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Seniors over the age of 60 are eligible for the Extended Health Benefits for Seniors Program which covers eligible prescription drugs, dental services, vision care, medical supplies and equipment. A prescription or written order from a recognized health care professional is required and many supplies require prior approval.
Applying for the Extended Health Benefits for Seniors Program | Health and Social Services (gov.nt.ca).
The Extended Health Benefits for Specified Disease Conditions Program is available for those with specified conditions including Spina Bifida, Spinal Cord Injury (paraplegia/quadriplegia), Ulcerative Colitis, Multiple Sclerosis, Congenital Anomalies of the Urinary System, Crohn’s Disease among others
Applying for the Extended Health Benefits for Specified Disease Conditions Program | Health and Social Services (gov.nt.ca)
The Metis Health Benefits program provides eligible Indigenous Metis residents of the NWT to extended health benefits including prescription drugs and medical supplies
NWT Métis Health Benefits Program | Health and Social Services (gov.nt.ca)
Individuals can also contact the HSS System Navigator who can help them find the appropriate services related to their individual needs:
1-855-846-9601 (Toll free)
HSS_Navigator@gov.nt.ca
If you were injured at work and as a result need to use catheters for bladder management, Workers Safety and Compensation Commission (WSCC) should cover your catheter requirements.
If you are purchasing catheters for the first time, you will require a prescription from your doctor. Send the prescription along with this completed letter to WSCC for approval.
There may be a better catheter option for you.
Ask for samples of SpeediCath® catheters*. Simply click here "Free SpeediCath® Samples" to order.
Talk to your doctor - ask for a prescription for SpeediCath® catheters. SpeediCath® catheters are single use only so the prescription should be for the number of times you need to catheterize daily, typically 4-5 catheters per day (one for every time you need to empty your bladder).
Ask your doctor to complete and sign the Coloplast Intermittent Catheter Letter of Recommendation. Simply click on the letter on this page, download the letter and send it to your doctor. This letter outlines the issue(s) you are having and why you need to use SpeediCath®.
Submit the prescription and letter to WSCC for approval.
Upon approval, take your prescription and go to one of the preferred WSCC suppliers to purchase your catheters.
Ask your supplier to bill WSCC directly.
*Limitations apply
Workers' Safety and Compensation Commission (WSCC) | WSCC | Workers' Safety and Compensation Commission
If you sustained a catastrophic injury due to an auto accident, you may qualify for catheter coverage.
Settlements / lump sum payouts can take many years. During that time, the insurance company covers catheters as recommended by the physician and is dependent on individual adjustor approval. The client usually receives a report at time of settlement itemizing products and services currently being covered and their associated annual costs - it is up to client to manage the settlement amount and associated expenses for their lifetime. The insurance company will no longer be involved once the client settles.
It is important that you are using the best catheter option for you.
Send SpeediCath® prescription and support letter to your auto insurance to request approval.
Some municipalities offer their own health support programs or supporting services. Check with your local municipality to see if there are any additional support options available to you.
Coloplast provides this information for convenience and your general reference only. It does not constitute legal advice or a recommendation regarding clinical practice. Reimbursement, coverage and payment policies can vary from one insurer and region to another and is subject to change without notice. The provider has the responsibility to determine medical necessity and to submit appropriate codes, information, and charges for care provided. Coloplast does not guarantee coverage or payment of products and Coloplast makes no guarantee that the use of this information will prevent differences of opinion or disputes with providers, agencies, insurers, or other payors as to the correct form of billing or the amount that will be paid. This information is provided for your general information only and is not intended to replace any advice you receive from your own internal or external insurance coverage consultants, reimbursement specialists or legal counsel.
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