We understand that cancer treatment can be diﬃcult to cope with physically, mentally and ﬁnancially. In our constant endeavor to do our best for patients, OncoStem has worked with insurance consultants to help insured patients get reimbursement for CanAssist Breast. This involved a survey of close to 150 oncologists and CanAssist Breast patients, and a comprehensive review of Insurance Regulatory and Development Authority of India (IRDA) guidelines.
Our consultants have created a framework and ready-to-use template for a letter of medical necessity, based on their in-depth understanding of the claims review process.
BENEFITS OF THE READY-TO-USE TEMPLATE
Patients must apply for the reimbursement as a post-hospitalization expense within 60 days of discharge after surgery. As the treating clinician, you will have to provide your patient with a letter stating the medical necessity of performing CanAssist Breast.
The consultants are conﬁdent that patients can get reimbursement for CanAssist Breast (TnC apply*).
The necessary supporting documentation required to submit a claim is available with our sales team.
Eligibilty Criteria for CanAssist Breast: Early-stage breast cancer patients (Stage I or II) with invasive breast carcinoma who have hormone-positive (ER+ or PR+) and HER2-negative disease are eligible for CanAssist Breast.
Turn around time: 10 working days
*Terms and Conditions: Reimbursement is dependent on the patient’s policy and coverage. Claim templates are provided by OncoStem on a best-eﬀorts basis. Submission of a claim using the provided template does not guarantee that the claim will get approved.