State Detail

Connecticut

2 plans reporting · CY 2025

Across 2 plans reporting in Connecticut, standard prior authorization denial rates range from 14.6% to 14.7%, averaging 14.6%. Among plans reporting appeal outcomes, 97.3% of appealed denials are overturned. All data is from mandatory CMS-0057-F disclosures for calendar year 2025.

Plan Comparison

		Standard												Expedited
Plan	Org	Requests	Approved	Denied	Appr %	Denial % ▼	Appeals	Overturn %	Denied Appeal %	Appr Ext %	Denied Ext %	Mean Days	Med Days	Requests	Approved	Denied	Appr %	Denial %	Appeals	Overturn %	Denied Appeal %	Appr Ext %	Denied Ext %	Mean Days	Med Days	Source
Centene Corporation
Wellcare Medicare Advantage (H1914)Medicare Advantage	Centene Corporation	13,552	11,556	1,996	85.3%	14.7%	150	98.7%	1.3%	0.0%	0.0%	4.0	1.0	2,242	1,853	389	82.7%	17.4%	38	100.0%	0.0%	0.0%	0.0%	1.0	1.0	View source ↗
Wellcare Medicare Advantage (H0712)Medicare Advantage	Centene Corporation	14,950	12,774	2,176	85.4%	14.6%	151	96.0%	4.0%	0.0%	0.0%	4.0	2.0	3,190	2,666	524	83.6%	16.4%	36	86.1%	13.9%	0.0%	0.0%	1.0	1.0	View source ↗