on health assessments and medical history.
  •  

 

Why SelectHealth Might Deny Eliquis Coverage

 

When SelectHealth Might Deny Eliquis Coverage

 

  • SelectHealth may deny Eliquis coverage if the medication is not on their formulary list, which is the list of approved medications covered by their insurance plans.
  •  

  • Coverage might be denied if the prescription does not meet the specific prior authorization requirements set by SelectHealth. This typically means that the patient’s medical necessity for Eliquis has not been adequately documented or justified according to their criteria.
  •  

  • A claim for Eliquis could be denied if there is a less expensive alternative drug available that is deemed equally effective. SelectHealth may require an attempt or failure with these alternative medications before covering Eliquis.
  •  

  • SelectHealth might refuse coverage if the prescription exceeds the dosage limits, duration, or quantity typically covered under their standard policy for Eliquis, without additional medical justification.
  •  

  • If the patient’s condition does not fall under the approved uses for Eliquis as determined by regulatory and medical bodies paired with SelectHealth’s guidelines, coverage may be denied.
  •  

 

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 SelectHealth

 

Research Your Plan Details

 

  • Visit the SelectHealth website and log into your member portal to access your specific plan details.
  • <li>Review your prescription drug coverage document, paying special attention to the formulary list to check if Eliquis is covered.</li>
    
    <li>Look for information on drug tier levels, as this will indicate your out-of-pocket costs for Eliquis.</li>
    

 

Contact SelectHealth Customer Service

 

  • Call the SelectHealth customer service number found on your insurance card to confirm the coverage details of Eliquis.
  • <li>Have your policy number ready, and be prepared to ask specific questions about prior authorization requirements or alternative covered medications.</li>
    
    <li>Request a copy of the formulary to be sent to you if it's not available through your member portal.</li>
    

 

Consult with Your Healthcare Provider

 

  • Discuss the need for Eliquis with your doctor, and address any alternatives if necessary.
  • <li>If Eliquis is covered but requires prior authorization, work with your provider to ensure that the necessary paperwork is completed.</li>
    
    <li>Request that your healthcare provider provides you with a prescription for Eliquis that you can submit to a SelectHealth in-network pharmacy.</li>
    

 

Submit a Prior Authorization Request

 

  • If Eliquis requires prior authorization, obtain the necessary forms from the SelectHealth website or through customer service.
  • <li>Your healthcare provider will need to complete the prior authorization form, outlining medical necessity for Eliquis.</li>
    
    <li>Submit the completed form via fax or your member portal as instructed by SelectHealth.</li>
    

 

Visit an In-Network Pharmacy

 

  • Locate a pharmacy within the SelectHealth network to ensure you receive coverage benefits.
  • <li>Present your SelectHealth insurance ID card along with the prescription for Eliquis from your healthcare provider.</li>
    
    <li>Discuss your plan's coverage with the pharmacist to clarify any copays or additional costs associated with Eliquis.</li>
    

 

Appeal If Necessary

 

  • If your prior authorization or claim for Eliquis is denied, review the denial letter for specific reasons and instructions on how to appeal.
  • <li>Gather supporting documentation from your healthcare provider that reinforces the medical necessity of Eliquis.</li>
    
    <li>Follow the SelectHealth appeals process, ensuring all documentation is submitted within any specified timeframes.</li>
    

 

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.

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.

 

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