The Checkup by Singlecare

DECEMBER 13, 2022

Meanwhile, the radiologist’s office contacts your insurance to get the service approved. Your insurance provider decided to deny the claim, which means you can’t have the scan. Or, worst-case scenario, you’ve already gotten it and your insurance denied the claim after the fact. What is an insurance appeal letter?

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STAT

JANUARY 7, 2025

The advent of the first generic GLP-1 drugs could help Medicare negotiate a lower price for the highly sought after diabetes and obesity medication semaglutide , according to experts familiar with the price-negotiation program and STAT’s review of documents from the first round of negotiations.

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Documentation Insurance FDA 131

The Checkup by Singlecare

JUNE 28, 2024

Although some healthcare providers prescribe Ozempic off-label for weight loss, insurance often won’t cover Ozempic for these uses unless it’s medically justified and no alternative treatments exist. We’ll explain when insurance covers Ozempic and how to advocate for coverage. When does insurance cover Ozempic for weight loss?

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STAT

OCTOBER 11, 2022

Bright Health Group is drastically cutting back its health insurance offerings for next year, including a full exit of the individual Affordable Care Act marketplaces, and is attempting to raise $175 million to keep the company afloat. Just last month, Bright hosted health insurance brokers on a yacht ahead of the open enrollment season.

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STAT

DECEMBER 28, 2023

Health insurance giant UnitedHealth Group used secret rules to restrict access to rehabilitation care requested by specific groups of seriously ill patients, including those who lived in nursing homes or suffered from cognitive impairment, according to internal documents obtained by STAT.

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Nursing Homes Documentation Insurance 145

STAT

NOVEMBER 20, 2023

Financial documents at a prominent hospital system in Los Angeles show just how large those discounts are — and how raw of a deal uninsured patients could be getting. 30, according to new financial documents. Hospitals’ list prices for surgeries, therapies, and other procedures always come with massive discounts.

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Hospitals Documentation Insurance 135

The Checkup by Singlecare

JUNE 5, 2025

Some health insurance formularies cover Mounjaro, while others list it as a nonpreferred drug. Even if your BCBS health plan covers Mounjaro, you may need to get prior authorization from the insurance company to confirm they’ll pay for it. Without insurance, Mounjaro costs an average of $1,486 per 4, 0.5 mL of 5 mg/0.5

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The Checkup by Singlecare

JUNE 5, 2025

While health insurance plans do not always provide coverage of Zepbound for weight loss, coverage may be more likely if the drug is prescribed for sleep apnea. Many insurance plans often do not cover weight loss medications in general,” says Luis Vinas , a board-certified plastic surgeon at Palm Beach Gynecomastia Center.

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The Checkup by Singlecare

JUNE 10, 2025

But its prices can look intimidating, leaving some looking to insurance for help. Insurance coverage for Contrave depends entirely on each individual patient’s insurance plan,” says Dr. Jennifer Brown, MD, a medical writer for MyObesityTeam. Some Aetna healthcare plans may cover Contrave, but it depends on several factors.

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STAT

APRIL 14, 2025

Canadian officials have obtained a court order that requires Express Scripts to produce documents in connection with an investigation into whether the pharmacy benefits manager violated antitrust laws. We asked Cigna, the health insurer that owns Express Scripts, for comment and will update you accordingly.

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Mail-Order Pharmacies Documentation Insurance 107

STAT

NOVEMBER 14, 2023

The nation’s largest health insurance company pressured its medical staff to cut off payments for seriously ill patients in lockstep with a computer algorithm’s calculations, denying rehabilitation care for older and disabled Americans as profits soared, a STAT investigation has found.

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Health Insurance Companies Insurance Documentation 145

STAT

MARCH 26, 2024

Troubled hospital operator Steward Health Care, grappling with a financial crisis that’s engulfed its eight Massachusetts hospitals, has moved to shore up its finances by striking a deal to sell its nationwide physician network to insurance giant UnitedHealth’s Optum Care unit. Continue to STAT+ to read the full story…

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Hospitals Documentation Insurance 145

The Checkup by Singlecare

JUNE 5, 2025

Many people with a Mounjaro prescription look to health insurance, Medicaid , or Medicare to help lower their out-of-pocket costs. Insurance often does come through if the prescription is for diabetes management, not weight loss. However, insurance coverage depends on the insurance company and plan. Others don’t.

