Check your UnitedHealthcare plan’s formulary to confirm Viagra coverage. Coverage varies significantly by plan.
If your plan requires prior authorization, follow these steps:
- Obtain a prescription: Your doctor must write a prescription for Viagra. Contact UnitedHealthcare: Call the number on your insurance card or use their online member portal. Confirm prior authorization requirements for your specific plan. Gather necessary information: UnitedHealthcare may request medical records, detailed information about your condition, and treatment history. Provide this promptly. Submit your request: Follow the instructions provided by UnitedHealthcare for submitting the prior authorization request. This may involve using online forms or faxing documents. Track your request: Regularly check the status of your request through the member portal or by contacting UnitedHealthcare.
Factors influencing approval include:
Medical necessity: Your doctor must convincingly demonstrate the medical need for Viagra. Treatment history: Prior attempts at other treatments may influence approval. Specific plan details: Your specific UnitedHealthcare plan dictates its criteria.
Expect delays. Prior authorization can take several days, or even weeks. Plan accordingly.
If your prior authorization is denied, you can appeal the decision. Contact UnitedHealthcare’s appeals department for specific instructions. Clearly state your reasons for appeal and provide supporting medical documentation.
