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ABLONCZY, Diane - Alberta, Calgary--Nose Hill
AMBROSE, Rona - Alberta, Edmonton--Spruce Grove
ANDERS, Rob - Alberta, Calgary West
BENOIT, Leon Earl - Alberta, Vegreville--Wainwright
CALKINS, Blaine - Alberta, Wetaskiwin
CASSON, Rick - Alberta, Lethbridge
DREESHEN, Earl - Alberta, Red Deer
DUNCAN, Linda - Alberta, Edmonton--Strathcona
GOLDRING, Peter - Alberta, Edmonton East
HARPER, Stephen - Alberta, Calgary Southwest
HAWN, Laurie - Alberta, Edmonton Centre
JEAN, Brian - Alberta, Fort McMurray--Athabasca
KENNEY, Jason - Alberta, Calgary Southeast
LAKE, Mike - Alberta, Edmonton--Mill Woods--Beaumont
MENZIES, Ted - Alberta, Macleod
MERRIFIELD, Rob - Alberta, Yellowhead
OBHRAI, Deepak - Alberta, Calgary East
PAYNE, LaVar - Alberta, Medicine Hat
PRENTICE, Jim - Alberta, Calgary Centre-North
RAJOTTE, James - Alberta, Edmonton--Leduc
RATHGEBER, Brent - Alberta, Edmonton--St. Albert
RICHARDS, Blake - Alberta, Wild Rose
RICHARDSON, Lee - Alberta, Calgary Centre
SHORY, Devinder - Alberta, Calgary Northeast
SORENSON, Kevin - Alberta, Crowfoot
STORSETH, Brian - Alberta, Westlock--St. Paul
UPPAL, Tim - Alberta, Edmonton--Sherwood Park
WARKENTIN, Chris - Alberta, Peace River
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:
- exercise his discretion
to reimburse Sylvia DeVries and Linsday McCreith for their out of
country medical expenses
- review the prior
approval procedures for reimbursement of out of country medical expenses
and remove the undue procedural barriers
- 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:
Click
here to compose your email message.
Email your Elected Representative:
Click here for E-Voice.
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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.
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| 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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