Look out for laser surgery, hsf claim form.#Hsf #claim #form


Look out for laser surgery

Before opting for laser eye surgery, you need to make sure you know what the procedure will entail and how it will work for you, writes FIONA REDDAN

SINCE ITS introduction almost two decades ago, eye laser treatment has revolutionalised many people’s lives, rendering the wearing of glasses or contact lenses unnecessary.

In line with demand for the treatment, the number of providers offering the service in Ireland has soared.

But what do you need to know about the procedure before you throw away your glasses?

WHO IS SUITABLE FOR THE TREATMENT?

Laser eye surgery is aimed at improving the sight of those suffering from ailments such as short sightedness, long sightedness and astigmatism. However, not all people with these complaints will be suitable for surgery.

In general, Dr Arthur Cummings of the Wellington Eye Clinic in Dublin, says that candidates should be over 18 years of age, with healthy eyes and a relatively stable prescription.

If you have problems such as dry eyes or cataracts, or have a systemic condition such as pregnancy or uncontrolled diabetes, then you may not be suitable.

Most clinics offer a free consultation to determine if you are a suitable candidate. According to Cummings, about 10 per cent of people presenting to eye clinics are not suitable.

WHAT IS THE DIFFERENCE BETWEEN LASIK AND LASEK?

There are two types of laser treatments. LASIK, which uses a cool beam of light from the excimer laser to gently reshape the front surface, or cornea, of the eye, and LASEK, which involves removing the top layer of the cornea as a flap-like sheet before re-sculpting the cornea with a laser.

In general, most of the surgeries carried out tend to be LASIK, as it is more convenient with a faster recovery time.

However, for patients with thin corneas, or who are involved in certain contact sports, LASEK can be more appropriate.

The procedure takes about 10-15 minutes per eye, and patients are usually required to wait an additional 30 minutes or so in the clinic afterwards. In general, both eyes are treated on the same day, although Cummings notes that 2 per cent of people prefer to have it done separately.

Another general rule is that, for patients under 40, usually only one eye is treated. Known as “monovision”, this is because people’s eyesight tends to deteriorate once they enter their late 40s. If both eyes were treated therefore, it would mean additional laser treatment would need to be carried out.

HOW LONG IS THE RECOVERY PERIOD?

In general, recovery from LASIK treatment usually occurs within 24 hours, and you should be able to see without glasses or contact lenses within a day. LASEK, however, is slower and more uncomfortable, and full recovery is not expected before about five days. It is not recommended that you drive home after surgery.

A check-up is usually carried out the day after the procedure, and then again after six weeks.

HOW DO YOU FIND THE RIGHT CLINIC?

At present, laser eye clinics are not regulated in Ireland, so consumers should do their own due diligence before selecting one.

Word of mouth recommendations from friends or family are often the best way of finding a suitable clinic.

Cummings recommends that you select a clinic where you’re assessed by a consultant, and treated and followed up by the same doctor.

He also suggests that you look for a clinic where the surgeon is based in Ireland, in case there are any issues that need to be addressed afterwards.

Laser surgery is “always successful” in reducing dependency on glasses, says Cummings, but adds that about 1.7 per cent of patients will require follow-up treatment.

According to Cummings, laser eye surgery is the “most successful treatment in medicine”, pointing out that as long as you are a good candidate, it is eight times safer than wearing contact lenses.

Nevertheless, like any type of surgery, there are risks associated with laser eye treatment, and potential problems include dry eyes, or more serious complications such as poor vision in low light and difficulty with night driving, flap problems and infections.

Something else to bear in mind is that LASIK is a relatively new surgery. As such, the long-term safety and effectiveness of the treatment is not yet known.

Prices for surgery will depend on where you are in the country, and which clinic you attend.

At Optical Express, which has clinics in Dublin, Newbridge and Cork, laser eye surgery starts from just €595 per eye, but the advanced wavefront version costs from €1,150.

At the Wellington clinic in Sandyford, Dublin, wavefront optimised LASIK/LASEK costs €2,050-€2,200 per eye, and this covers you for up to one year for all your post-operative visits and any immediate enhancement surgery that may be needed after surgery.

