Insurance and billing, made simple.

Insurance plans we work with

TheraVite is in-network or pursuing in-network status with the following payors. Many specialty pharmacy and infusion therapies are also covered out-of-network — we will tell you exactly what your plan covers before your first appointment.

Commercial

• Anthem Blue Cross Blue Shield of Connecticut
• Aetna
• Cigna
• UnitedHealthcare
• ConnectiCare
• Oxford Health Plans

Government

• Medicare Part B (medical benefit infusion drugs)
• Medicare Part D (specialty pharmacy, post-URAC accreditation)
• Connecticut Medicaid (post-credentialing)

Pharmacy Benefit Managers (PBMs)

• CVS Caremark (post-URAC)
• Express Scripts / Accredo (post-URAC)
• OptumRx (post-URAC)
• Prime Therapeutics (post-URAC)

Several PBM specialty network credentials are pending URAC Specialty Pharmacy accreditation, expected in late 2027. Patients with PBM coverage in transition will have access via our infusion center for medical-benefit therapies during this period.

How billing works

The TheraVite billing process is designed to eliminate surprises:

1. Benefits verification — we contact your insurer before your first appointment to confirm coverage, prior authorization requirements, deductible status, and your expected out-of-pocket cost.
2. Pre-treatment estimate — we tell you your expected cost in writing before your first appointment. You decide whether and when to proceed.
3. Direct billing — we bill your insurance directly. You never see a bill for the insurance-covered portion.
4. Patient statement — you receive a statement only for your patient responsibility (deductible, copay, or coinsurance), typically within 30 days of treatment.
5. Payment options — we accept major credit cards, HSA/FSA, ACH, and offer payment plans for high-deductible patients.

Financial assistance

Specialty therapy can be expensive even with good insurance. TheraVite’s patient care coordinators help every patient access available financial support:

• Manufacturer copay assistance programs — most specialty drug manufacturers offer copay cards that reduce patient responsibility to $0 to $25 per dose for commercially insured patients
• HSA / FSA accepted for both treatment costs and prescription copays
• Payment plans for patients with high deductibles or coinsurance, with no interest if paid within 12 months
• Foundation grants — we help uninsured and underinsured patients apply to disease-specific foundations (Patient Access Network, HealthWell Foundation, Patient Advocate Foundation, and disease-specific foundations)

Pay your bill

Pay online (link to be activated post-launch), by phone at Coming soon, or by mail to Danbury, CT.