Federal Law Mandates $0 Cost Screening.
Section 2713 of the Affordable Care Act (ACA) prohibits private health insurance plans from charging copays, deductibles, or coinsurance for preventive care. This mandate was designed specifically to ensure that financial friction never prevents a patient from receiving life-saving screenings.
The U.S. Preventive Services Task Force (USPSTF) assigns its highest Grade A recommendation for the prescription of PrEP to adults and adolescents weighing at least 35 kg (77 lb) at increased risk of HIV acquisition. By law, this rating triggers mandatory $0 cost-sharing coverage. If you were billed for PrEP, your insurer likely bypassed federal law. Claimant challenges these 'errors' and secure your refund.
HOW IT WORKS
Three steps to reclaiming your money.
01
The Intake
You upload your EOB or denial notice through our secure intake form. This takes under 5 minutes.
02
The Strategy
Claimant reviews the claim, identifies the applicable statute, and builds a complete appeals package for you.
03
The Appeal
You'll receive a ready-to-send appeals package with all supporting documentation attached. Once you sign, we submit the appeal to the insurer on your behalf and track the process for you.