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Insurance Coverage Insurance Compounding Mail-Order Pharmacies 52

STAT

NOVEMBER 2, 2023

Mothers, children, and the disabled clutch passels of documents along the sidewalk. They wait to reauthorize their Medicaid insurance. We would all be healthier if we brought the two lines together. The first line forms every morning before the building opens. Read the rest…

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Documentation Insurance Hospitals 115

STAT

FEBRUARY 27, 2024

antitrust regulators into pharmaceutical industry middlemen has been stymied because the companies have failed to provide many of the documents that, in some cases, were requested as far back as June 2022. A much-anticipated inquiry by U.S.

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Documentation Insurance 145

The Checkup by Singlecare

JUNE 9, 2024

Although Tresiba may be covered by insurance, people without health insurance may bear the full retail cost of the medication. Is Tresiba covered by insurance? Most commercial insurance plans cover Tresiba. How much does Tresiba cost without insurance? A 10 mL vial may cost around $450 without insurance.

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Insurance Insurance Coverage Dosage Independent Pharmacies 72

STAT

NOVEMBER 14, 2023

For more than a year, our reporters have documented how the use of artificial intelligence is driving denial of claims or delaying treatment for seriously ill patients. This latest story goes even deeper, establishing how the denial of claims was by design.

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STAT

JANUARY 30, 2023

The federal government and health insurance companies have been clashing for more than a decade over how Medicare Advantage plans should be audited and how the well-documented overpayments to those plans should be clawed back.

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Health Insurance Companies Insurance Documentation 113

STAT

MAY 17, 2023

Senators warned the country’s largest Medicare Advantage insurers at a hearing on Wednesday that they must abide by Medicare’s coverage rules and cannot rely on algorithms to deny care that patients need. Congress is ramping up its oversight, too.

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Insurance Documentation 111

STAT

JULY 10, 2024

This document is where the government has in the past rolled out changes to the so-called hospital price transparency rule, but the Biden administration did not address the issue in this edition. Since 2021, hospitals have been required to post the prices they have negotiated with all health insurance companies, as well as their cash prices.

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Hospitals Health Insurance Companies Documentation Insurance 128

The Checkup by Singlecare

APRIL 24, 2025

While its an effective drug, Mounjaro may be expensive, even with insurance. How much does Mounjaro cost without insurance? Without insurance, the cost of Mounjaro can vary depending on different factors, such as the pharmacy and location. Does Kaiser cover Mounjaro? The average retail price for a box of four 5 mg/0.5

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Insurance Customer Service Medication Guidelines Insurance Coverage 52

The Checkup by Singlecare

JUNE 5, 2025

More insurance plans are starting to cover Wegovy, although they may be more likely to cover it for cardiovascular risk reduction than for weight loss alone. Wegovy is covered by some insurance providers, including United Healthcare and Kaiser Permanente. Does Kaiser cover Wegovy? You may need prior authorization for Wegovy coverage.

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Insurance Documentation Hospitals FDA 52

STAT

FEBRUARY 23, 2023

attorney general is specifically looking at “communications with AKF, documents relating to donations to the AKF, and communications with patients, providers, and insurers regarding the AKF.” DaVita disclosed the new “civil investigative demand” in its latest annual financial filing to investors.

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Communication Insurance Documentation 98

The Checkup by Singlecare

APRIL 15, 2025

If you want to test out the Zepbound to reduce your body weight , its important to note that getting it covered by your insurance plan can be tricky especially if its for weight loss rather than treating sleep apnea. From my clinical experience, most health insurance plans require pre-authorization to cover Zepbound , said Dr. Makhija.

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Insurance Insurance Coverage Documentation Health Insurance Companies 52

STAT

DECEMBER 29, 2022

The downfall of Aduhelm, the first new treatment for Alzheimer’s disease in two decades, is largely the story of a drug company choosing to maximize its potential profits at the expense of patients and taxpayers, according to a congressional investigation that cites thousands of pages of internal Biogen documents.

