What is Monovisc?
Monovisc is a drug that can provide long-term relief for those who suffer from knee pain due to osteoarthritis. Monovisc is a gel-like substance that is manufactured from hyaluronic acid—a natural substance found in joint and eye fluids. Hyaluronic acid is both a cushion and a lubricant in the joints and other tissues and may even affect the manner in which the body responds to injury.
A single Monovisc injection can provide relief due to osteoarthritis knee pain for up to six months. The pain relief is generally felt within two weeks of receiving the injection. If you’ve received a Monovisc insurance denial after your doctor prescribed Monovisc for your knee pain, it could be time to speak to an experienced insurance denial attorney from the Law Offices of Scott Glovsky.
Who Needs Monovisc?
Patients whose cartilage has worn away, causing the bone surfaces to rub together, can benefit from an injection of Monovisc. Those whose synovial fluid has become thinner and less elastic, as well as those with bone spurs or exposed bone, can also benefit from an injection of Monovisc. If you have made lifestyle changes and acetaminophen no longer adequately controls your pain, Monovisc could be a good option for you.
Why Do Insurance Companies Deny Monovisc?
Monovisc can cost as much as $2,245 per injection, which many insurance companies consider too expensive. Because of this, the drug may not be listed on the formulary list for many insurance companies. The insurance company may also say that the drug is not medically necessary. Despite evidence to the contrary, the insurance company may also say the drug lacks efficacy.
These doubts have prompted some health insurers to stop covering Monovisc injections, although Medicare continues to cover the injections. If you’ve received a Monovisc insurance denial, speaking to an experienced insurance denial attorney can make a significant difference in the outcome of your denial.
What Are Your Legal Rights Related to Monovisc?
If your insurer has denied your prescription for Monovisc, you can ask your doctor to provide a letter stating the drug is medically necessary and that you have exhausted all other treatments for your arthritis pain and inflammation. If this does not persuade the insurance company to pay for your Monovisc, you can appeal the decision of your insurer. Having strong legal assistance to file an appeal is important. You have faithfully paid your insurance premiums, therefore deserve coverage from your insurer. Attorney Scott Glovsky can help you get the justice you need.
How Can the Law Offices of Scott Glovsky Help Those Who Are Denied Monovisc?
Receiving a Monovisc insurance denial for a drug that could potentially relieve you of your chronic knee pain could feel overwhelming. Attorney Scott Glovsky has a passion for helping those whose insurer has denied a necessary drug or treatment. Scott and his team understand how California insurance laws apply in these circumstances and will use that knowledge to effectively fight for your rights. Contact the Law Offices of Scott Glovsky today for the help you need.
