08/19/2026
Insurance says you must try another medication first. There's a name for that: step therapy.
Step therapy means trying one or more plan-preferred medications before the insurer will consider covering a different option.
But what if you've already tried them? What if they weren't effective, caused side effects, or aren't appropriate for you?
That history needs to be clearly documented and submitted to the insurer. Which is paperwork. Which is our department.
At Balto Health, our doctors provide your personalized medical care, and our insurance team takes on the step-therapy documentation, prior authorizations, appeals, and every other coverage barrier in between.
Coverage outcomes vary and cannot be guaranteed.