Posted 19 January 2011 - 12:22 PM
I spoke with D'thea Webster the PSHCP Asministration authority at the National Joint Council regarding the clause in the public service health care plan that states the following (for those not in DND or the RCMP but the rest of the PS) :
Eligible expenses are the reasonable and customary charges for:
1. physician's services and laboratory services where such services are not eligible for reimbursement under the participant's provincial/territorial health insurance plan, but where such services would be eligible for reimbursement under one or more other provincial/territorial health insurance plans.
Laboratory services include those services which when ordered by and performed under the direction of a physician provide information used in the diagnosis or treatment of disease or injury. Services include, but are not limited to, blood or other body fluid analysis, clinical pathology, radiological procedures, ultrasounds, etc.
Where only one province/territory provides reimbursement for a particular service, and that province/territory discontinues the coverage, the issue shall be subject to review by the Trustees as to whether coverage will also be discontinued under the Plan. Claims for such services, following cessation of provincial/territorial coverage, shall be held by the Administrator pending the decision of the Trustees.
Where a province/territory begins reimbursement for a particular service, claims for the service shall be held by the Administrator pending a review by the Trustees as to whether the service should be covered in the other provinces and territories.
I wanted to know what the plan for review was going to be now that the Quebec Provincial Health Care Plan covers three rounds of IVF. This is the response and clarification that I received:
Sun Life is preparing a discussion paper on this issue, detailing the provisions in Quebec; the Administration Authority will subsequently review this paper and make its recommendation.
As to timeline, we are held up at the moment because we have not been able to responses from RAMQ on certain key questions.
A descision and analysis appears to be held up and they are not progressing quickly. I think that if more people contact the NJC we may be able to gain momentum (strength in numbers) in order to get this progressing more quickly. The NJC would be the ones to push this for us.
If anyone has any other suggestions or know of anyone with the Province of Quebec who could ensure the the NJC receives the information that they are requesting that would be benficial as well.
Married 12 years
TTC- 7+ years
IVF # 1- BFP DS born 2007
#2 - BFN
IVF # 2 - November 2010
Superfact November 8
First screening November 15
Egg Retrival December 2
8 Eggs retirived only 2 fertilized
December 4 (DH B-day) transferred 2
December 14 AF- BFN :-(
IVF# 3- August 2011
Superfact - August 5, 2011
First screening - August 18, 2011
Gonal F 300 and Luvaris -
17 Eggs retrieved- 13 Fertilized
Transferred 2grade B embryos 1-9 cell, 1-8cell
September 11- Started what I thought was AF
September 13 - BFP
September 14 AF stop
September 15 - BFP
Cautiously Optomistic - Due Date May 24
It's Twins!!! OMG Freaking out!!!