Topic

UnitedHealthcare (UnitedHealth Group)

A collection of 1140 issues

Complete Guide to Getting Sylvant (Siltuximab) Covered by UnitedHealthcare in Georgia: Requirements, Appeals, and Timeline

Answer Box: Getting Sylvant Covered by UnitedHealthcare in Georgia Fastest path to approval: UnitedHealthcare requires prior authorization for Sylvant (siltuximab) with strict HIV-negative and HHV-8-negative testing requirements. Submit complete documentation through the UnitedHealthcare Provider Portal within 1-5 days for standard approval. If denied, Georgia residents have 180 days for internal
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Lowering Out-of-Pocket Costs for Bylvay (odevixibat) with UnitedHealthcare in Texas: Copay Assistance, Tiering Exceptions & Financial Aid

Quick Answer: Reducing Your Bylvay Costs in Texas Bylvay (odevixibat) costs $14,152-$44,562 monthly with UnitedHealthcare, but multiple cost-reduction strategies exist. Commercially insured patients can access IPSEN CARES copay assistance (potentially $0 copay), while Medicare/Medicaid patients need foundation grants. Key steps: 1) Apply for IPSEN CARES immediately,
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How to Get Arikayce (Amikacin Liposome Inhalation) Covered by UnitedHealthcare in North Carolina: Prior Authorization Guide & Appeal Scripts

Answer Box: Getting Arikayce Covered by UnitedHealthcare in North Carolina Eligibility: Arikayce requires UnitedHealthcare prior authorization for adults with refractory MAC lung disease who remain culture-positive after ≥6 months of combination therapy. Fastest path: Submit PA through UHC provider portal with documented treatment failure, positive cultures, and pulmonologist/ID specialist
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The Requirements Checklist to Get Vigabatrin (Sabril) Covered by UnitedHealthcare in North Carolina: REMS, Prior Auth & Appeals Guide

Answer Box: Your Path to Vigabatrin Coverage Getting Vigabatrin covered by UnitedHealthcare in North Carolina requires three critical steps: REMS program enrollment for prescriber/patient/pharmacy, prior authorization with step therapy documentation, and specialty pharmacy dispensing. Start today by confirming your prescriber is enrolled in the Vigabatrin REMS program and
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UnitedHealthcare Coverage for Koselugo (Selumetinib) in Florida: Prior Authorization Requirements and Appeal Process

Answer Box: Getting Koselugo Covered by UnitedHealthcare in Florida UnitedHealthcare requires prior authorization for Koselugo (selumetinib) in Florida, with automatic approval for patients under 19 years old who meet clinical criteria. Your fastest path to approval: (1) Ensure you have a confirmed NF1 diagnosis with symptomatic, inoperable plexiform neurofibromas, (2)
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How to Get Myalept (metreleptin) Covered by UnitedHealthcare in California: Complete Prior Authorization and Appeals Guide

Answer Box: Getting Myalept Covered by UnitedHealthcare in California Myalept (metreleptin) requires prior authorization from UnitedHealthcare for generalized lipodystrophy treatment. Your endocrinologist must submit documentation proving generalized lipodystrophy diagnosis, leptin deficiency, metabolic complications, and REMS program enrollment. If denied, California's Independent Medical Review (IMR) offers a 60-70% success
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Lowering Out-of-Pocket for Poteligeo (Mogamulizumab) with UnitedHealthcare in California: Copay, Tiering & Assistance

Answer Box: Getting Poteligeo Covered by UnitedHealthcare in California Poteligeo (mogamulizumab) requires prior authorization from UnitedHealthcare and is typically placed on the highest specialty tier with 40% coinsurance. The fastest path to approval: 1) Confirm your CTCL diagnosis and prior systemic therapy failures with your oncologist, 2) Submit PA through
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How to Get Tepezza (Teprotumumab) Covered by UnitedHealthcare in Georgia: Prior Authorization Guide and Appeal Process

Answer Box: Getting Tepezza Covered by UnitedHealthcare in Georgia UnitedHealthcare requires prior authorization for Tepezza (teprotumumab) with specific criteria: moderate-to-severe thyroid eye disease diagnosed by an ophthalmologist/endocrinologist, euthyroid status, documented corticosteroid trial or contraindication, and Clinical Activity Score ≥3. Fastest path: Have your specialist submit a complete PA request
6 min read