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Is EndeavorRx Covered by Insurance?

EndeavorRx Covered by Insurance


EndeavorRx is a digital therapeutic software designed to help children with ADHD (Attention Deficit Hyperactivity Disorder) improve their cognitive abilities. The software is developed by Akili Interactive, a digital medicine company that creates prescription digital therapeutics. The use of EndeavorRx requires a prescription from a healthcare provider. But the question remains, is EndeavorRx covered by insurance?

In this article, we will explore the coverage of EndeavorRx by insurance companies, the cost of the software, and other related information.

What is EndeavorRx?

EndeavorRx is an FDA-approved digital therapeutic software that uses a gaming format to improve cognitive abilities in children with ADHD. The software is based on neuroscientific research and is designed to engage children in a game-like environment that challenges their cognitive skills, including attention, working memory, and impulse control.

The software is played on a mobile device and is tailored to each child's unique abilities, making it an effective and personalized treatment option for ADHD.

Is EndeavorRx Covered by Insurance?

The answer to this question varies depending on the insurance provider. Some insurance companies do cover EndeavorRx as a form of treatment for ADHD, while others do not. It is essential to check with your insurance provider to determine if they cover the cost of EndeavorRx.

To ensure insurance coverage, it is necessary to have a prescription from a healthcare provider. The prescription should include the diagnosis of ADHD and a recommendation for EndeavorRx as a treatment option.

What is the Cost of EndeavorRx?

The cost of EndeavorRx varies depending on several factors, including insurance coverage and the child's age. The software's list price is $1,200, but insurance coverage and discounts may reduce the cost.

Some insurance providers may cover the entire cost of EndeavorRx, while others may require the patient to pay a portion of the cost. The out-of-pocket cost for the software may range from $20 to $250.

Akili Interactive offers a Patient Assistance Program for families who cannot afford the cost of EndeavorRx. The program provides financial assistance to eligible families to cover the cost of the software.

FAQs:

What is ADHD?

ADHD is a neurodevelopmental disorder that affects attention, impulsivity, and hyperactivity.

How effective is EndeavorRx in treating ADHD?

EndeavorRx has been shown to improve cognitive abilities in children with ADHD in clinical studies.

How long does it take to see results with EndeavorRx?

The duration of treatment varies depending on the child's needs, but improvements in cognitive abilities may be seen after several weeks of using the software.

Can EndeavorRx be used in conjunction with other ADHD treatments?

EndeavorRx can be used in combination with other ADHD treatments, including medication and behavioral therapy.

Is EndeavorRx available outside the United States?

EndeavorRx is currently only available in the United States.

Conclusion:

EndeavorRx is a digital therapeutic software designed to improve cognitive abilities in children with ADHD. The software is an effective treatment option for ADHD, but insurance coverage varies depending on the insurance provider. It is essential to check with your insurance provider to determine if they cover the cost of EndeavorRx. The cost of EndeavorRx ranges from $20 to $250, depending on insurance coverage and discounts. Akili Interactive offers a Patient Assistance Program for families who cannot afford the cost of EndeavorRx.