Balto Health
Balto Health is a subscription-based telehealth service that helps patients obtain insurance coverage for prescription medications and medical services by handling prior authorizations, denials, and appeals. The company's physicians create treatment plans using insurance coverage or the lowest-cost alternative, and coordinate lab testing, imaging, and prescription fulfillment. The service covers GLP-1s for weight loss, hair loss treatments, menopause care, and genetic testing.
- Healthcare Technology
- Digital Health
- Software Only
Funding
Funding not disclosed
Founders
Founder details are not available yet.
Product
Problem
Patients often face denied insurance claims, high out-of-pocket costs, and complex prior authorization processes when trying to access prescription medications and medical services. Navigating insurance requirements, appeals, and paperwork for treatments like GLP-1s, hormone therapy, or genetic testing can be overwhelming and time-consuming, leaving many to forgo necessary care or pay exorbitant prices.
Solution
Balto Health provides a subscription-based telehealth service where physicians review each patient's medical history and goals, then create a treatment plan using insurance coverage or the lowest-cost alternative. The company handles all insurance prior authorizations, paperwork, and appeals, and arranges lab testing or imaging at the most convenient and affordable location. When insurance denies coverage, Balto builds a case by reviewing what the insurer requires and gathering the necessary documentation to challenge the denial. Prescriptions are sent directly to the patient's preferred pharmacy, and ongoing refills and dose adjustments are managed through the platform.
Target Audience
Balto Health serves U.S. residents aged 18 and older who need prescription medications or medical services and struggle with insurance coverage, prior authorizations, or high costs, particularly those seeking GLP-1s for weight loss or diabetes, hair loss treatments, menopause care, or genetic testing.
Features
- Unlimited physician consultations and prescription management through a 100% online process
- Insurance prior authorization, denial management, and appeals handled entirely by the company
- Access to FDA-approved, brand-name medications including Ozempic, Wegovy, Zepbound, Finasteride, Dutasteride, Minoxidil, and HRT
- Coordination of lab testing and imaging services, including complete blood panels, cardiac imaging, MRI, DEXA, and genetic testing
- DNA-based health and fitness plans tailored to genetic predispositions for nutrition, exercise, and recovery
- Custom medication formulations for hair loss, acne, and perimenopause/menopause-related symptoms
- Genetic testing for dementia and cardiac risk markers including APOE, PCSK9, LDLR, COMT, TMEM106B, and SNCA
- Unlimited online nutrition coaching and guidance with ordering and refills