Coverage Exception

Last 30 days

Uptime

100%

Response time

171 ms typical, 171 ms slowest 5%

Last check

4 h ago

Next check

in 2 h

How to call it

Add it to any MCP client that supports remote servers.

{
  "mcpServers": {
    "coverage-exception": {
      "type": "http",
      "url": "https://insurewith.ai/mcp"
    }
  }
}

2 tools

• medicare_part_d_out_of_pocket_cap

  Project month-by-month Medicare Part D out-of-pocket spending against the statutory annual cap, identify the month the cap is reached, quantify what the cap itself saves, and compare normal payment timing against the Medicare Prescription Payment Plan — which spreads the SAME tot

• medicare_coverage_restriction_and_exception

  For a drug on Medicare Part D, name the coverage problem — covered, prior authorization, step therapy, quantity limit, or not on formulary — and give the exception and appeal path with the CMS-named levels of appeal, who must submit the request, and what to ask the plan and the p

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