Why Medicare Part D restricts a drug, and the exception and appeal path to challenge it
Connect Remote server
claude mcp add --transport http coverage-exception https://insurewith.ai/mcp
{
"mcpServers": {
"coverage-exception": {
"url": "https://insurewith.ai/mcp"
}
}
}
{
"servers": {
"coverage-exception": {
"type": "http",
"url": "https://insurewith.ai/mcp"
}
}
}
Settings > Connectors > Add custom connector
URL: https://insurewith.ai/mcp
Tools 2 found in our last check
medicare_part_d_out_of_pocket_capProject 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 to…
medicare_coverage_restriction_and_exceptionFor 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…
Details
| Endpoint | https://insurewith.ai/mcp (Streamable HTTP) |
| First published | 18 Sep 2026 |
| Last updated | 18 Sep 2026 |
| Registry name | io.github.builtforai/coverage-exception |
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