The Honest Care was developed after collaboration amongst leading obesity doctors and endocrinologists, including clinicians who specialize in prescribing GLP-1s in both in-person and telehealth settings, and veteran health technologists with nearly thirty years of combined experience building clinical, prescription and insurance navigation tools in healthcare.

Our team reviews every assessment, supporting evidence report, and writes appeal letters personally for each customer. This process usually takes us 1 to 2 business days from the day you complete your assessment with us.

No, Honest Care is not a telehealth company and does not prescribe GLP-1s or any other medications. Our mission is to empower individuals facing challenges in securing health insurance coverage for weight-related medication. We are dedicated to providing support and assistance to ensure everyone has access to the necessary treatments for their well-being.

An insurance appeal is a formal request you make to your insurance company, asking them to reconsider a decision about your claim. This could be when they've denied your claim, not paid enough, or made a decision you disagree with. The appeal is your chance to argue your case, showing them why their decision should be different. It involves submitting a well-structured letter, along with any supporting evidence like medical records or repair estimates, to make your case stronger.

An insurance appeal letter is your way of asking the insurance company to reevaluate a decision, such as a denied claim. It's essentially your argument in writing, explaining why you believe their decision should be different. This is a common document patients can use to advocate for themselves with their insurance to cover their medical costs even prior to being denied for a treatment.

This letter will include your policy details, specific decision you disagree with, and provide solid reasons and evidence (like weight loss efforts, past and present medications, labs, receipts etc) for your appeal. The letter should be clear, concise, and respectful, ending with a specific request for what you want your insurance to do.

You can submit an appeal letter directly to your insurance or through your health care provider as part of your insurance appeal process.

Insurance supporting evidence is the documentation or information you provide to back up your claim or appeal with your insurance company. It's the proof that supports your case, like medical history, diet and exercise efforts, medication history, or relevant medical studies. This evidence is crucial because it shows the insurance company why they should approve your claim or reconsider a decision they've made.

We provide 3 types of supporting insurance evidence. (1) Appeal Evidence (2) Prior Authorization Evidence (3) Step Therapy Exclusion Evidence. Read about each one in the FAQ questions below.

Appeal evidence for health insurance is the information you provide when you disagree with your insurer's decision about a claim or coverage. This could include detailed medical records, letters from your doctor explaining the necessity of a treatment, or information about how a treatment is standard for your condition. This evidence is crucial for challenging a denial or underpayment of a claim. Our role is to help you gather and present this evidence effectively, ensuring it clearly supports your need for the treatment or service claimed.

Prior authorization evidence is required when your health plan needs you to get approval before it covers certain medications or procedures. This evidence typically includes medical records, lab results, and a detailed rationale about why this specific medication or procedure is necessary for your condition. Our service involves assisting you in compiling comprehensive and relevant documentation to justify the medical necessity, aiming to secure approval from your insurance company for the required treatment.

Step therapy exclusion evidence is used when you need to bypass the 'step therapy' protocol of your insurance plan. This protocol usually requires trying less expensive treatments before more costly ones are approved. Exclusion evidence might consist of medical records showing previous treatment attempts and failures, clinical data indicating why standard treatments are unsuitable or harmful for you, and detailed explanations about the necessity of the specific, often more expensive, treatment. We help you collect and organize this evidence to make a compelling case to your insurer that the standard step therapy process is not appropriate for your situation, thereby aiming for an exemption.

Honest Care will NOT share your assessment or results with anyone but you. You are the only person that can share the results of your assessment. We do not sell data to third-parties.