Re: Anyone had luck with BC Medical?

[Guest guest]

if you want them to pay you have to get approval beforehand and

if you have been told you are not a candidate by the surgeons here you

are not likely to get letter from them telling BC med that you need

this particular surgery. If you look on the msp website you will

find what you have to do to get approval. There was a guy a few

years ago who got reimbursed about $5,000.00 (the cost of surgery

here), but as far as I know no one has been reimbursed since.

Pamela Jansen

LBHR De Smet Oct/02

> Hi everyone,

> This is my first post after several weeks of reviewing all the wonderful

> information on this site. Thank you everyone for making me feel " not

> alone " .

>

> I have a tentative surgery date with Dr De Smet in September after

> having 2 opinions from Vancouver surgeons that I am " not a candidate "

> for resurfacing.

>

> Has anyone from BC had any luck getting approval from BC Medical to pay

> for any of the treatment out of country?

>

> in Vancouver

[Guest guest]

Hey ...can I ask why you were told you weren't a candidate in

Canada? Susie

> > Hi everyone,

> > This is my first post after several weeks of reviewing all the

wonderful

> > information on this site. Thank you everyone for making me

feel " not

> > alone " .

> >

> > I have a tentative surgery date with Dr De Smet in September after

> > having 2 opinions from Vancouver surgeons that I am " not a

candidate "

> > for resurfacing.

> >

> > Has anyone from BC had any luck getting approval from BC Medical

to pay

> > for any of the treatment out of country?

> >

> > in Vancouver

[Guest guest]

Hi ,

The docs here have reached a very uneasy truce with BC Med that allows

them to basically contravene the Canada Health Act by charging $3,000 for

resurf prosthetics. Their end of this bargain (with the devil) is to make sure

they

never back a patient's claim for reimbursement on the basis that resurfs are

" better " than totals - at least, not on paper. In my case, my surgeon wrote to

my

private insurer to say that because of my age and activity level, a resurf " may "

help me avoid too-early revisions. In a case like yours, they would probably say

you'd have been better off staying in Canada and getting THR because in their

opinion you're not a candidate for BHR.

Everyone's walking on very thin ice, here. Personally I'm not in favour of

cracking it, though, because this truce at least allows the local guys to carry

on

doing more of these " questionable " operations than any other surgical team in

Canada. It's a first step.

By the way, I still haven't received compensation from my workplace insurance

for the prosthetic, despite doc's letter. This is not just a medicare issue...

the

private guys also don't take kindly to new precedents.

I do know of some early B.C. resurfs who got partial reimbursement from the

govt for surgeries in England. That was before the " truce, " as I understand it.

Also, it was with a lot of legal pushing.

a

Right Durom / VGH / 17.02.04

> > > Hi everyone,

> > > This is my first post after several weeks of reviewing all the

> wonderful

> > > information on this site. Thank you everyone for making me

> feel " not

> > > alone " .

> > >

> > > I have a tentative surgery date with Dr De Smet in September after

> > > having 2 opinions from Vancouver surgeons that I am " not a

> candidate "

> > > for resurfacing.

> > >

> > > Has anyone from BC had any luck getting approval from BC Medical

> to pay

> > > for any of the treatment out of country?

> > >

> > > in Vancouver

[Guest guest]

Hi ,

The docs here have reached a very uneasy truce with BC Med that allows

them to basically contravene the Canada Health Act by charging $3,000 for

resurf prosthetics. Their end of this bargain (with the devil) is to make sure

they

never back a patient's claim for reimbursement on the basis that resurfs are

" better " than totals - at least, not on paper. In my case, my surgeon wrote to

my

private insurer to say that because of my age and activity level, a resurf " may "

help me avoid too-early revisions. In a case like yours, they would probably say

you'd have been better off staying in Canada and getting THR because in their

opinion you're not a candidate for BHR.

Everyone's walking on very thin ice, here. Personally I'm not in favour of

cracking it, though, because this truce at least allows the local guys to carry

on

doing more of these " questionable " operations than any other surgical team in

Canada. It's a first step.

By the way, I still haven't received compensation from my workplace insurance

for the prosthetic, despite doc's letter. This is not just a medicare issue...

the

private guys also don't take kindly to new precedents.

I do know of some early B.C. resurfs who got partial reimbursement from the

govt for surgeries in England. That was before the " truce, " as I understand it.

Also, it was with a lot of legal pushing.

a

Right Durom / VGH / 17.02.04

> > > Hi everyone,

> > > This is my first post after several weeks of reviewing all the

> wonderful

> > > information on this site. Thank you everyone for making me

> feel " not

> > > alone " .

> > >

> > > I have a tentative surgery date with Dr De Smet in September after

> > > having 2 opinions from Vancouver surgeons that I am " not a

> candidate "

> > > for resurfacing.

> > >

> > > Has anyone from BC had any luck getting approval from BC Medical

> to pay

> > > for any of the treatment out of country?

> > >

> > > in Vancouver

[Guest guest]

Hi everyone,

l have lived in several provinces over three decades and l would like

to make a few comments. l have learnt that provincial healthcare

systems do not offer identical coverage. lt is extremy uncommon that

a provincial health will agree to pay out of province non urgent

surgery when this surgery can be done in the province. The cost for a

surgery varies from one province to another because the cost of

living is not identical. l would like to make a last comment. BC has

been through a phenomenal demographic growth over the last 2 decades

which have sky rocketed the cost of public services. BC healthcare

system is under extreme steaming pressure to the point that

aceesibility to healthcare has become the major obstacle to its

universitality.

c+ 9/2004

> > > > Hi everyone,

> > > > This is my first post after several weeks of reviewing all

the

> > wonderful

> > > > information on this site. Thank you everyone for making me

> > feel " not

> > > > alone " .

> > > >

> > > > I have a tentative surgery date with Dr De Smet in September

after

> > > > having 2 opinions from Vancouver surgeons that I am " not a

> > candidate "

> > > > for resurfacing.

> > > >

> > > > Has anyone from BC had any luck getting approval from BC

Medical

> > to pay

> > > > for any of the treatment out of country?

> > > >

> > > > in Vancouver