Health insurers want you to try cheaper drugs first, but that can hurt you

Posted on

RawStory—

Few people are familiar with the term “step therapy,” but most Americans have health insurance policies that adopt it. Step therapy programs, also known as “fail first policies,” require patients to try less expensive treatments before insurers agree to pay for more costly alternatives. Thus, insurers can deny coverage for a drug your doctor prescribed because you haven’t found other, cheaper medications to be ineffective first. As many as 75 percent of large employers have insurance plans with step therapy, and Medicare is increasingly embracing this approach as well.

 

Read more.