Scripts + tactics for negotiating telehealth pricing, prior auth appeals, lab discounts. Can save hundreds to thousands annually.
Tactic: Annual prepay discount
“"I'm interested in the annual plan. Do you offer a discount versus monthly? I've seen 15-20% on similar platforms."”
Reported success rate: ~40% of brands offer 10-20% annual discount
Tactic: Medical necessity letter + appeal
“"My provider will submit a medical necessity letter outlining my BMI, comorbidities, and prior weight loss attempts. Please re-review with this documentation."”
Reported success rate: ~75% of properly-documented appeals succeed
Tactic: Cash-pay discount request
“"I'm paying out-of-pocket. Do you have a cash-pay discount? Quest and LabCorp often have 30-50% off self-pay rates."”
Reported success rate: ~70% of major labs honor self-pay discount
Tactic: Continuity-of-care exception
“"I've been a patient in good standing for X months. I'd like to request a 3-6 month continuity-of-care exception so I can switch without interruption."”
Reported success rate: ~50% of brands honor continuity-of-care
Tactic: Pharmacy direct quote
“"Could you send my prescription to a different 503A pharmacy for price comparison? Empower and Strive sometimes have 20-30% lower."”
Reported success rate: ~60% of compounding-friendly brands accommodate
Tactic: CPT code re-submission
“"The labs were ordered with CPT 82670 (estradiol) and 80418 (FSH). Please re-review under diagnostic-not-screening category."”
Reported success rate: ~40% of denials reversed with correct CPT framing