Actually, the efficiency is not coming from the GIs office...
(okay, the way I've understood it... and once you read it, you'll understand why I thought it was going to be a complicated process...:ack
Not sure if it's done the same elsewhere but, here... I was assigned a rep from some agency that is the liason between me and everyone else (not even sure who or what the company is
), she sent in the insurance claim, sent me a CD describing the infusion, information booklet, got prescription from GI and arranged for pharmacy to deliver to infusion centre, etc. Here, remicade is administered at independent infusion centres.
The actual medication is covered by insurance but the administration/infusion of the medication is NOT covered by insurance. The administration is also NOT covered by the provincial healthcare unless it's done in a hospital setting (however, remicade is administered outside of a hospital because, if IN a hospital setting, the insurance refuses to pay for the medication as anything done in the hospital should be covered by the provincial healthcare). :ybatty:
So, when I asked about this admin cost (because, somehow, the clinic's costs must be covered, right?), I was told there would be no cost to me. hmmm??? so who's paying the rent, the nurses, the doctors, etc.... not provincial care, not insurance... must be the drug companies? Hence, the efficiency! No criticism intended towards the drug companies - but they are working to generate a profit, unlike our provincial healthcare that runs over budget ALWAYS, has long waits, not enough doctors/nurses, etc.