Tips for Insurance Reimbursement

Canada

Experience has shown that most employee health insurance companies will cover some or all of the cost of home UVB phototherapy equipment; however, often this requires considerable persistence by the applicant.

1. UVB-Narrowband Home Phototherapy is a highly cost-effective and efficient alternative to expensive biologic drugs. At Solarc Systems Inc., we make it easy for you to kickstart your journey by requesting a Proforma Invoice that you can submit for pre-approval before you purchase. Simply create a personalized login account here, and you’ll gain access to your account page in no time. From there, continue exploring our wide range of SolRx devices and select the one that perfectly fits your needs. With just a few simple steps, you can effortlessly generate a Proforma Invoice and provide us with your contact information. Once you’ve submitted your request, we’ll provide you with a detailed summary on the screen, along with a copy of your Proforma in convenient HTML and PDF formats, promptly delivered to your email. It couldn’t be any more convenient!

Trust Solarc Systems today to experience the remarkable benefits of UVB-Narrowband Home Phototherapy. With an impressive array of options including the SolRx E-Series Full Body/Multi-Directional Panel, SolRx 1000 Series Full Body Panel, SolRx 500 Series Hand/Foot Spot Unit, SolRx 100 Series Hand-Held Unit, and replacement bulbs, we’ve got you covered to enhance your phototherapy experience to the fullest.

2. Submit a prescription for your preferred device with your insurance claim. Although a physician’s prescription is not required to purchase a phototherapy device or make a medical expense claim on your Canadian income taxes, a prescription may be useful when applying for coverage to your health insurance plan. Alternatively, you can supply your physician with a copy of our Doctor’s Letter of Medical Necessity and ask if they have time to create a personalized version of this for you on their stationery or have them simply fill in the blanks in the form. There may be a cost for this. 

3. If you cannot get your physician to write a prescription or fill in the Letter of Medical Necessity, we recommend that you write your personalized letter to your insurance company using our Patient’s Letter to Insurance Company template, which is an editable MS-Word (.doc) file that you can easily personalize. This is your opportunity to make a “business case” for acquiring the equipment. 

4. Talk to your human resources in charge of employer insurance or insurer contact person about your request and present them with copies of your prescription, Letter of Medical Necessity, and any relevant information literature or online links. Ask for their help with your request.

5. Depending on the insurance company, the first response to your request may be that the equipment is not covered. The reason for this is that the first-line contact person is normally only supplied with a list of commonly insured equipment, and UVB phototherapy equipment is often not listed. It might be helpful to mention that home phototherapy equipment is on the list of medical expense tax credit-eligible expenses. See; Income Tax Act, Medical Tax Credit, 118.2(2)(i). You may ask to speak to a manager at the insurance company and further make a business case for your claim. Many patients have eventually received insurance approval through persistence and elevating their cases to more senior claim reviewers. Some insurance companies will have an “appeal” process. Many people have made successful appeals. It is always a good idea to get the insurance claim coverage in writing.

 

Insurance company considerations:

After surveying hundreds of our Canadian home phototherapy customers over many years, we have consistent documented evidence that with respect to the large Canadian health insurance companies’ coverage of Solarc’s medical UVB home phototherapy equipment:

  • MANULIFE almost always provides health insurance coverage for the purchase;
  • COUGHLIN almost always provides health insurance coverage for the purchase;
  • DESJARDINS almost always provides health insurance coverage for the purchase;
  • BLUE CROSS sometimes provides health insurance coverage for the purchase;
  • GREAT WEST LIFE sometimes provides health insurance coverage for the purchase;
  • SUNLIFE almost never provides health insurance coverage for the purchase.

It is economically sensible for health insurance companies to cover the devices because they have been proven to be very cost-effective. Use of topical creams and ointments is typically greatly reduced (which at $230 for a single tube of Dovobet® can cost thousands of dollars per year), and UVB-NB phototherapy can keep patients away from the new biologic drugs, which cost $20,000 to $30,000 per year. To boot, UVB home phototherapy reduces the number of patients that must attend government-paid phototherapy clinics, of which there are about 100 in Canada.

UVB-Narrowband Home Phototherapy is a highly cost-effective and efficient alternative to expensive biologic drugs. At Solarc Systems Inc. | Canada, we make it easy for you to kickstart your journey by requesting a Proforma Invoice. Simply create a personalized login account, and you’ll gain access to your own account page in no time. From there, continue exploring our wide range of SolRx devices and select the one that perfectly fits your needs. With just a few simple steps, you can effortlessly generate a Proforma Invoice and provide us with your contact information. Once you’ve submitted your request, we’ll promptly provide you with a detailed summary on the screen, along with a copy of your Proforma in convenient HTML and PDF formats, promptly delivered to your email. It couldn’t be any more convenient! Trust Solarc Systems today to experience the remarkable benefits of UVB-Narrowband Home Phototherapy. Rest assured, we handle all the necessary details – from gathering your name, address, city, province, postal code, telephone, and fax numbers, to ensuring you receive a confirmation email and message. We leave no stone unturned. With an impressive array of options including the SolRx E-Series Full Body/Multi-Directional Panel, SolRx 1000 Series Full Body Panel, SolRx 500 Series Hand/Foot Spot Unit, SolRx 100 Series Hand-Held Unit, and replacement bulbs, we’ve got you covered to enhance your phototherapy experience to the fullest. Whether you’re a current clinic patient, a former user, or simply curious about UVB-Narrowband Home Phototherapy, our dedicated team is here to assist you every step of the way. Don’t hesitate to reach out to us today – we’re always ready to respond and provide exceptional support!

Contact Solarc Systems

I am:

I'm interested in:

Replacement bulbs

Contact Prefrence

We Respond!

If you need a hardcopy of any information, we ask that you download it from our Download Center. If you are having trouble downloading, we would be pleased to mail you whatever you need.

Address: 1515 Snow Valley Road Minesing, ON, Canada  L9X 1K3

Toll-Free: 866-813-3357
Phone: 705-739-8279
Fax: 705-739-9684

Business Hours: 9 am-5 pm EST M-F