Services
Navigating Insurance Approvals for Your Medications
Dealing with insurance paperwork can be a frustrating delay when you need to start a new medication. A "prior authorization" is often required by your insurance plan before they will cover certain prescriptions. Our dedicated team is here to manage this process for you, working directly with your doctor and insurance provider to get your medication approved as quickly as possible.
How We Can Help
- Coordination with Your Doctor: We communicate with your prescriber’s office to gather the necessary medical information your insurance company needs.
- Direct Insurance Communication: Our staff takes on the task of submitting the paperwork and following up with your insurance plan on your behalf.
- Keeping You Informed: We believe in clear communication and will let you know the status of the approval so you’re never left wondering.
- Exploring Alternatives: If a medication is not approved, we work with your physician to find an effective, affordable alternative that is covered by your plan.
Let Us Handle the Hassle
Our goal is to make sure you get the treatment you need without the stress of complex insurance hurdles. We see it as a vital part of our commitment to your health and our community-focused care. This service allows your doctor to focus on your health and you to focus on feeling better, while we handle the administrative details.
Get the Support You Need
If you've been told a prescription requires prior approval, don't worry. Bring your prescription to us or call our team at (727) 312-4384. We are ready to assist you.
A prior authorization, sometimes called a "pre-approval," is a process required by insurance companies for certain medications. They require justification from your doctor explaining why a specific drug is medically necessary for you before they will agree to cover the cost.
Insurance plans use prior authorizations to manage costs, often for medications that are expensive, have lower-cost alternatives available, or could be used for conditions not covered by the policy. It is their way of ensuring the prescribed medication is appropriate for your diagnosis.
Our team takes the lead in managing the prior authorization. We contact your doctor's office to initiate the request, submit the required clinical information to your insurer, and handle the follow-up communications, saving you the time and stress of navigating it alone.
Simply bring us your prescription. We will identify the prior authorization requirement and take it from there. Our team will contact your physician directly to obtain the necessary clinical details to submit to your insurance.
The timeline can vary depending on the insurance company and the complexity of the request. It can take anywhere from a few days to over a week. We actively monitor the progress and do everything we can to expedite the approval, keeping you updated along the way.
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