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Insurance doesn’t cover OIT. Perhaps they will once it’s actually a cheaper option vs the FDA approved treatment that they’re eventually required to cover. Curr
by dpark 7y ago
Insurance doesn’t cover OIT. Perhaps they will once it’s actually a cheaper option vs the FDA approved treatment that they’re eventually required to cover. Currently they simply decline to cover it at all because there is no downside to them.
- kgwgk 7y agoBut the reason cannot be simply that they "are not FDA approved and thus are not covered by insurance" given than many non-FDA-approved things are covered. They could cover them already (and they would if they thought ER visits would be reduced as a result). And as far as I know some insurance plans do actually cover these treatments.
- dpark 7y ago1. Yes, they could hypothetically cover whatever they want beyond what is required by law. They don’t cover food allergy desensitization because covering it costs money and denying it has no downside for the insurance companies. 2. What non-FDA approved treatments are typically covered?
- kgwgk 7y ago1. Anaphylactic shocks also cost them money. And they can also limit access to drug-based treatments if they don’t find them justified. 2. Tonsillectomy, physiotherapy... are you really unable to come up with some examples of surgical procedures and other physical and mental therapies not based on drugs?
- dpark 7y agoYou’re right. The limit isn’t just FDA approval. OIT and SLIT have, to my understanding, no medical approval of any meaningful sort. It’s an extremely early treatment (relatively speaking) and considered experimental.