November 1, 2009
Migraines and Health Coverage: What Does your Insurance Cover?
It is getting more difficult for most people to buy health insurance. The rising cost of insurance premiums are already beyond the means of many individuals to pay. Families with children have it even worse. Insurance formularies are under constant revision as more and more medications are removed or reclassified to cost more. Maintenance medications are periodically eliminated leaving the patient to buy more expensive alternatives. Most consumers cannot pay the monthly premiums which leads them to purchase the bare minimum of coverage which may not address what conditions they already have or new ones which may develop later on.
Migraine headaches are the most recent fatality to come from limitations set by the insurance companies. In the past these incapacitating headaches created a learning experience for the medical profession as treatment ranged from tranquilizers, muscle relaxers, and a variety of pain killers.
Work was done on developing and advancing new prescription medications during the 1980's and 1990's, precisely for migraine treatment, control, and relief. Some of the medications created worked well by themselves, some were combined with pain medication, as well as other times types of medications. Now that we're in the 21st century, there are a lot of medications that have been created explicitly for migraines, and people who suffer from this condition are able to find them in numerous locations throughout this country as well as other parts of the world. The problem comes from the fact that many of these medications are priced beyond the reach of average workers, and health insurance either covers an inadequate amount of the cost, or doesn't cover them at all.
This kind of insurance situation puts people who deal with migraines on a regular basis with a limited amount of pills each month (i.e. 10-12), and then they have to decide which one of their migraines they'll use one of the pills for, when this is medication they should be taking whenever they have a migraine. Insurance doesn't cover them if all the pills are used before the end of the month, so the expense to reorder more pills becomes theirs alone. These migraine sufferers will continue to pay their premiums, but due to the skyrocketed prices of many of these medications, many are unable to pay for them out of their own pocket, so they just suffer through. It has been found that migraines can often be signs of other unknown health issues. Some of these quickly end up in a stroke. And what are the results of this occurs on a night when they felt they couldn't, or just didn't, take the medication?
Medicaid can be a viable option for some people, like someone I know, who can't pay for insurance. To apply, you have to complete a multitude of forms and earn only the Medicaid maximum, but if you are able to get Medicaid to accept you, your physician appointments and medications could be covered. But once you get Medicaid, you must stay on top of things or you could be canceled if you don't follow all of their regulations to ensure coverage.
Ironically, at a time when there exist medications that can treat migraines, insurance businesses are basically withholding these remedies by imposing financial or other restrictions upon the patients. Migraine patients could simply be victims of the most recent condition restricted by insurance, but is a solution available to assist them in obtaining the remedy they require? The current presidential administration is taking this and other concerns under consideration. With any luck, some solutions will be forthcoming.
Get details on the different Types of Migraine Headaches and to Learn Insurance and Migraine Options, Visit the Migraine Headache Guide at Migraines-Headaches.org.
Filed under Health Insurance by Josh Deither
