VAC/medavie Blue Cross medical treatment claim ..denied

View previous topic View next topic Go down

VAC/medavie Blue Cross medical treatment claim ..denied

Post by Slaket on Tue 30 May 2017, 06:50

Anyone ever have a claim for a medical procedure WRT a pensioned condition denied?
Medavie says at this time they could not process my claim and will be sending me an "explanation of benefits" letter..

The procedure cost me 8,000+ but my QOL is so much better after it.  


I'm guessing this will be the start of the appeal process. Any pointers??

Thanks

Slaket
CSAT Member

Number of posts : 72
Location : Canada
Registration date : 2015-04-10

Back to top Go down

Re: VAC/medavie Blue Cross medical treatment claim ..denied

Post by red510 on Tue 30 May 2017, 10:49

You can get pre-approval from Blue Cross. Not much help for you now but perhaps for next time/others.

red510
CSAT Member

Number of posts : 21
Location : Victoria
Registration date : 2016-04-21

Back to top Go down

Re: VAC/medavie Blue Cross medical treatment claim ..denied

Post by Iceman on Tue 30 May 2017, 13:09

talk to VAC and your case manager, . they should be able to re-direct you to the medical person in your area that can authorize the payment. blue cross will not give any money out unless they are told they can. that has to come from VAC

Iceman
CSAT Member

Number of posts : 63
Location : Calgary
Registration date : 2016-05-03

Back to top Go down

Re: VAC/medavie Blue Cross medical treatment claim ..denied

Post by atarijedi on Thu 13 Jul 2017, 17:40

Not quite the amount you are dealing with, but I've been denied coverage for medication (tizanidine, a muscle relaxant) that VAC covers, but that they so far said it isn't for the entitled condition that I have, even though the Doctor prescribed it for exactly that.

I have appealed the decision, did that months ago, and I have to wait until august to get an answer. It's BS that it takes so long, medication ain't cheap!

It's going to happen again with the new medication I will be going on, it isn't even in the formulary, but it's a popular drug used for pain relief (tramadol).

So just know, that like with everything else, they take their sweet time in making decisions. Even simple ones like my problem.

atarijedi
CSAT Member

Number of posts : 12
Location : Greater Toronto Area
Registration date : 2017-02-28

Back to top Go down

View previous topic View next topic Back to top

- Similar topics

 
Permissions in this forum:
You cannot reply to topics in this forum