Ultralase, which has four clinics around Ireland, charges from €1,295 per eye to €2,495 per eye, depending on the treatment chosen, while costs at LaserVision range from €995 per eye to €2,550 for both.

As with all medical treatments, cost should not be your primary motivator. While some clinics may advertise very low prices, these may be suitable for only a small proportion of candidates, and the real cost may be considerably higher.

You should also check whether the fee includes the cost of follow-ups.

Eye laser treatments are eligible for tax relief, so you can claim back at the standard rate of tax, 20 per cent, by submitting a Med 1 form at the end of the relevant tax year. So, a €1,000 treatment will in effect cost you only €800.

You may also be able to get some money back if you have private health insurance. For example, Aviva has an arrangement with Optical Express, which means that members can get a 22.5 per cent discount on treatments with the provider. So, a Wavefront treatment will cost an Aviva member only €891.25, while getting tax relief on this will bring the total cost down to less than €713.

At Quinn Healthcare, members can get a 15 per cent discount at a number of participating centres which include LaserVision in Dublin; Optical Express in Cork, Dublin and Kildare; and Western Laser Clinic in Galway, while Optilase offers Quinn members a €1,000 discount on Advanced CustomVue Wavefront LASIK/LASEK eye laser treatment.

The HSF also offers a rebate on eye laser treatment, which varies depending on the plan you have.

However, the VHI doesn’t provide cover for laser eye surgery for correction of long/short sightedness.

in conjunction with a number of providers of refractive laser surgery, VHI members can avail of a 15 per cent discount on laser eye surgery procedure fees (excluding consultation fees).


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Medicare/Medicaid

This section of our website includes information on the Blue Cross Community MMAI (Medicare-Medicaid Plan) SM , Blue Cross Community Integrated Care Plan (ICP) SM , Blue Cross Community Family Health Plan SM (FHP) and Blue Cross Community Managed Long Term Supports and Services SM (MLTSS). Blue Cross and Blue Shield of Illinois (BCBSIL) has a network of independently contracted providers including physicians, hospitals, skilled nursing facilities, ancillary providers, Long-term Services and Support (LTSS) and other health care providers through which MMAI, ICP, FHP and MLTSS members may obtain covered services.

The Centers for Medicare Medicaid Services (CMS) and the State of Illinois have contracted with Blue Cross and Blue Shield of Illinois (BCBSIL) along with 5 other Managed Care Organizations to implement MMAI.

  • MMAI is a 3-year demonstration plan developed to better serve individuals eligible for both Medicare and Medicaid.
  • This combines Medicare and Medicaid funding under a blended payment agreement to provide integrated, comprehensive care to benefit dual-eligible enrollees.
  • BCBSIL is one of 6 health plans in the Greater Chicago area to participate in the demonstration.
  • BCBSIL will provide services to MMAI members in 6 counties: Lake, DuPage, Kane, Cook, Will and Kankakee.

The Illinois 2011 Medicaid Reform Law requires the Medicaid plan to enroll at least 50% of Medicaid members into coordinated care/managed care by Jan. 1, 2015.

  • ICP is for seniors and adults, 19 and older, with disabilities and Medicaid only (no Medicare).
  • BCBSIL will provide services to ICP members who live in Cook, DuPage, Kane, Kankakee, Lake and Will Counties.

The Illinois Department of Healthcare and Family Services (HSF) has entered into a contract with Blue Cross and Blue Shield of Illinois (BCBSIL) to offer the FHP beginning Oct. 1, 2014. FHP will be offered to eligible participants in six Illinois counties: Cook, DuPage, Kane, Kankakee, Lake and Will.

The Blue Cross Community Family Health Plan is a program for children under 19, their parents who live with them or a relative acting as caretaker, as well as pregnant women. FHP also covers the Affordable Care Act (ACA) expansion population, which includes the newly eligible adult population of Illinois residents between the ages of 19 and 64 whose monthly income is less than 138 percent of the federal poverty level.

