I failed Remicade, Cimzia, Humira, and now Entivyo. (sigh) Insurance won't cover Stelara as it is "Experimental and unsubstantiated".
Are you sure about
it being experimental? The FDA approved Stelara last year for Crohn's.
If you appeal their decision then you probably have a good chance of winning the appeal.
I'd get your GI's office involved in the appeal and also your states insurance regulators.
DX'd with Severe Pancolitis June 2005
Previous Meds: 5ASAs, Predisone, 6-MP. Remicade, Humira, Simponi, Cimzia & Cyclosporine
3-step J-Pouch surgery: 2013 & 2014
Total Hip Replacement: 12/16 -- Thanks Prednisone!!!
Current Condition: Chronic Pouchitis -- Not as bad as I thought it would be
Current Meds: Stelara