Topic

UnitedHealthcare (UnitedHealth Group)

A collection of 1142 issues

Getting iLink® Corneal Cross-Linking Covered by UnitedHealthcare in North Carolina: Complete Appeals Guide

Quick Answer: Your Path to Coverage UnitedHealthcare commercial plans in North Carolina cover iLink® corneal cross-linking for progressive keratoconus when medical necessity criteria are met. Start with a prior authorization request through your ophthalmologist, including corneal topography showing progression and documentation of failed conservative treatments. If denied, you have 180
7 min read

Getting Gamifant (Emapalumab-lzsg) Covered by UnitedHealthcare in California: Prior Authorization, Appeals, and Cost Assistance

Answer Box: Quick Path to Gamifant Coverage To get Gamifant (emapalumab-lzsg) covered by UnitedHealthcare in California: First, gather complete HLH-2004 diagnostic documentation and evidence of conventional therapy failure. Submit prior authorization through the UnitedHealthcare provider portal with detailed medical necessity letter. If denied, file internal appeal within 60 days, then
6 min read

How to Get Elelyso (Taliglucerase Alfa) Covered by UnitedHealthcare in Michigan: Prior Authorization, Appeals, and Cost-Saving Strategies

Quick Answer: Getting Elelyso Covered by UnitedHealthcare in Michigan To get Elelyso (taliglucerase alfa) covered by UnitedHealthcare in Michigan, you'll need prior authorization through OptumRx with documentation of confirmed Gaucher disease diagnosis, specialist prescription, and consideration of preferred alternatives. If denied, Michigan patients have strong appeal rights including
6 min read

How to Get Vigabatrin (Sabril) Covered by UnitedHealthcare in Pennsylvania: Prior Authorization, Appeals, and REMS Requirements

Answer Box: Getting Vigabatrin Covered by UnitedHealthcare in Pennsylvania UnitedHealthcare requires prior authorization for vigabatrin (generic and brand Sabril) in Pennsylvania, along with REMS program enrollment and vision monitoring documentation. Most common denials involve missing REMS enrollment or inadequate step therapy documentation. First step today: Ensure your prescriber is enrolled
6 min read

Renewing Increlex (Mecasermin) Approval with UnitedHealthcare in Florida: Complete Timeline & Documentation Guide

Answer Box: Renewing Increlex Approval in Florida UnitedHealthcare requires annual renewal for Increlex (mecasermin) with specific growth documentation. Submit renewal requests 2-4 weeks before your current authorization expires. Required: growth velocity ≥2 cm/year, updated IGF-1 labs, confirmation that final adult height hasn't been reached, and absence of
5 min read

How to Get Onpattro (Patisiran) Covered by UnitedHealthcare in Illinois: Complete Guide with Appeals Process

Quick Answer: Getting Onpattro Covered by UnitedHealthcare in Illinois Yes, UnitedHealthcare covers Onpattro (patisiran) in Illinois with prior authorization for hereditary transthyretin-mediated amyloidosis polyneuropathy (hATTR-PN). The fastest path: (1) Ensure genetic testing confirms pathogenic TTR variant, (2) Get neurologist evaluation with staging (PND ≤IIIb or FAP Stage 1-2), (3) Submit
6 min read