Experimental drugs are a proposed treatment for an illness such as cancer that has been tested in a laboratory and has received approval from the FDA to begin treatment on people.[i] They have many uses that are vital, and often times the circumstances are life and death. Even so, they are not always covered under all insurance plans across the United States, due in part to the unknown efficacy and cost of the drugs. If experimental drugs are covered under your plans it is essential to take note in what instances they are covered, specifically clinical trials or off label drug use. Therefore, if you are choosing an underlying plan (HMO, PPO) or a stop loss policy (for self insured plans) for your employees it is important to know what is covered under each. Continue Reading >
