State Detail

Louisiana

5 plans reporting · CY 2025

Across 5 plans reporting in Louisiana, standard prior authorization denial rates range from 4.9% to 24.3%, averaging 11.8%. Among plans reporting appeal outcomes, 61.1% 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
Aetna/CVS Health
Aetna Better Health LA MA (H3239)Medicare Advantage	Aetna/CVS Health	—	—	—	89.6%	10.4%	—	84.7%	15.3%	—	—	1.7	0.0	—	—	—	85.3%	14.7%	—	—	—	—	—	0.4	0.0	View source ↗
Centene Corporation
Ambetter from Louisiana Healthcare ConnectionsExchange Plans	Centene Corporation	22,862	17,318	5,544	75.8%	24.3%	523	30.6%	69.4%	1.8%	98.3%	3.0	2.0	1,230	919	311	74.7%	25.3%	33	51.5%	48.5%	2.5%	97.5%	1.0	0.0	View source ↗
Wellcare Medicare Advantage (H2491)Medicare Advantage	Centene Corporation	27,851	24,091	3,760	86.5%	13.5%	313	96.5%	3.5%	0.0%	0.0%	4.0	1.0	4,574	4,090	484	89.4%	10.6%	70	85.7%	14.3%	0.0%	0.0%	1.0	1.0	View source ↗
Humana Inc.
Humana Health Benefit Plan of Louisiana (H1951)Medicare Advantage	Humana Inc.	313,462	294,474	18,988	93.9%	6.1%	544	63.0%	37.0%	0.0%	0.0%	1.0	0.0	4,505	4,073	432	90.4%	9.6%	—	—	—	0.0%	0.0%	0.2	0.0	View source ↗
Humana Healthy Horizons LouisianaMedicaid MCO	Humana Inc.	36,389	34,621	1,768	95.1%	4.9%	55	30.9%	69.1%	0.0%	100.0%	2.0	1.0	797	554	243	69.5%	30.5%	—	—	—	0.0%	0.0%	0.3	0.1	View source ↗