3 ms·
The insurer is supposed to cover everything, as long as it is justified by the prevailing evidence and there is no alternative treatment. However, you may have
by lotsofpulp 2y ago
The insurer is supposed to cover everything, as long as it is justified by the prevailing evidence and there is no alternative treatment.
However, you may have to fight for it.
https://www.healthcare.gov/appeal-insurance-company-decision/appeals/ https://www.healthcare.gov/appeal-insurance-company-decision...
- zdragnar 2y agoMy insurer wanted me to try a different, older biologic first. My dermatologist recommended going with Taltz instead because - the eli lily foundation pays for it anyway - the older biologics have far more serious side effects profiles Given that, it was kindof a no-brainer. I would have needed to go through the foundation anyway, since the co-pays on these drugs are insane regardless.