Health America Coventry Complaint - Denial of multiple sclerosis medication
My neurologist is trying to get me on a more aggressive MS treatment and Health American has denied 2 now, mainly because I have only tried 1 other and failed, instead of failing 2 prior medications. My mother had a very Progressive course of MS and was rendered a quadriplegic in 7 years. I am doing everything I can on my own to fight this disease, but I need the right therapy to accomplish this. My doctor is currently undergoing a peer review for approval of Tysabri which has shown great promise in treating MS. How can an insurance company deny what an M. D. feels is appropriate?