Felix can help if your insurance provider requires additional information, in the form of a special authorization insurance form, before insurance coverage can be approved and your medication costs covered!
Important items to note:
The completion of insurance or medical forms is at the discretion of your prescribing healthcare practitioner.
There is a $25 fee per page that is completed.
Completion of the form does not guarantee approval by your insurance provider.
It’s important that you carefully review all eligibility criteria listed on your form to confirm your qualification.
*Your healthcare practitioner will complete the insurance form using only healthcare information available in Felix’s records, and it must pertain to treatment provided at Felix.
If you agree to the associated charges, please collect and complete the special authorization form from your insurance provider (as a PDF file).
Ensure that:
All primary patient information is filled out, signed, and dated by you!
Practitioner / medical sections are left blank
You've indicated whether this is an initial insurance coverage request or a renewal coverage request.
Once the forms are sent through to Felix's Patient Support team, they will forward them to your healthcare practitioner to review and complete.
*Due to high volume, the current turnaround time for form completion is about 3-5 business days.