Change in UHC Policy - 11/1

[airial95]

Saw something about this in Beth MAloney's email blast, and decided to check it out for myself - seeing as we have UHC and are just considering IVIG for the first time. This is what I pulled out of the 9/12 Medical Policy Update Bulliten

 

For IVIG - effective date 11/1/12 : "Revised coverage rationale; added language to indicate pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections (PANDAS) is unproven" With this note under "Miscellaneous Uses - Unproven" (where it was reclassifed): "Data from the available studies regarding the use of IVIG for these conditions has either demonstrated no benefit over placebo or the results have been conflicting."

 

Just thought I'd post the heads up!

[LaurenK]

Lets hope it gets better after the phase III clinical trial?

[minimaxwell]

So frustrating!! We have had 2 covered by UHC, now what? Are they going to deny them going forward after we can prove so much progress has been made?