Aetna
~58% first-appeal success when policy criteria documented
HomeInsurance appeals
Carrier-specific appeal templates
GLP-1 insurance appeal templates
10 carriers × 6 drugs = 60 carrier-specific appeal guides. Each cites the carrier’s actual clinical policy bulletin + appeal-letter framing that wins.
Anthem Blue Cross Blue Shield
~52% first-appeal success
Cigna
~49% first-appeal success
UnitedHealthcare
~46% first-appeal success
Humana
~51% first-appeal success
BCBS Federal Employee Program
~63% first-appeal success (high for federal plan)
Kaiser Permanente
~38% first-appeal success (lower; integrated plan)
Express Scripts (PBM)
Varies by sponsoring plan
CVS Caremark (PBM)
~55% first-appeal success (varies by underlying plan)
Medicare Part D
0% for weight indication; ~30% for Wegovy CV-indication