Re: Manulife Group Insurance - allowed drug coverage question

[Guest guest]

I think the operative term here is " on an in-patient basis. " Even those

biologics which are required to be administered via IV in a doctor's office

shouldn't fall under this, as you are there as an outpatient. You should

probably check with Manulife directly, but I think this is their way of

saying your prescription benefit doesn't cover drugs required in the course

of hospitalization (that falls under your general medical benefit).

" Lukoff " <lukoff@...>

[Guest guest]

Enbrel is designed to be self-administered at home.  The wording that concerns

you specifically mentions drugs which are intended to be administered in

hospital on an in patient basis . . . . . .

 

I don't think there's anyway they could include Enbrel (or for that matter the

other biologics) under that provision.  

 Joanna Hoelscher

[ ] Manulife Group Insurance - allowed drug coverage

question

Hi everyone,

I have a question for those of you who live in Canada and are covered

under a Manulife group insurance drug plan through their work.

I am thinking of changing employers and asked to see the prospective

employers benefits booklets (of course!). They state the following:

That injectible drugs are covered and that drugs prescribed by a Dr

are covered. However, there is also this wording under " Charges for

the following are not covered: "

" • Drugs, biologicals and related preparations which are intended to

be administered in hospital on an in-patient basis and are not

intended for a patient's use at home "

Has anyone seen this wording before? I take enbrel and am pretty sure

that it is meant to be used at home, BUT is there any way that it

could be excluded?

Can anyone help to shed any light on this?

[Guest guest]

Hi ... you are okay on the Enbrel since it can (and is done at home). They

are talking about the Remicade and any other thing they may come up with in the

future that MUST be done in the office or hospital setting by a medical person

only. Does that help?? Hope so ......    hugs to you.., in Ga.

[Guest guest]

and :  this wouldn't even apply to Remicade because of the language

indicating that the drug is designed only to be used in an in patient hospital

setting.   Even if you get Remicade in the hospital (and now many can get it in

their doctor's offices) you do it as an outpatient.

 Joanna Hoelscher