Coverage Exception MCP server
Why Medicare Part D restricts a drug, and the exception and appeal path to challenge it
Little public usage data yet
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Coverage Exception tools (2)
write = sends, deletes, buys or postsmedicare_coverage_restriction_and_exceptionFreeFor 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 prescriber. Returns per-plan flag counts across plans held. Plan-specific clinical criteria and appeal deadlines are NOT held and are never inferred; they are returned in an explicit "unavailable" block rather than guessed.
medicare_part_d_out_of_pocket_capFreeProject 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 total across the year without reducing it. Supports plan years 2026 and 2027 and fails closed to 2026 for any unsupported year rather than extrapolating. This is a standard-benefit simulation, NOT a plan-specific pharmacy quote: plan negotiated prices and plan cost sharing are not held and are never inferred.
Public scan report
scanner v0.1.5 · 2026-09-19 · same rubric, same numbers if you re-run it
- –Code scanremote-only server, no package to scann/a
- Live reliabilityremote reachable in 130ms20/20
- Tool poisoning2 tool descriptions checked15/15
- Auth qualityopen endpoint, read-only tools10/15
- Maintenancerepository not readable: repo not found3/15
- Maintainer identityno repository or website to verify2/10
Install directly
claude mcp add --transport http coverage-exception https://insurewith.ai/mcp
Coverage Exception: common questions
- Is Coverage Exception MCP server safe?
- With care: it is graded C, so read the findings first (67/100). Read the Coverage Exception safety report
- How do I install Coverage Exception?
- It runs remotely at insurewith.ai. Add it to Claude Code, Claude Desktop or Cursor with the snippets above, or call it through the mcp.market gateway without installing anything.
- Does Coverage Exception need an API key?
- Not as far as the registry entry and our scan can tell: no credentials are declared or required.
- Is Coverage Exception maintained?
- The latest release is v1.0.0.
- Is Coverage Exception up?
- 100% of our last 5 checks got an answer. We check remote servers about four times a day.