Private health insurance: Does your client still need a doctor’s note for reimbursement?
Private health insurance: Does your client still need a doctor’s note for reimbursement? | Insurance Business Canada
Life & Health
Private health insurance: Does your client still need a doctor’s note for reimbursement?
Policyholders urged to confirm with their carriers
Life & Health
By
Terry Gangcuangco
Private health insurance policyholders in Nova Scotia are advised to confirm with their insurers whether a doctor’s note is still required for services such as massages, physiotherapy, or chiropractic care in a bid to help free up doctors’ time.
CBC News cited the Department of Health and Wellness as previously saying that fewer than 10% of private health insurance plans in the province require a referral for those services.
In a recent confirmation, the department shared with CBC News that the information was sourced from the Canadian Life and Health Insurance Association (CLHIA). A department spokesperson explained that the shift away from requiring a doctor’s referral for reimbursement is in line with best practices for insurers.
CLHIA group benefits vice president Joan Weir commented: “Our impression is there’s a real misunderstanding out there on behalf of patients and perhaps on behalf of prescribers and physicians that everybody needs a referral, and that’s simply not true.”
According to Weir, data from CLHIA member companies shows that only 3% to 18% of insurers or employer groups still mandate referral notes.
She added: “Most people who have private benefits through an employer will have a portal that they can log into and access the information as to whether a referral is required. And if in doubt, go to your employer and ask, because they will for sure know.”
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