Gene-based therapies are eligible for coverage under the medical benefit.
They require precertification approval from Independence. Each therapy has
its own medical policy that lists the criteria our members must meet for coverage.
Advanced Network for Gene-Based Therapeutics
We have established an Advanced Network for Gene-Based Therapeutics
to help members get the best clinical results from these therapies.
Independence members who meet medical policy criteria will be approved to receive gene-based
therapies in the following Advanced Network facilities:
These hospitals have reputations for exceeding quality, safety, and value benchmarks. In addition,
their staff are trained in the recommended protocols established by the manufacturer to get the
best possible results. The Advanced Network has the capability to support both adult and
pediatric patients.Independence works closely with these hospitals to ensure that they provide
complete care that centers around the patient.
Extra support for members
Living with a genetic condition can be challenging. We have Registered Nurse Health Coaches available to provide extra support.
They can assist with every every step of the process, from diagnosis to post-treatment. Our dedicated team is trained to answer
member questions, empower member decision-making, and facilitate connections between members and our Advanced Network specialists care team.