Coverage Exception MCP Server

by builtforai Your server? Claim it

answering

Coverage Exception is answering right now. Last checked 15 min ago. It exposes 2 tools.

Why Medicare Part D restricts a drug, and the exception and appeal path to challenge it

The linked repository no longer exists on GitHub — it was deleted or made private.

Uptime history 4 days of history · worst day 93%

4 days agonow

94.4%

Uptime 24h

85 of 90 checks

Tools

read from the server

199 ms

Response time

average over 24h

open, no key

Access

streamable-http

Coverage Exception does not always answer

Over the last week it answered 97.0% of our checks. We check every 15 minutes, so you hear about the next outage within the hour — not from your users.

Connect this server

Endpoint below is the one we actually reach during checks — not the one copied from a README. Last verified 15 min ago.

Claude Code Claude Desktop Codex Cursor VS Code

run in your terminal

claude mcp add coverage-exception --transport http https://insurewith.ai/mcp

~/Library/Application Support/Claude/claude_desktop_config.json

{
  "mcpServers": {
    "coverage-exception": {
      "url": "https://insurewith.ai/mcp"
    }
  }
}

~/.codex/config.toml

[mcp_servers.coverage-exception]
url = "https://insurewith.ai/mcp"

.cursor/mcp.json

{
  "mcpServers": {
    "coverage-exception": {
      "url": "https://insurewith.ai/mcp"
    }
  }
}

.vscode/mcp.json

{
  "mcpServers": {
    "coverage-exception": {
      "url": "https://insurewith.ai/mcp"
    }
  }
}

Available tools 2

Read directly from the server with tools/list, grouped by what they act on. If a tool disappears, we record the date.

medicare

medicare_coverage_restriction_and_exception

For 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_cap

Project 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.

Endpoints

URL	Transport	State	Latency	Checked
https://insurewith.ai/mcp	streamable-http	answering	361 ms	15 min ago

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Coverage Exception — questions

Answers built from our own checks of this server.

What can Coverage Exception do?

It exposes 2 tools, read directly from the server on our last check. Among them: medicare_coverage_restriction_and_exception, medicare_part_d_out_of_pocket_cap. The full list with descriptions is on this page — we take it from the server itself via tools/list, not from a README. How MCP servers expose tools in the first place →

Is Coverage Exception working right now?

We send a real MCP handshake every 15 minutes. Over the last 24 hours 85 of 90 checks got a reply (94.4%), average response time 199 ms. The bar chart above shows every period we have measured.

Is Coverage Exception still maintained?

The linked repository no longer exists on GitHub — it was deleted or made private. We show this because it changes what you can expect: an unmaintained server may keep answering for months and then stop without warning.

How do I connect Coverage Exception?

Copy the ready config from this page — we generate it for Claude Code, Claude Desktop, Codex, Cursor and VS Code, each with the file path that client actually reads. It is a remote server, so there is nothing to install — the client connects to the address.

Does Coverage Exception need an API key?

No. Coverage Exception completed a full MCP handshake with us as an anonymous client and listed its tools without asking for anything. All 2 of them are readable on this page. This is what we observed, not what the docs claim.

How fast is Coverage Exception?

It answers our handshake in 199 ms on average, which is faster than 70% of all working MCP servers we measure. The comparison comes from our own checks across the whole registry, every 15 minutes.