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Everything you need to know about how Cove Health advocates for you — the service, the process, pricing, privacy, and more.

Getting started

The basics of what Cove Health is and how to begin.

What exactly is Cove Health? +
Cove Health is a health technology company and the pioneer of a new category we call Healthcare Advocacy as a Service (HaaS). You upload your medical records and tell us the issue you're facing — a denied medication, a prior-authorization roadblock, or a "not medically necessary" decision. Our proprietary AI software analyzes your case, a licensed physician reviews it, and if it has merit, they draft a rigorous advocacy letter citing the relevant facts and applicable healthcare guidelines, then send it to the party you designate on your behalf.
Why would I need an advocate? +
The healthcare system is complex by design. Insurance plans carry endless variability and nuance, providers are buried in day-to-day care, and denials are often issued by opaque committees far from anyone who knows your story. Between the plan and the practice, the one person truly invested in your outcome is you. Cove Health puts a qualified medical professional firmly in your corner.
How do I get started? +
Click Sign up, create an account, securely upload your records, and tell us who we should advocate to. A licensed physician takes it from there. Have questions first? Email us at info@covehealth.net.
What information do I need to provide upfront? +
At minimum: your relevant medical records, a copy of the denial or issue you're dealing with (if one exists), and the name of the party you'd like us to contact — your insurance plan, another physician, a government body, or a workplace program. The more complete your records, the stronger the advocacy we can build.
I didn't receive my verification code. What should I do? +
First, check your spam or junk folder— verification emails sometimes get filtered there. If you still don't see it after a few minutes, click "Resend code" in the verification screen. If you continue to have trouble, email us at info@covehealth.netand we'll help you get started.

The process

From upload to a physician-signed letter.

Who actually reviews my case and writes the letter? +
A licensed physician, working hand in hand with our proprietary AI software. The AI surfaces and structures the most relevant guidelines, administrative-hearing outcomes, and regulatory findings; the physician then reviews your records, decides whether your case has merit, and signs the letter. It's a deliberate blend of artificial and human intelligence — the AI assists, the physician decides.
What is the "Cove Health engine"? +
It's our proprietary AI software that continuously draws from a living database of relevant cases, local administrative hearings, hospital commission findings, and regulatory material. Because healthcare rules change constantly, the engine keeps every letter current and well-supported — so your argument is sharp and difficult to wave away. It blends machine reach with human discernment, always working in service of a physician's judgment, never in place of it.
How long does the process take? +
Timelines depend on the complexity of your case and how complete your records are. Once we have what we need, physician review and letter drafting move quickly. For urgent clinical situations, we flag the matter for expedited handling and note that urgency in the letter itself.
Who can the letter be sent to? +
Wherever advocacy is needed. Most commonly your insurance plan, but also another physician, a government body, or a workplace program. You designate the recipient, and we direct the letter accordingly.
Can I see examples of your letters? +
Yes — visit our sample letters for illustrative examples covering a medical-necessity appeal, a prior-authorization request, and a step-therapy / formulary exception. They show the format and substance you can expect.
What happens after the letter is sent? +
The receiving party reviews and responds according to its own process and timelines. If you're a member, we can help track the matter and follow up. If a first response isn't favorable, we can discuss next steps, including further levels of appeal or independent review where available.

Pricing & billing

Simple, honest, and upfront.

What does Cove Health cost? +
A single case is a flat $100— covering physician review, one fully drafted and guideline-cited advocacy letter, and delivery to the party of your choice. If you're managing multiple issues, our Cove Membership is $29.99/ month and includes ongoing advocacy, priority review, and unlimited letters while subscribed.
Which option is right for me? +
If you have a single, discrete issue — one denial, one prior authorization — the $100 flat fee is usually the most straightforward choice. If you're juggling several ongoing issues across plans or providers, the monthly membership tends to deliver more value and continuity.
Can I cancel my membership anytime? +
Yes. The membership is month-to-month with no long-term commitment. You can manage or cancel it from your account at any time.
Does the fee guarantee my issue will be resolved in my favor? +
No. The fee covers the advocacy work — physician review and a rigorous, guideline-cited letter. The decision itself rests with the party receiving the letter, and no honest service can guarantee an outcome.

Scope & limits

What we do — and what we don't.

Is Cove Health a law firm? +
No. Cove Health provides non-legal patient advocacy and adjudication support — we push, in a non-legal capacity, for what health plans are duly required to provide. We are not a law firm, we do not provide legal advice, and we do not represent you in legal proceedings. For legal representation, consult a licensed attorney.
What kinds of issues do you handle? +
We focus on prior authorizations, medication coverage, and denials of "medical necessity." If you're unsure whether your situation fits, email info@covehealth.netand we'll let you know candidly.
Do you guarantee my denial will be overturned? +
No one can honestly guarantee an outcome — decisions rest with the plan or body receiving the letter. What we stand behind is a rigorous, physician-reviewed advocacy letter built on the strongest available facts and authorities. If, on review, we don't believe your case has merit, we'll tell you candidly before proceeding.
What if you decide my case doesn't have merit? +
We'll tell you directly and explain why. We'd rather be honest than send a letter we don't believe in. Where possible, we'll point you toward other avenues that may better fit your situation.
Do you replace my doctor? +
No. We complement your care team. Your treating physicians continue to direct your medical care; our role is to advocate — citing facts and authority — so the case for the care they recommend is put on the record in full.

Privacy & records

Your information, handled with care.

How is my medical information protected? +
Your records are uploaded securely and used only to review and advocate for your case. You designate exactly who we may contact on your behalf, and we share your information only as needed to advance the matter you've authorized.
Who sees my records? +
The licensed physician reviewing your case and the limited team supporting that review. We don't share your records beyond what's required to advance the specific matter you've authorized.
Can I control who you contact? +
Absolutely. You designate the recipient of every advocacy letter. We act only on the authorization you provide.
I still have a question — how do I reach you? +
Email us anytime at info@covehealth.net. We're glad to help.

Ready to put a physician in your corner?

Upload your records, tell us who to reach, and let us make your case.