Many health insurance plans will not initially fill a physician’s prescription, and instead require that a patient fail on an alternative, less expensive treatment. This dangerous practice -- commonly referred to as fail first or step therapy -- takes treatment decisions out of the physicians’ hands and places it with the insurance provider. Given the seriousness of HAE, any interference with continued access to the physician-prescribed medication could prove to be fatal.
The Safe Step Act would protect the HAE community who obtain coverage in self-funded or federally regulated insurance plans by (1) establishing exemptions to fail first, and (2) require plans to respond to appeals in a specific time period.
We urge all HAEA friends to spread the word and support this extremely important legislation by posting your support on social media and sending emails to your Senators and Representatives in the House.
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