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View Diary: "The pill" - it's not just for birth control (65 comments)

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  •  This is a red herring argument (0+ / 0-)

    The right is not arguing with you on prescribing the "pill" to address issues that are not germane to birth control but are actually for treatment.  It is possible that a health plan may not pay for it, but not because it is being prescribed for treatment -- few health plans pay for all FDA approved drugs.  Not even Medicare pays for all FDA approved drugs.  It may be a different discussion as to what a health plan should pay for in the range of FDA approved drugs and their indications, but it is different from a discussion about the prescription of a drug for birth control purposes.

    •  No it is not a red herring (0+ / 0-)

      Plans that do not cover "birth control pills" do not cover them for any reason, including non-birth-control reasons. There are no exceptions. What these zealots are doing is assuming #1 that "birth control pills" are only used for birth control, and #2 that they get to tell doctors what meds to prescribe for what ailments, and both are intolerable.

      "Every Pootie is a masterpiece." - Da Vinci

      by mdsiamese on Thu Feb 16, 2012 at 01:12:55 PM PST

      [ Parent ]

      •  No, that's not how insurance works with drugs (0+ / 0-)

        "Birth control pills" would denote any drug which is prescribed for birth control reasons.  If the drug is prescribed for another FDA-approved indication, then the drug is not a birth control pill.  It may be the case that a health plan excludes a drug by name and then it does not matter what the drug is prescribed for, the drug by name is simply not covered (an example of this is Medicare Part D which does not cover benzodiazepines for any reasons and it names a class of drugs and not a specific purpose).  If an insurance plan does not cover contraceptive drugs, then it does not cover a particular drug for purposes of contraception. That is not an exclusion for prescribing the drug for other purposes. It would need to name a specific drug or class of drugs in order to never cover that drug for medically necessary purposes or other FDA approved indications.

        •  but you said (0+ / 0-)

          "It may be the case that a health plan excludes a drug by name and then it does not matter what the drug is prescribed for, the drug by name is simply not covered"

          If a plan excludes a drug by name, then it excludes it for all situations. You said it right there. If a plan excludes XYZ birth control pills, then those pills cannot be prescribed for any other medical reason.

          "Every Pootie is a masterpiece." - Da Vinci

          by mdsiamese on Thu Feb 16, 2012 at 01:26:58 PM PST

          [ Parent ]

          •  sorry meant (0+ / 0-)

            they can be prescribed, but will not be covered.

            "Every Pootie is a masterpiece." - Da Vinci

            by mdsiamese on Thu Feb 16, 2012 at 01:27:21 PM PST

            [ Parent ]

          •  Yes, that is indeed true (0+ / 0-)

            But excluding a drug by name and there not being coverage for any FDA-approved purposes is different from excluding drugs prescribed for birth control purposes.  

            The bishops are not prohibiting Catholic institutions from covering drugs which may be used for borth control or for X-reason.  Whether the drug is excluded by name for any purposes is dependent upon the health plan that the institution has adopted.  This is exactly the same what other health plans do for a host of non-controversial drugs.  There is a long list of drugs which are FDA approved for medically necessary purposes which a variety of health pkans (including Medicare and Medicaid) do not cover for any purpose.  And there are many drugs which health plans may pay for for 1 purpose but not another purpose.

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