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The Checkup by Singlecare

MARCH 10, 2025

But there are several reliable ways to save, even if you dont have insurance. Without help from an insurance company or any other sources, the average retail price of Januvia is around $754 per bottle of 30 tablets. This process could require the healthcare provider to submit documentation that Januvia is necessary.

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Insurance Insurance Coverage Documentation 52

The Checkup by Singlecare

DECEMBER 26, 2023

How much does an MRI cost without insurance? You may have to pay the full price if you don’t have health insurance. How much does an MRI cost with insurance? How much does an MRI cost with insurance? But to ensure that your insurance provider will help cover the costs, you may need to meet your deductible first.

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The Checkup by Singlecare

DECEMBER 31, 2024

According to Dr. Jones, Quviviq may not be covered by your insurance in some instances. Insurance coverage can be tricky, as some health plans may cover a certain medical service or prescription medication, and others may noteven if theyre under the same company. It all depends on how it’s treated by insurance plans.

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The Checkup by Singlecare

DECEMBER 5, 2022

Is naproxen covered by insurance? | How much does naproxen cost without insurance? | How to get naproxen without insurance. Is naproxen covered by insurance? OTC naproxen, like most OTC drugs, is generally not covered by health insurance. How much does naproxen cost without insurance? SingleCare price.

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The Checkup by Singlecare

JANUARY 13, 2025

Is Basaglar Kwikpen covered by insurance? Basaglar Kwikpen is often covered by insurance, but it depends on the specific plan. Eli Lilly and Company , the manufacturer of Basaglar Kwikpen, says that 97% of people who have private insurance pay $0$95 per month, while 86% of Medicare Part D beneficiaries pay the same amount.

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Insurance Insurance Coverage Dosage Documentation 52

The Checkup by Singlecare

APRIL 17, 2025

If you are considering using Saxenda to reduce body weight , you will want to know if your Aetna insurance plan covers this medicine. To find out the most recent coverage information for your specific plan, you can verify details with your insurance plan or healthcare provider. Does Aetna cover Saxenda ? How much does Saxenda cost?

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Insurance Insurance Coverage FDA Documentation 52

The Checkup by Singlecare

JUNE 12, 2024

There are no over-the-counter (OTC) equivalents or comparable alternatives, and insurance coverage of Zepbound can be difficult to navigate for some. Is Zepbound covered by insurance? Insurance coverage of Zepbound and many other weight loss medications may require many steps. How much does Zepbound cost without insurance?

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STAT

MAY 17, 2023

By seeking documents from Zinc Health Services and Ascent Health Services, the agency is attempting to unravel what critics complain is an opaque set of business practices and relationships. Pharmacy benefit managers are linchpins in the pharmaceutical pricing system, and are under increased scrutiny for allegedly driving up consumer costs.

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Documentation Insurance 101

Pharmaceutical Technology

JULY 15, 2022

The documents state that a partnership with a CMO would be cheaper than the state directly manufacturing insulin. In April, the US House of Representatives passed the Affordable Insulin Act, which set a price cap of $35 a month for Medicare and private insurance users.

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The Checkup by Singlecare

SEPTEMBER 7, 2023

Step therapy focuses on using cost-effective treatments for various conditions, which may help save money in the long run for insurance companies and the people they cover. Step therapy is a process used by health insurance companies to manage and control prescription drug costs. Which insurance plans use step therapy?

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The Checkup by Singlecare

MAY 28, 2024

Without insurance, the average retail price for two FreeStyle Libre 2 Sensors is $235. Is FreeStyle Libre 2 Sensor covered by insurance? Most commercial insurance plans cover FreeStyle Libre 2 Sensor, but it depends on the individual plan. How much does a FreeStyle Libre 2 Sensor cost without insurance?

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The Checkup by Singlecare

DECEMBER 31, 2024

Most people who have some type of health insurance receive coverage for Aimovig. says 87% of patients with a commercial insurance plan, Medicare, or Medicaid have coverage for Aimovig. However, Amgen doesnt indicate just how much coverage these insured individuals receive. Does Medicaid cover Aimovig? How much does Aimovig cost?

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