Preval HealthInsurance
We run a cash practice, so treatment starts right away.
Preval Health doesn't bill insurance or file prior authorizations. You pay $99 a month for your care, buy your medicines at cash prices, and skip the step-therapy wait. People their insurer turned down for a PCSK9 inhibitor are welcome here.
Online, nationwide in the US. Protocols written by a board-certified preventive cardiologist.
Why Cash
What skipping insurance gets you
A board-certified preventive cardiologist wrote the protocols, and licensed clinicians in our partner telehealth network deliver the care.
The right medicine from day one
Insurers often require you to try and fail a statin, then ezetimibe, before they cover a PCSK9 inhibitor. Without that rule, your clinician picks the medicine that fits your LDL cholesterol (LDL-C), your ApoB and your history on day one, including a combination when the gap to your goal is large.
No prior authorization wait
A prior authorization can take weeks, and a denial and appeal can take months. Cash pay removes that step, so a prescription goes out after your visit.
Costs you see up front
Our care costs $99 a month. Generic statins and ezetimibe cost little at pharmacy cash prices, and PCSK9 inhibitors (Repatha, Praluent, the daily pill Lipfendra and the once-monthly injection Lerochol) come through manufacturer cash programs or a pharmacy at published prices.
Visits focus on your numbers
Your clinician spends the visit on your labs, your goal and your plan. Rechecks follow every medicine change, and the plan steps up until LDL and ApoB reach your target, and your clinician keeps you there.
How insurers usually cover advanced cholesterol medicines
Most plans cover generic statins and ezetimibe with a low copay. For PCSK9 inhibitors and inclisiran, most plans ask for a prior authorization and proof that a statin and ezetimibe were tried first. Requirements vary by plan, so your own doctor and your insurer can tell you what yours needs.
If you'd rather not wait on that process, the cash route gets you to the same medicines, and our PCSK9 inhibitor price guide lists current cash prices.
Cash pay works well if you
- Got a PCSK9 inhibitor denial and want to start treatment without an appeal
- Had muscle aches on statins and want to move to a non-statin medicine without repeating trials for paperwork
- Sit far above your LDL or ApoB goal and need a combination from the start
- Have a high-deductible plan, where cash prices often match what you'd pay anyway
Common questions
Does Preval Health take insurance?
Preval runs as a cash practice. We don't bill insurance, and we don't file prior authorizations or appeals. You pay for your care directly, at $99 a month, and you buy your medicines at cash prices.
Why would I pay cash if I have insurance?
Paying cash gives you speed and choice. Many plans cover advanced cholesterol medicines only after step therapy and a prior authorization, which can take months. Paying cash lets your clinician start the medicine that fits you right away. Generic statins and ezetimibe often cost about as much in cash as a typical copay.
My insurer denied a PCSK9 inhibitor. Can Preval help?
Yes. If a PCSK9 inhibitor fits your plan, your clinician can prescribe one through a manufacturer cash program, such as Lerochol, Repatha through AmgenNow, Praluent, or the daily pill Lipfendra. You'll see the medicine's cash price before you start.
What does a PCSK9 inhibitor cost without insurance?
As of October 2026: Lerochol costs $199 a month through its direct program, Praluent $225, Repatha $239 through AmgenNow, and the Lipfendra pill lists at about $315 a month. Prices change, so check the current price before you start.
Can I still use my insurance for other care?
Yes. Your insurance keeps working with your own doctors, hospitals and pharmacies. Paying Preval in cash doesn't change your coverage elsewhere.
Are my labs covered?
Your ApoB, Lp(a) and lipid panel come with your Preval care, drawn at a local lab, so you don't need insurance for them. If you already have recent results from your own doctor or a lab service, your clinician can use those.
Start with the medicine that fits you.
We're accepting a limited number of patients as we open. Join the waitlist to be among the first.
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