CEO of Nurses and Nurse Practitioners of B.C. says it’s not the first time an insurance company has rejected a prescription from a nurse practitioner
A Colwood couple considered themselves lucky amid a family-doctor shortage to become patients of a nurse practitioner three years ago, but are shocked to find their insurance company won’t cover an orthotics bill because it wasn’t prescribed by a “physician.”
“They say nurse practitioners are not covered,” said Andrea Brown, 75. “I think they should be covered.” “It’s one of the things that boggles the mind because [our nurse practitioner] writes my heart-medication scripts, and I got all my reimbursements for those,” he said. “And yet for this one, because of the legal wording of the contract between my previous employer and the insurance entity, they’re claiming they’re not going to pay because the script has to be written by a medical doctor.”
Nurse practitioners are registered nurses educated at a masters level and have advanced training. Paid on salary, they can work on their own or with physicians and other health professionals to provide care that includes diagnosing and treating physical and mental illnesses, ordering and interpreting tests, prescribing medications and performing medical procedures. A nurse practitioner cannot, however, certify someone under the Mental Health Act as a physician can.
“Some insurance providers — for reasons that remain with those insurance providers — do not accept the qualified signature of a nurse practitioner as it relates to some paperwork pieces,” said Sandler, noting that it’s long been enshrined that nurse practitioners can refer to specialists.
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