VIP card ...who do you bill?

thanks, I have the old card it says POC 12A, but I`m not jumping through any more hoops for VAC

I remember the 1st time I requested it, I got a prescription and the service provider did a pre authorization on it, it was denied cause I didn't have POC 12 which is what you needed for massage therapy
but the new cards don't list what POC's your covered under.

If you know what POC's you have and are an "A" CLient it requires pre-authorization 1st, so the service provider should get the prescription from your Doctor, and send it off to Blue Cross asking
for authorization. And Blue Cross will reply either authorized or not authorized.

Here's the Listing from the Benefit grid

Benefit Description
MASSAGE THERAPIST - VISIT

Benefit Code Number
249432

Program of Choice
RELATED HEALTH SERVICES (POC 12)

Province/Territory
Ontario

Prescriber Required

MEDICAL DOCTOR
NURSE PRACTITIONER


Recommender Required
No

Pre-authorization Required Group A
Yes

Pre-authorization Required Group B
No

Subsequent Pre-authorization Required
No

Limit
N/A

Frequency
15 / Calendar year

And as Teen said, if you need more they can request an extension for more visits. Oh and that list is for someone in Ontario, guess each Province is different

Normally you need a referral to see a massage therapist from your family doctor. Discuss with your doctor if massage/physio will help. If so get the referral to the massage/physio AND get a Prescription from your family doctor.

In my experience any massage/physio therapist does a complete exam, history and initial assessment of your injury before treatment.

VAC approves 12 or so appointments but if you need more the massage/physio office will put the request in for more treatments.

thanks, but before I go to see a massage therapist etc. will VAC require me to get a new assessment of my injury to see if I`m still injured. It happened over a decade ago , I just released and then never turned to VAC for anything. My injury is what caused me to be released, I still have it, I will always have it, but if I have to go start visiting Dr.s just to get proof I need a massage, it hardly seems worth it.?

Artie when you go to a service provider tell them to call the NCCN (1-866-522-2122). Tell them to identify themselves as a service provider and they will be connected to Blue Cross so they can learn how to bill them instead of you.

Now if the service provider does not want to call then, if you can, pay for what you need and call the NCCN to ask where you send the bill for reimbursement.

JUST MAKE SURE EVERY BILL HAS YOUR K# ON IT....EVEN IF THEY ARE ALL STAPLED TOGETHER. AND MAKE SURE YOU HAVE THE DOCTOR'S PRESCRIPTION TO SUBMIT AS WELL.

You can sign up for Blue Cross acct thru my Vac and you can view your payments there. Also tell you your coverage etc

From the providers that I have gone to if they accept blue Cross they normally have a form and I think they put the K # down and then you also sign it. If you have dental coverage when I went the dentist didn't require anything and did it all electronically. I have run into issues where providers were not gettibg paid for over a year and started asking me for payment. Don't know why they are so slow at some payments and others they aren't.

shows you have often I look at that card, lol, so does the service provider just write the K# on the form?

VIP is billed to blue Cross. I believe the card has blue Cross logo on it.

I`ve had a VAC VIP card with a K# on it for over a decade but never used it.Apparently I`m entitled to things like occupational therapy, acupuncture, massages etc. due to my injury. My question is , if I was to book an appointment and go to pay, who do I tell them to bill as I think the sessions are 100% covered. Most places ask if you have blue cross or a plan from their work place, but is there a special form I am supposed to brink with me, ? I find most places don`t know how to go about billing VAC?