|Can my group medical insurance refuse to cover the new HIV drugs I
Mar 24, 1997
Can my group medical insurance refuse to cover the new HIV drugs I need?
| Response from Ms. Breuer
Yes. If the drugs are considered "experimental or investigational," the insurance company can deny coverage. This is usually defined as a drug not yet recognized throughout the medical profession in the U.S. as safe and effective for the diagnosis or treatment for the illness. This would include all phases of clinical trials, all treatment protocols based upon or similar to those used in clinical trials, drugs approved by the FDA but used for unrecognized treatmment indications, and drugs approved by the FDA under its Treatment Investigational New Drug regulation. However, I would recommend that you check with your insurance company to see if particular drugs are covered.
Get Email Notifications When This Forum Updates or Subscribe With RSS
This forum is designed for educational purposes only, and experts are not rendering medical, mental health, legal or other professional advice or services. If you have or suspect you may have a medical, mental health, legal or other problem that requires advice, consult your own caregiver, attorney or other qualified professional.
Experts appearing on this page are independent and are solely responsible for editing and fact-checking their material. Neither TheBody.com nor any advertiser is the publisher or speaker of posted visitors' questions or the experts' material.