Filing · f0278
iCare Medicare Plan
Humana / iCare · Medicare Advantage · WI · H2237 · CY2025
In 2025 this plan received 4,424 standard prior authorization requests and denied 9.7% of them. The median for Medicare Advantage plans of comparable size is 10.9%.
Standard denial rate
9.7%
4,424 standard requests, 427 denied.
33.3% of appealed denials were overturned.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 4,424 | 3,997 | 427 | 9.7% |
| Expedited | 32 | 24 | 8 | 25.0% |
| Extended review, approved | 90 | |||
Appeals of standard denials
| Appeals filed | 12 |
| Denials overturned | 4 |
| Overturn rate | 33.3% |
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 5.0 d | 5.0 d |
| Expedited | 7.0 h | 0.0 h |