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JHA, Bidhu - Manitoba, Radisson
LEE, Sandy - Northwest Territories, Range Lake
CURLEY, Tagak - Nunavut, Rankin Inlet North
BROWN, Levinia - Nunavut, Rankin Inlet South/Whale Cove
JABLONSKI, Mary-Anne - Alberta, Red Deer-North
DALLAS, Cal - Alberta, Red Deer-South
TREW, Kim - Saskatchewan, Regina Coronation Park
YATES, Kevin - Saskatchewan, Regina Dewdney
VAN MULLIGEN, Harry - Saskatchewan, Regina Douglas Park
McCALL, Warren - Saskatchewan, Regina Elphinstone-Centre
NILSON, John - Saskatchewan, Regina Lakeview
HARPER, Ron - Saskatchewan, Regina Northeast
ROSS, Laura - Saskatchewan, Regina Qu'Appelle Valley
WOTHERSPOON, Trent - Saskatchewan, Regina Rosemont
HUTCHINSON, Bill - Saskatchewan, Regina South
TELL, Christine - Saskatchewan, Regina Wascana Plains
DUFOR, Marjolain - Quebec, Rene-Levesque
YAKABUSKI, John - Ontario, Renfrew--Nipissing--Pembroke
MOCKLER, Percy - New Brunswick, Restigouche-la-Vallée, Electoral District 53
SIMARD, Sylvain - Quebec, Richelieu
SAMSON, Michel - Nova Scotia, Richmond
HOWARD, Rob - British Columbia, Richmond Centre
REID, Linda - British Columbia, Richmond East
MORIDI, Reza - Ontario, Richmond Hill
YAP, John - British Columbia, Richmond-Steveston
VALLIERES, Yvon - Quebec, Richnomd
MELNICK, Christine - Manitoba, Riel
PELLETIER, Irvin - Quebec, Rimouski
MITCHELSON, Bonnie - Manitoba, River East
GERRARD, Jon - Manitoba, River Heights
STAFFEN, Ted - Yukon, Riverdale North
HART, Glenn - Yukon, Riverdale South
FITCH, Bruce - New Brunswick, Riverview, Electoral District 26
MARSAN, Pierre - Quebec, Robert-Baldwin
TROTTIER, Denis - Quebec, Roberval
LUND, Ty  - Alberta, Rocky Mountain House
POIRIER, Rose-May - New Brunswick, Rogersville-Kouchibouguac, Electoral District 15
REITER, Jim - Saskatchewan, Rosetown-Elrose
BRAUN, Erna - Manitoba, Rossmere
ALLCHURCH, Denis - Saskatchewan, Rosthern-Shellbrook
LEGAULT, Francois - Quebec, Rousseau
ROBINSON, Eric - Manitoba, Rupertsland
DERKACH, Len - Manitoba, Russell
BERTRAM, Carolyn - Prince Edward Island, Rustico-Emerald


RED TAPE IS RED FLAG TO CARP

CARP is ramping up its campaign to get rid of the red tape that prevents Ontario residents from being reimbursed for out of country medical treatment that they could not get in Ontario. The culprit is the requirement for prior approval which few people know about and even fewer are able to get when their medical condition is so severe that all they are thinking about is getting treatment.

At least two cases have come to our attention - Sylvia DeVries, who had an 18 kilogram cancerous growth removed and Lindsay McCreith, who had a malignant brain tumor removed. Neither got prior approval but applied for reimbursement after the emergency was over.

The Ministry of Health has changed from its former stance and is now strictly enforcing the prior approval requirement and refusing to reimburse them.

Had prior approval been obtained, both operations would have been covered under the out of country medical treatment program. I.e. the substantive requirements were met - the denial is based purely on the procedural requirements.

CARP is asking that the Minister of Health and Long Term Care:
  1. exercise his discretion to reimburse Sylvia DeVries and Linsday McCreith for their out of country medical expenses
  2. review the prior approval procedures for reimbursement of out of country medical expenses and remove the undue procedural barriers
  3. improve the public communications with patients about the requirements of the out of country medical treatment program

Send the Ontario Minister of Health an Email Message:

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Background Information

CARP urges Action on Cancer Care Coverage; Red Tape should not bar Reimbursement.

Bureaucracy over healthcare? CARP takes up the case of an Ontario woman who won’t be reimbursed for life-saving cancer surgery because of red tape.

Backgounder: OHIP pays for out-of-country medical treatment pursuant to section 28.4(2) of Ontario Regulation 552. (MSWord)

Health Insurance Act R.R.O. 1990, Reg. 552 28.4 (1) In this section, "preferred provider arrangement" means a written agreement between the Minister and the operator. (MS Word)

Dr. Profit or Dr. Prophet? An outspoken proponent of private health care for Canadians, Dr. Brian Day brings controversy to his position as president of the Canadian Medical Association | by Marcia Kaye. (Adobe .pdf)
CARP's Prior Action
CARP demands action in Cancer Case. CARP is taking up the case of Sylvia de Vries, the Windsor woman who spent $60,000 in the U.S. for life-saving ovarian cancer surgery in October, 2006. CARP demands action in Cancer Case. CARP is taking up the case of Sylvia de Vries, the Windsor woman who spent $60,000 in the U.S. for life-saving ovarian cancer surgery in October, 2006.
In The News
CARP In the News: CARP Urges Action on Cancer Care Coverage, Red Tape should not bar reimbursement.
OHIP pledges case review

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