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     INSURANCE COVERAGE AND OTHER FUNDING FOR SOLARIS GARMENTS

 

As more and more Canadians order Solaris garments, Lymphedema Depot remains committed to supporting our customers’ efforts to successfully obtain private healthcare insurance coverage, and to collecting the related information from our dealers and their clients for the purpose of helping others.

 

We are interested in hearing from you if you have claimed coverage for your Solaris garment with your private healthcare insurance plan or another source.  If your claim was denied, we may be able to help.

 

Use the links provided, below, to access support documentation to help educate your physician(s) if/as needed and/or to inform your insurance company about the nature of Solaris’ therapeutic garments and their application in the treatment of lymphedema and venous edemas.

 

Also below are links to the sites of third party insurers. Our customers have reported that the companies marked with a red checkmark paid a claim for their Solaris garment.

 

 

·         Assumption Life

·         Blue Cross 1240848155298205944thatsmyboy_Simple_Red_Checkmark_svg_med.png

·         Canada Life 1240848155298205944thatsmyboy_Simple_Red_Checkmark_svg_med.png

·         Desjardins 1240848155298205944thatsmyboy_Simple_Red_Checkmark_svg_med.png

·         Empire Life

·         Equitable Life

·         Great West Life 1240848155298205944thatsmyboy_Simple_Red_Checkmark_svg_med.png

·         Green Shield 1240848155298205944thatsmyboy_Simple_Red_Checkmark_svg_med.png

·         Manulife 1240848155298205944thatsmyboy_Simple_Red_Checkmark_svg_med.png

·         Standard Life 1240848155298205944thatsmyboy_Simple_Red_Checkmark_svg_med.png

·         Sunlife 1240848155298205944thatsmyboy_Simple_Red_Checkmark_svg_med.png

 

·         ODSP - Provincial Disability Benefit Plan, Ontario 1240848155298205944thatsmyboy_Simple_Red_Checkmark_svg_med.png

·         Veterans Affairs Canada 1240848155298205944thatsmyboy_Simple_Red_Checkmark_svg_med.png

·         Social Assistance in some locations (ON, NB, PE) 1240848155298205944thatsmyboy_Simple_Red_Checkmark_svg_med.png

 

·         WorkSafe BC 1240848155298205944thatsmyboy_Simple_Red_Checkmark_svg_med.png

·         WCB - Alberta

·         WCB - Saskatchewan

·         WCB - Manitoba

·         WSIB - Ontario 1240848155298205944thatsmyboy_Simple_Red_Checkmark_svg_med.png

·         Commission de la Santé et la Sécurité du Travail

·         WHSCC – Newfoundland & Labrador

·         WorkSafe NB 1240848155298205944thatsmyboy_Simple_Red_Checkmark_svg_med.png

·         WCB – Nova Scotia

·         WCB - PEI

·         WSCC – Northwest Territories & Nunavut

·         Yukon Workers’ Compensation

 

 

 

RESOURCES FOR WORKING WITH PHYSICIANS AND INSURANCE COMPANIES:

 

Solaris Garment Info for Physicians and Insurance

Letter of Medical Necessity Template

Prescription for Solaris Garments

Insurance Benefits Inquiry Template

TRIBUTE INFORMATION

FOR INFORMING PHYSICIANS/INSURANCE

LETTER OF MEDICAL NECESSITY

SAMPLE LETTER TEMPLATE

PRESCRIPTION TEMPLATE

FOR SOLARIS GARMENTS

INSURANCE COVERAGE

INQUIRY TEMPLATE

 

 

                   

 

INFO SHEETS:

 

Tribute Info Sheet

Caresia Info Sheet

ReadyWrap Info Sheet

Swell Spots Info Sheet

TRIBUTE

CARESIA

READYWRAP

SWELL SPOTS

 

 

 

ONTARIO DEALERS AND ADP VENDORS:

 

ADP Denial Letter Request - Fax Template

Statement of Support for ADP Listing

Fax Template to ADP

for Letter of Denial

Statement of Support

for ADP Listing

 

Although we are engaged in the process     to have Solaris garments considered for approval for coverage by the Ontario Assistive Devices Program (“ADP”), at this time we are not included on their list of “approved” devices for lymphedema coverage through ADP vendors. 

 

If you have experience with Tribute it may be useful if you would contribute your product feedback directly to the ADP using the form to the right.

 

 

 

If your patient or client has private or workplace health care benefits, there is a good possibility that he or she may be covered for their Solaris garment, but some insurers require that the insured first exhausts the available funding through the ADP.  Since Solaris garments are NOT covered by the ADP at this time, all that is generally required is a standard, “Letter of Denial” from the ADP, which your client will then submit to their insurer along with their pre-authorization or claim.

 

We have worked with the ADP to streamline the process of obtaining such a denial letter – above is a link to a fax template to use for this purpose.  Simply click to open the form, print and have your client fill out with their personal information and fax to the number shown on the form.  The ADP will issue the denial letter by mail, typically within 7-10 days.

 

 

 

CANADIAN GOVERNMENT RESOURCES ONLINE

 

 

Canadian Government Benefits

Persons with Disabilities - Online

Canada Locator Map Gov.jpg

Canada Locator Map Gov.jpg

Click Image to Open Site in New Window

Click Image to Open Site in New Window

 

 

 

 

 

 

 

 

 

Mailing address:

12-111 Fourth Ave., Suite 347

St. Catharines, ON  L2S 3P5

Send us an email:

Info@LymphedemaDepot.com

   Give us a call:

  (905) 687-8500

 

Send us a fax:

(905) 687-8224

 

 

©2011 Lymphedema Depot Ltd.

 

 

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