Out of province coverage for BMI>50 surgeries
Does anyone have any suggestions/experience with getting MSP to pay for out of province surgeries? Obviously the BC surgeon needs to submit the request to MSP but is there anything else that can be done to ensure a smooth and speedy approval process? Any tricks or best practices greatly appreciated!!
Thanks
Lori
Yes write a letter that goes with your out of country form that your bariatric surgeon fills out for you. You need to tell MSP in your letter how your weight has affected your life and be specific.
Tell them everything you have tiried to lose weight, groups you have gone to, and what you are doing to get ready for surgery, exercise program, eating program etc. The more you put in your letter the better chance you have on this. There are two other websites in Victoria that you can ask the same question as well, www.blazeonline.com/wls and www.wlsforum.net
Also your bariatric surgeon needs to list your co-morbidites, sleep apnea, diabetes etc.,
If you get turned down the first time keep appealing it you have the right to do that.
Suzanne
with the application, (which can be done by another specialist as well just not a GP) send in copies of recent tests for comorbidities like sleep apnea, etc.. and recent articles showing cuts made. Try and complete the application with your Dr so you know what is being written and how its being worded.
StephanieEllen
on 11/20/09 4:26 pm - Smalltown, Canada
on 11/20/09 4:26 pm - Smalltown, Canada
good to know. So, what kind of specialists did you all use? I saw my orthopedic surgeon today to get cortisone shots in my hands for severe carpal tunnel.. would that count? She also does joint stuff, and I have a lot of bad joints. Would this kind of specialist count?
Thanks in advance. :)
Thanks in advance. :)