http://www.wrha.mb.ca/osd/files/NeuropathicPainScottGroen.pdf
Ellen you made me laugh out loud! That cartoon at the top of the page is great!
I do want to point out his error with insurance info, meeting your deductible (page 11) is a good thing, not a bad thing. When you meet your deductible for the year that means your copay structure kicks in. You stop paying the full discounted cost of the medication and start paying only your copay. You stop paying your copay and go back to paying the full discounted price only if your plan has a CAP – that is a feature that provides a given dollar amount the plan will pay per year. This is actually fairly rare, most plans have an OOP (out of pocket) clause that states once the patient has paid a specified amount of money they plan will step in and pay 100% going forward with no more expense beyond premiums to the patient. Big, important differences between deductible, CAP, OOP, copay, and premiums! In fact, if anyone out there has questions about their new plan for 2018 contact me and I’ll be happy to review it with you, I have 25 years of experience with health/prescription insurance.
Another point he failed to make is that (in America) your insurance is not going to want to pay for a compound when another form the medication is readily available. Changes are you will need to get a prior authorization for the medication to be covered and you will have to clinic notes that prove a trial of the commercially available form of the medication did not work. This is not difficult to do at all, it’s a one or two page form the doctor’s office fills out (I process them every single day and get people coverage every single day).
Other than those two insurance points the information is very, very interesting. Thanks for sending it along, ellen!
Hi Azurelle
I am not sure how the insurance works in Canada.
Every company has it different and then once you are 65 the provinces chip
in to cover and insurance stops.At least that is what happens with mine.
I have had the topicals provided without any further paperwork from my
doctor.
It all works differently i guess and I think it differs by province,too.
But I thought it was interesting-especially the different components that
can go into them.
I think it came from Winnipeg-which is where Dr.Kaufmann works out of.
he is the MVD specialist in this end of Canada.
You’re right, ellen, I should have made it clear I was talking about American-based insurance. Although the definitions of deductible et al don’t change from country to country or policy to policy.
The paper was very interesting!
ROFL I was the same. I copied it to one friend who is a medical student and one who’s a retired surgeon. The medical student laughed. Hehehehe
Seenie
Thanks Ellen,
My old dinosaur computer is having too hard a time trying to pull it up, but I’ll read it on the laptop when I have time. Did see a cute chihuahua, so it’s got to be good.
It is good.Keep going through the pages.You ,I think,will love it.
Yes, very interesting, lots of good schematics. I especially like the recipes at the end–going to make myself a Pink Lady!
Hi Ziggy
Great
Please let me know how it works out.