Attention Xeljanz Users!! New Alopecia classification leading to denial of coverage

Bad news for those of us using Xeljanz with health insurance. In August of this year, health insurance companies - Blue Cross Blue Shield Care First, specifically - reclassified Alopecia as a cosmetic/ aesthetic condition, rather than a medical condition/ disease. Consequently, they will no longer cover Xeljanz treatment because it is deemed cosmetic.

I'm considering suing. If anyone else has had their coverage of Xeljanz recently denied (since August 2019), please let me know.

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Susan, try the Xeljanz. It gave me life back

I will. Hopefully it will work for me too.

Oy, so far no luck. But I'll keep trying.

YES CALIFORNIA INSURANC BLUE ANTHEM DOES NOT COVER ANY OF MY APPOINTMENT, TX, LABS OR OTHERWISE. THEY HOPE WE JUST DIE, THEY REFUSE TO COVER MEDICAL NECESSARY MEDICATION.THEE IS A LAW CALLED GALLEGOS LAW- THAT SAYS MEDICATION SHOULD BE AFFORDABLE IM SEEKING LEGAL COUNCIL. LOOK IT UP AND WISH ME WELL.WITHOUT MY MEDICAL NECESSARY MEDICATION MY LIFE IS NOT WORTH TWO CENTS. SENDING LOVE AND LIGHT!

I have an am seeking legal advice form an attorney in my area about starting legal actions against advantek blue anthem blue cross.

Please keep us posted concerning what your attorney says.

I work for one of the major health insurance companies, and with the installation of Obamacare, my Alopecia and Psoriasis both became considered to be cosmetic. However, they still cover Viagra, which to me is more a cosmetic problem than Alopecia and Psoriasis.

So it seems major insurance companies are run by men for men. No surprise, just like the rest of the world, women are second class citizens. Yes, I know men have alopecia too but I believe a bald man is nothing near to the emotional stress of a woman losing here hair.

First of all, alopecia areata and psoriasis are not "cosmetic".  They are real autoimmune diseases that have real health consequences (both physical and mental).  Secondly, insurance companies have always covered "cosmetic" damage caused by accidents, injuries, diseases, illness, and birth defects.  I know because I know of people who had that damage covered (including myself).  When did this stop?  We need to pursue this issue with everything we have.  Insurance companies are just in it for the money, and they make that money by denying, limiting, and restricting care.  We cannot allow some dim-witted twit from an insurance company to be making medical decisions about what constitutes a disease, and what does not.  If anything, they should be sued to practicing medicine without a license!!

Absolutely correct. I believe alopecia is equal to the cosmetic damage caused by scars etc and people need to find a legal precedent to hold them to account to cover prescriptions. Outrageous behaviour considering the premiums people are paying. 

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