Benefit Investigation Services

Let's Not Have Our Seniors
Wait for Their Medications

We complete benefit investigations for any medication at any pharmacy — free for patients, affordable for providers. Same-day results. Prior authorization requirements included.

Free for Patients

24-Hour Results

Any Medication

Any Insurance

Rechecks Free

Understanding Your Insurance Coverage

Allow us to determine coverage for your medication and explore all available options — at no cost to you. We work with every medication and every insurance plan.

Any Medication

Every drug, every class

Any Insurance

All plans accepted

24-Hour Results

Same-day when possible

📋 Next step: Complete your consent form below, then ask your doctor to complete their portion on the Provider tab at the top of this page.

Patient Information

Full Legal Name*

Date of Birth*

Street Address*

City*

State*

ZIP Code*

Phone Number*

Email Address

Insurance Information

Please provide your insurance information as it appears on your insurance card. If you have multiple plans, list your primary insurance first.

Insurance Company Name*

Member ID / Policy Number*

Group Number

Insurance Customer Service Phone

Medication & Prescribing Physician

Medication Name*

We work with every medication — specialty, brand, generic, and biosimilar.

Prescribing Doctor's Full Name*

Doctor's NPI Number*

Required to complete your benefit investigation.

Doctor's Practice Address

Doctor's Phone

Doctor's Email (for secure delivery of results)

Benefit investigation results will be sent securely to this email.

Legally Authorized Representative (Optional)

What is a Legally Authorized Representative (LAR)?

A Legally Authorized Representative is a person legally permitted to make healthcare decisions on behalf of a patient who is unable to do so themselves. This may include a healthcare proxy, power of attorney, legal guardian, or court-appointed representative. If you are completing this form on behalf of a patient, please complete this section.

Authorization & HIPAA Consent

HIPAA Authorization for Use and Disclosure of Protected Health Information

I, the undersigned patient (or Legally Authorized Representative), hereby authorize True USA Senior Concierge LLC ("TUSC") to use and disclose my protected health information ("PHI"), including but not limited to insurance information, prescription information, and diagnosis codes, for the purpose of conducting a benefit investigation on my behalf.

Information to be used/disclosed: Insurance plan details, member ID, group number, medication name, prescribing physician information, and any other information necessary to determine insurance coverage and prior authorization requirements.

Persons authorized to receive this information: My prescribing physician, specialty pharmacy, insurance plan, and any third party necessary to complete the benefit investigation.

Purpose: To determine insurance coverage, prior authorization requirements, preferred specialty pharmacies, and available patient assistance programs for my prescribed medication.

Expiration: This authorization expires one (1) year from the date of signature, or upon revocation by the patient, whichever occurs first.

Right to revoke: You have the right to revoke this authorization at any time by submitting a written request to [email protected]. Revocation will not affect actions already taken in reliance on this authorization.

Voluntary: Signing this authorization is voluntary. You will not be denied treatment for refusing to sign.

I have read and understand the HIPAA Authorization above. I authorize True USA Senior Concierge LLC to use and disclose my protected health information as described for the purpose of conducting a benefit investigation. *

I consent to have my benefit investigation results delivered securely and electronically to my healthcare provider at the email address provided above. *

I understand that benefit investigation services are provided at no cost to me as a patient. I understand that True USA Senior Concierge LLC will provide prior authorization requirements and preferred specialty pharmacy information as part of this service. *

Electronic Signature

By typing your full legal name below, you are providing your electronic signature and agree that it is legally equivalent to a handwritten signature.

Electronic Signature — Type Your Full Legal Name*

This serves as your legally binding electronic signature.

Date*

Download & Upload Paper Forms

Prefer paper? Download our legal packet, complete it, and upload it below.

Download Forms

This form is transmitted securely. Your information is protected under HIPAA. Questions? [email protected]

Why True USA Senior Concierge?

We are proud to work with every medication at every pharmacy — no exceptions, no limitations.

Every Medication

Specialty, brand, generic, biosimilar — we handle it all.

Every Pharmacy

Retail, specialty, mail-order — any pharmacy your patient prefers.

24-Hour Results

Same-day when possible. You will not wait days for answers.

Lowest Price

At $20 per BIR, we offer the most affordable benefit investigation service available.

PA Requirements

Prior authorization requirements and preferred specialty pharmacies included in every result.

Rechecks Free

Need a recheck? No additional cost — ever. We stand behind our work.

Questions Before You Start?

Our team is here to help. Email us and we will respond quickly.

[email protected]

Let's Not Have Our SeniorsWait for Their Medications

Understanding Your Insurance Coverage

Patient Information

Insurance Information

Medication & Prescribing Physician

Legally Authorized Representative (Optional)

Authorization & HIPAA Consent

Electronic Signature

Why True USA Senior Concierge?

Every Medication

Every Pharmacy

24-Hour Results

Lowest Price

PA Requirements

Rechecks Free

Questions Before You Start?

Let's Not Have Our Seniors
Wait for Their Medications