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Biologic Medications and Insurance Plans
Biologic medications may be considered for selected allergic, respiratory or immune conditions after an individualized evaluation. This page connects treatment information with participating plans and clinic contacts.
Care Information
Biologic care through Modena
The care team reviews the diagnosis, disease control, previous treatment and medication-specific criteria before discussing a biologic. Administration location and follow-up depend on the medicine and care plan.
Plan Information
Authorization is medicine- and plan-specific
A participating clinic does not guarantee approval for a particular biologic. Plans may use medical or pharmacy benefits, prior authorization, specialty pharmacies and renewal criteria.
Related Care
Explore biologic medications and insurance plans at Modena
Insurance Directory
Participating plans and medical networks
Open a plan page to see its confirmed Modena clinics and full allergy, testing and treatment information.
AetnaAnthem Blue CrossBanner Health NetworkBlue Cross of California and Blue Cross Blue Shield of ArizonaBlue Shield of California / FEPBlue Zone Health Network of California (IPA)CignaDataTrust – Greater Tri-Cities (IPA)First HealthHealth NetHumanaMedicareOptum CaliforniaOptum Care Network – SDPMG IPAOptum Monarch (IPA) / Medical Group NetworkOptum ServePerlman Medical Group – San DiegoPhoenix Physicians IPAPrime Health ServicesSCAN Health PlanScripps Coastal Medical Group IPAScripps Health PlanScripps Mercy Physician Partners (SMPP) IPASharp Community Medical Group and Inland NorthSouth Bay Independent Physicians Medical Group (SBIP)TriWest – TRICARETriWest Alliance VA Community Care NetworkUCSD Healthcare NetworkUMRUnitedHealthcareXiMED – Health Excel Medical Group and IPA
Clinic Information
Connect plan information with a clinic
Clinic pages contain the current local insurance list and direct office phone. Confirm service availability with the selected location.
La Jolla, CA 92037
858-260-2977 View La Jolla clinic
Solana Beach, CA 92075
858-392-8660 View Solana Beach clinic
Torrance, CA 90505
310-833-1334 View Torrance clinic
Long Beach, CA 90808
562-496-4749 View Long Beach clinic
Vista, CA 92083
760-941-4444 View Vista clinic
Coronado, CA 92118
619-704-7577 View Coronado clinic
Chula Vista, CA 91914
619-704-7577 View Eastlake clinic
Hacienda Heights, CA 91745
626-810-5450 View Hacienda Heights clinic
Scottsdale, AZ 85254
480-581-4877 View Scottsdale clinic
San Gabriel, CA 91776
626-284-3400 View San Gabriel Valley clinic
Grayhawk / North Scottsdale, AZ
21803 N Scottsdale Rd., Suite 200Scottsdale, AZ 85255
480-500-1902 View North Scottsdale clinic
Huntington Beach, CA 92647
714-848-8585 View Huntington Beach clinic
Dupixent Insurance Review and Care Coordination
A discussion about Dupixent approval begins with the exact plan and the therapy recommended by the clinician. Network participation, prior authorization and any pharmacy arrangements are separate administrative questions. A medicine being recommended does not guarantee a plan's authorization.
| Question | Who can clarify it |
|---|---|
| What clinical treatment is being proposed? | The prescribing clinician |
| Which authorization requirements apply? | The insurer, with clinic coordination |
| Are records needed from another office? | The clinical team handling the request |
| Is a particular pharmacy involved? | The insurer and clinic for the specific plan |
| How will the patient receive an update? | The team coordinating the request |
Does Modena's insurance participation guarantee approval?
No. Coverage varies by plan, provider, location and service. Confirm the details of the proposed care with the clinic and insurer.
Where can I discuss the medicine itself?
The Dupixent questions article helps organize a specialist conversation. Clinical suitability and insurance review should be explained as separate decisions.
Insurance FAQ
Biologic Medications and Insurance Plans questions
Does Modena accept insurance for biologic medications?
Modena participates with multiple insurance plans and medical networks. Participation varies by clinic and exact plan product, so use the carrier directory and clinic-specific insurance blocks for current information.
Does a participating insurance plan guarantee coverage?
No. Participation and benefits are different. The exact plan determines referral, authorization, medical-necessity, deductible and patient-responsibility rules for each service.
How do I choose the correct Modena clinic?
Open the clinic page for its address, providers, service directory, participating-plan list and direct phone number. Service availability can vary by location.
What should I tell the clinic when I call?
Share the exact plan name from the member ID card and the service you are scheduling. The clinic can confirm current participation and appointment availability.
Choose a Clinic
Choose the clinic connected with your care
Open a location for its providers, services, participating plans, address and direct phone number.
Appointments & Insurance
Scheduling made easy for your experience.
We work with many major insurance carriers.
Don’t see your carrier?
Insurance participation varies by plan, provider, network, and location. Please contact our team with your insurance card to confirm current participation. View participating plans.
Ready to schedule?
Call us or submit an online appointment request.
Have questions about insurance?
Have your insurance card ready and our team can help confirm current participation.
Is this a medical emergency?
Call 911 and follow your prescribed emergency action plan. Please do not use this form for emergencies.
Request an AppointmentLive Well
Request a consultation with our team.
