Five Points for New Hampshire's Future

remove barriers to insurance coverage

  • Support efforts to ensure health insurance carriers are compliant with federal law.
  • Support coverage for recovery support services in private carrier benefit arrays.
  • Support efforts to eliminate barriers to non-opioid alternative medications on tiered formularies.

overview

New Hampshire can do better to support individuals in recovery and should begin by looking at barriers to recovery within existing health insurance carrier practices. While New Hampshire has recently made great strides forward by guaranteeing timely access to treatment for individuals with substance use disorder, there is still more work to do. Where most health insurance carriers provide access to clinical substance use disorder treatments, few, if any, currently provide coverage for recovery support services or non-opioid alternative medications. Recovery support services are an evidence-based practice, which help to reduce the threat of relapse among individuals new to recovery. Similar to recovery supports, non-opioid alternative medications also reduce the likelihood of relapse by providing individuals in recovery with acute pain relief without triggering drug-seeking behaviors.  Many individuals in recovery have reported significant difficultly obtaining insurance coverage for non-opiate alternatives due the tiered formulary designs used by health insurance carriers. In some cases, carriers will fully cover an opioid pain reliever, while only covering a fraction of the cost of a non-opioid alternative; despite the fact that the non-opioid could prevent a potential (and expensive) relapse event.

see document below FOR MORE DETAILED INFORMATION ON REMOVING BARRIERS TO INSURANCE COVERAGE