National Report Card for Health Insurance Plans that Cover Medications for Autoimmune Diseases
An analysis from Dr. Kenneth E. Thorpe and Manasvini Singh of Emory University highlights the extent to which private and Medicare health plans and pharmacy benefit managers (PBMs) utilize coverage limitations on medications for five of the most serious autoimmune diseases: Crohn’s disease, multiple sclerosis, psoriasis, psoriatic arthritis and rheumatoid arthritis.
Our patient guide offers you tips and advice in navigating the appeals process, talking with your doctor, and learning the best ways to get the right medicine for you.
Track Your Progress
Click below to access printable sheets you can use to track your medication use, symptoms, visits to the doctor, and your doctor's answers about new prescriptions.
Insurance policies are often dense and overwhelming. Click the button below to learn more about the insurance appeals process and access sample appeals letters.
Want to make your voice heard? Want to share information on step therapy with your friends and family? Click below to discover shareable content on the realities of step therapy.
Step Therapy Explained: Heather’s Story
Meet Heather, a woman who was diagnosed with multiple sclerosis and forced to endure step therapy. Because of the policy, Heather had to wait five months before she could receive the medicine her doctor prescribed.
A recent poll conducted by Lake Research Partners found that seven out of 10 Michigan consumers have an unfavorable view of step therapy. Ninety-eight percent of these consumers believe that doctors rather than insurance companies should have the final say when it comes to treating a patient with an autoimmune disease. Click below to view the full poll results.