Health insurers just say no to marijuana coverage
Source: AP-EXCITE
By TOM MURPHY
Patients who use medical marijuana for pain and other chronic symptoms can take an unwanted hit: Insurers don't cover the treatment, which costs as much as $1,000 a month.
Once the drug of choice for hippies and rebellious teens, marijuana in recent years has gained more mainstream acceptance for its ability to boost appetite, dull pain and reduce seizures in everyone from epilepsy to cancer patients.
Still, insurers are reluctant to cover it, in part because of conflicting laws. While 21 U.S. states have passed laws approving it for medical use, the drug still is illegal federally and in most states.
But perhaps the biggest hurdle for insurers is the U.S. Food and Drug Administration hasn't approved it. Major insurers generally don't cover treatments that are not approved by the FDA, and that approval depends on big clinical studies that measure safety, effectiveness and side effects.
FULL story at link.
Read more: http://apnews.excite.com/article/20140508/medicinal_marijuana-insurance-39044547ac.html
In this April 30, 2014 photo, Bill Britt, who suffers from epileptic seizures and leg pain from a childhood case of polio, prepares a medical marijuana joint at his home in Long Beach, Calif. Britt lives mostly on Social Security income and gets his supply for free from a friend whom he helps water and grow the plants. Insurers are reluctant to cover medical marijuana because of conflicting laws and lack of approval from the U.S. Food and Drug Administration. (AP Photo/Damian Dovarganes)
Blue Owl
(50,485 posts)Big Pharma's.
totodeinhere
(13,058 posts)That's outrageous. After all it's a weed and it's easy to grow. Insurers should cover it however but in the meantime if I were prescribed medical pot if possible I would try to grow my own. That would probably be a lot cheaper, even if you had to invest in some equipment that would allow you to grow it indoors.
lostincalifornia
(3,639 posts)that dynamic changed I have no doubt the cost would be very low
Scuba
(53,475 posts)Freddie Stubbs
(29,853 posts)The Wizard
(12,546 posts)all we'd hear is their four favorite words: You are not covered.
frazzled
(18,402 posts)You may need 8 Advils or Aleves every day to control pain from arthritis (and that may even be recommended by your physician), but they're not going to cover it. I think the issue is: it's just too hard to prove that someone needs an ongoing treatment for many types of unspecified pain (as opposed to say, a limited-term drug for after surgery or an injury). I can assume the insurers don't want to be paying for MJ for people claiming headaches.
Here in Illinois, which recently passed a medical marijuana bill, the list of qualifying diseases/conditions is quite limited and severe; no headaches or back pain allowed, unless you have, say, hydroencephaly or an amputated limb. Here are the only conditions allowable; most of them are damned serious:
Cancer, glaucoma, a positive status for HIV (human immunodeficiency virus), AIDS (acquired immunodeficiency syndrome), hepatitis C, ALS (amyotrophic lateral sclerosis), Crohn's disease, agitation of Alzheimer's disease, cachexia or wasting syndrome, muscular dystrophy, severe fibromyalgia or any spinal cord disease, including but not limited to: arachnoiditis, Tarlov cysts, hydromyelia, syringomyelia, Rheumatoid arthritis, fibrous dysplasia, spinal cord injury, traumatic brain injury and post-concussion syndrome, Multiple Sclerosis, Arnold-Chiari malformation and Syringomyelia.
Patients may also qualify for medical marijuana if they suffer from a severely debilitating or terminal medical condition such as Spinocerebellar Ataxia (SCA), Parkinson's, Tourette's, Myoclonus, Dystonia, Reflex Sympathetic Dystrophy, RSD (Complex Regional Pain Syndromes Type I), Causalgia, CRPS (Complex Regional Pain Syndromes Type II), Neurofibromatosis, Chronic Inflammatory Demyelinating Polyneuropathy, Sjogren's syndrome, Lupus, Interstitial Cystitis, Myasthenia Gravis, Hydrocephalus, nail-patella syndrome, residual limb pain, or the treatment of these conditions
ON EDIT: My assumption is that insurance may cover the costs for these conditions in Illinois, because it must be certified by a physician who has seen the patient in person and prescribed the drug (which must be renewed regularly by an in-person visit and assessment, just like for any medication).
Vincardog
(20,234 posts)prescribe the herb because it is illegal to do so.
Feral Child
(2,086 posts)for failing to cover. As "lost in cali" points out, they wouldn't need to cover it if the bureaucrats would lighten up.