Even as the number of Covid-19 cases witness a steep rise in the wake of the new variant Omicron, there has been a steady rise in demand for monoclonal antibody cocktail therapy. While insurance companies say they have been honouring the claims arising out of this line of treatment, hospitals say there has been rise in rejections as insurers say it is experimental drug therapy.
The antibody cocktail therapy (Casirivimab and Imdevimab) are given together as soon as possible after testing positive for Covid and within 10 days of the onset of symptoms. It is usually administered to elderly Covid patients who are prone to multiple co-morbidities such as diabetes, hypertension, diseases related to heart, liver, kidney; post-transplant patients; and also to those undergoing chemo therapy. The drugs typically come in a pack of two doses, each costing between ₹56,000-60,000.
According to Dr S Prakash, Managing Director, Star Health and Allied Insurance, the cocktail antibody therapy was considered effective against the Delta variant. However, experts have expressed their apprehensions regarding the efficacy of the treatment for the Omicron variant.
“We should be very careful and any abuse of such cocktail antibody should be avoided,” Prakash told BusinessLine.
Rise in demand
Hospitals across Kolkata confirm that with the upsurge in the number of cases, there has been a rise in demand for antibody cocktail therapy as compared to the second wave caused by the Delta variant.
“Typically, 10 per cent of the total number of patients admitted for Covid are administered this therapy at early stage of onset of symptoms before they start witnessing a decline in oxygen saturation levels,” said Dr Aviral Roy, Consultant – Critical Care, Medica Superspecialty Hospital.
Fewer hospitalisations
However, with the Omicron variant, it may not be as effective, Roy said, and added that there has been rise in rejections on the ground of experimental drug therapy.
Since Omicron is still considered to be milder and is not as virulent as the Delta variant, the need for hospitalisation might be lower. If there is no hospitalisation, then insurance companies may not want to honour claims, said P Nandgopal, Founder and CEO, Insurance Inbox.
‘IRDAI directives followed’
“As per the IRDAI directive, all approved Covid treatments are covered under insurance and we pay the claims. However, hospitals should not push the therapy to people who may not need it,” said Sanjay Datta, Chief – Underwriting, Claims & Reinsurance, ICICI Lombard General Insurance.