Reimbursement Support

Our dedicated reimbursement support team will help guide you and your patient through the reimbursement process

Contact us at:
484-352-3360 or Reimburse@EnvaraHealth.com

Once you recommend a treatment plan that includes Encala, Envara Health will research available coverage options, help find an in-network supplier, and assist with prior authorizations and/or appeals, if necessary.

Encala is covered by many state insurance plans—
and coverage is always expanding!

A new code has been created and issued for Encala by the Centers of Medicare and Medicaid Services (CMS).  Learn more.

Select your state:

The following plans are covered for your state*:

Alabama Medicaid

*Check with the specific policy’s plan for coverage.

The following plans are covered for your state*:

California Anthem Blue Cross Blue Shield
Partnership HealthPlan of California

*Check with the specific policy’s plan for coverage.

The following plans are covered for your state*:

Anthem Blue Cross Blue Shield of Colorado
United HealthCare Colorado

*Check with your specific policy’s plan for coverage.

The following plans are covered for your state*:

Ambetter Sunshine HMO of Florida
Florida Blue Cross Blue Shield
Florida Cigna
Florida Managed Medicaid
Florida United Healthcare

*Check with the specific policy’s plan for coverage.

The following plans are covered for your state*:

Idaho Medicaid

*Check with the specific policy’s plan for coverage.

The following plans are covered for your state*:

Illinois Cigna

*Check with the specific policy’s plan for coverage.

The following plans are covered for your state*:

Iowa Blue Cross Blue Shield
Iowa Managed Medicaid

*Check with the specific policy’s plan for coverage.

The following plans are covered for your state*:

Kentucky Managed Medicaid

*Check with the specific policy’s plan for coverage.

The following plans are covered for your state*:

MaineCare Medicaid

*Check with the specific policy’s plan for coverage.

The following plans are covered for your state*:

Michigan Blue Cross Blue Shield
Michigan Managed Medicaid
Michigan Medicaid
Michigan United Healthcare

*Check with the specific policy’s plan for coverage.

The following plans are covered for your state*:

Mississippi Managed Medicaid
Mississippi Medicaid

*Check with the specific policy’s plan for coverage.

The following plans are covered for your state*:

Nevada Managed Medicaid
Health Plan of Nevada

*Check with the specific policy’s plan for coverage.

The following plans are covered for your state*:

New Jersey Horizon Blue Cross Blue Shield

*Check with the specific policy’s plan for coverage.

The following plans are covered for your state*:

New York Aetna
New York Managed Medicaid
Empire Blue Cross Blue Shield New York

*Check with the specific policy’s plan for coverage.

The following plans are covered for your state*:

North Carolina United Healthcare

*Check with the specific policy’s plan for coverage.

The following plans are covered for your state*:

CareSource Ohio
Ohio Medicaid

*Check with the specific policy’s plan for coverage.

Oklahoma Medicaid

*Check with the specific policy’s plan for coverage.

The following plans are covered for your state*:

South Carolina Managed Medicaid

*Check with the specific policy’s plan for coverage.

The following plans are covered for your state*:

Amerigroup Tenncare Medicaid
Tennessee Blue Cross Blue Shield
Tennessee United Healthcare

*Check with the specific policy’s plan for coverage.

The following plans are covered for your state*:

Texas Aetna
Texas Blue Cross Blue Shield
Texas Managed Medicaid

*Check with the specific policy’s plan for coverage.

MVP Health Care, Managed Medicaid

*Check with your specific policy’s plan for coverage.

The following plans are covered for your state*:

Virginia Anthem Blue Cross Blue Shield
Virginia Blue Cross Blue Shield
Virginia Cigna
Virginia Managed Medicaid

*Check with the specific policy’s plan for coverage.

The following plans are covered for your state*:

Wisconsin Anthem Blue Cross Blue Shield

*Check with the specific policy’s plan for coverage.

If your plan is not listed, call us at 484-352-3360 to find out how to secure coverage.

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More coverage assistance options

In addition to insurance coverage, there are other resources that may provide cost assistance, including:

  • HealthWell Foundation®–Cystic Fibrosis Vitamins and Supplements Fund
    HealthWell’s Cystic Fibrosis Vitamins and Supplements Fund is designed to assist eligible people living with cystic fibrosis with the full or partial cost-shares associated with vitamins and supplements.
    Visit the Cystic Fibrosis Vitamins and Supplements Fund website to learn more.
  • TRICARE®+
    Tricare is a national health insurance program for military members, their families, and retirees. If you are insured by Tricare, you may receive cost assistance for Encala.
    +Tricare is a registered trademark of the US Department of Defense, Defense Health Agency.
  • WIC±
    This nationwide program provides food and nutritional support for mothers and children.
    For more information about financial assistance through WIC, visit the WIC website or check with your state WIC program.
    ±WIC is a registered service mark of the US Department of Agriculture for USDA’s Special Supplemental Program for Women, Infants, and Children.

Suppliers currently offering Encala

We’re adding new suppliers often—please check for the latest information.

National partner.

Get started now

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Complete and sign the reimbursement support form

Electronic signatures are acceptable

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Email the signed, completed form to: Reimburse@EnvaraHealth.com

The signed, completed form can also be faxed to: 484-930-0761

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If your patient’s health insurance covers Encala, we’ll help identify an in-network supplier and submit an insurance claim on your patient’s behalf

If their health insurance doesn’t cover Encala, we’ll help your patient identify other payment options for Encala.

Can we help?

Contact the Encala Reimbursement Support team

Monday – Friday
9:00 AM – 7:00 PM ET
484-352-3360
Reimburse@EnvaraHealth.com

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