Our WORK & STORIES COVERED IN
Insurance said no? Appeal the decision and get covered
Evidence-backed appeals tailored to your unique situation.
New prescription denied?
We’ll handle your appeal so you can begin your weight loss or diabetes treatment.
Need to renew coverage?
We tailor appeal for continuation cases to maintain access without interruption.
Compound not an option?
We’ll build a strong case for FDA-approved coverage — so you're not stuck paying out of pocket.
Insurer forcing a switch?
Our appeals are targeted to keep you on the treatments that work for you.
Weight reduction, Type 2 Diabetes and more
WEGOVY
Obesity
Heart Disease
MONTHLY
Out-of-pocket: $499
✅ covered
ZEPBOUND
Obesity
Sleep Apnea
MONTHLY
Out-of-pocket: $499
✅ covered
MOUNJARO
Type 2 Diabetes
MONTHLY
Out-of-pocket: $499
✅ covered
OZEMPIC
Kidney Disease
Type 2 Diabetes
Heart Disease
MONTHLY
Out-of-pocket: $1,030
✅ covered
How Claimable helps
you win appeals
You tell us what happened
Answer simple questions about your insurance, denial, health history, and how it’s affected your life. Scan or upload documents to save time.
We build your appeal
Claimable combines your story with expert-backed evidence from clinical, legal, and policy data — generating a custom appeal in minutes.
You review and approve
Preview your appeal and make edits. Need help? Our appeal specialists are here if you have questions.
We send it to the right people
We suggest key decision-makers and influencers based on your situation. You choose who receives it — and submit instantly.
After experiencing multiple denials...Claimable was suggested to me...and it worked AMAZINGLY well...!!! It was simple to do, right on my phone, and the response was almost immediate. Less than 12 hours later, the denial was overturned and the prescription was renewed, refilled and on it's way to my door. I recommend very enthusiastically...!!!”
Kevin H.
St. Louis, MO
Claimable
appeals work
Why appeal with Claimable?
Patient-led, provider supported
Doing your own appeal puts you in the drivers seat – and offers more legal rights than provider appeals
Evidence-first, zero guesswork
Appeals are complicated. Our proven formula makes sure your appeal includes everything you need to win
Guaranteed delivery, fast responses
Your appeal is faxed instantly to your insurer, getting you an answer in just 72 hours
From start to send in minutes
How to prepare, create, and submit your appeal with Claimable
FAQs and
Resources
When insurance denies coverage for a medication, you can appeal. Appeals happen after your provider prescribes something – typically completing a prior authorization form in advance.
Once you receive a denial letter from your insurance, you can start the appeals process. To learn more about why insurers deny coverage for GLP-1s and the specific tactics we take to fight back, click here.
Creating and sending your appeal with Claimable takes just minutes.
Once you've submitted, your insurer must respond within the review period mandated by applicable laws – ranging from 72 hours for urgent to 30 days for upcoming. We request urgent reviews when appropriate – such as cases where your coverage has been dropped, and you're at risk of a care gap – and typically receive standard appeal decisions within a couple weeks.
Both options can work, but generally we recommend that you appeal with your provider's Letter of Medical Necessity attached. Patient appeals have stronger legal rights, are entitled to multiple appeals, and typically mandate responses on faster timelines.
Claimable can help you challenge initial and continuation coverage denials related to medical necessity, step therapy, forced switches, formulary exclusions, out-of-network care, site-of-care exclusions, and more. Learn more about how we help you fight back.
We currently support Zepbound and Wegovy for obesity and related co-morbidities, and Ozempic, Mounjaro, and Rybelsus for type 2 diabetes.
A strong appeal letter should include the following:
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Your medical results on your current medication (weight loss, symptom control, etc.)
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Any prior medications that you’ve tried and failed
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Specific medical conditions that are treated by your medication (like Zepbound for OSA)
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A letter from your doctor supporting continued use
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Clinical studies, applicable laws and insurance regulations, and precedents from successful appeals with similar cases to yours
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Supporting evidence like lab results, weight logs, dosing history and medical records
Claimable's appeals are custom built to include all of these things, personalized with your specific medical history and situation.
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You have the legal right to a full, fair, and timely appeal reviewed by a qualified (human) clinician — typically within 15 days for GLP-1 denials. If your first appeal is denied, you have the right to keep appealing. Learn more about your appeal rights.