MLTSS refers to the delivery of long term supports and services through Managed Care Organizations. It was designed to expand home and community based services, provide better care coordination and ensure quality and efficiency. MLTSS is a mandatory program for dual eligible members who have elected to opt out of the MMAI program and are receiving long term supports and services in the community or at a facility. The MLTSS program includes Home and Community Based Services, Nursing Home Care, Medicaid-Covered Services: Non-emergent Transportation, Behavioral Health, and Substance Abuse. Blue Cross Community MLTSS is available to members who live in Cook, DuPage, Kane, Kankakee, Lake and Will Counties of Illinois.

Objectives and Goals

Together, MMAI, ICP, FHP and MLTSS are designed to improve accessibility and availability of care with a focus on maintaining our members independence. Learn more

Potential Members and the Enrollment Process

Individuals may enroll for MMAI, ICP, FHP and MLTSS when specific criteria are met. Medicaid Waivers also may apply to MMAI, ICP, FHP and MLTSS members who meet all other criteria. According to State regulations, MMAI enrollment is voluntary; MLTSS is a mandatory program for dual eligible members who elect to opt out of the MMAI program and are receiving long term supports and services in the community or at a facility; ICP and FHP enrollment is required for Medicaid members. Learn more

Person Centered Practice, Care Coordination and the Interdisciplinary Care Team

A person centered practice involves primary health care that is relationship-based with a focus on the individual. Coordination by a health care team is critical to help ensure that each member receives all services as needed, according to their health benefit plan. Learn more

Critical Incidents Health, Safety and Welfare

To help ensure the health, safety and well-being of vulnerable individuals, it is important to report critical incidents of abuse, neglect and financial exploitation to the appropriate authorities. Learn more

Long Term Services and Supports, Home and Community Based Waivers

Under the Affordable Care Act (ACA), there will be greater access to Home and Community Based Services (HCBS) through Long Term Services and Supports (LTSS) providers who provide medical and non-medical services to seniors and people with disabilities in need of sustained assistance. Learn more

Provider Training Requirements and Resources

It is a CMS and State of Illinois requirement for BCBSIL to make available training on certain topics related to MMAI, ICP, FHP and MLTSS. Several training modules and other learning opportunities are available and completion of training is mandatory for specified provider types. Learn more


Quebec Payroll Rates and HR Information – Updates for Quebec Canada, hsf claim form.#Hsf #claim


Quebec Provincial Payroll Information

This page provides provincial payroll information for the province of Quebec. Click one of the links below to move directly to the corresponding section. To view Federal information, please click here

  • TP-1015.3-V – Basic Personal Amount – Every person employed in Quebec and every pensioner residing in Quebec can claim the personal exemption amount of $11,635 for 2017.
  • Federal Basic Exemption – The Federal Basic Exemption amount is $11,635 for 2017.

Note: This information is meant to serve as a guide only. Readers are encouraged to consult the full legislation of Quebec’s An Act Respecting Labour Standards. Here are some online resources:

Minimum Wage in Quebec

The province of Quebec has four wage rate standards as follows:

$11.25 as of May 1, 2017.

Hours of Work in Quebec

The type of employee excluded from this legislature are management, students, farm workers, fish processors, etc.

Worker’s Compensation

The Maximum Assessable Earnings amount for 2017 is $72,500. The deadline for submission is due before March 15th.

Leaves of Absence in Quebec

Statutory Holidays in Quebec

In accordance with the Canadian Labour Standards Code, whenever the following holidays land on a Saturday or Sunday, New Year’s Day, Canada Day, Christmas Day — the employer must grant his or her employee a holiday with pay on the next working day immediately preceding or following the holiday, providing that the holiday is a provincial requirement. If a statutory holiday is worked on a regularly scheduled work day then the employee must receive their average daily pay plus regular pay for the hours worked or receive a day off within three weeks of the holiday at their regular rate of pay.

* Good Friday or Easter Monday, at the option of the employer, or Easter Sunday for employees of a commercial establishment, usually open on Sundays, where the public cannot be admitted on Easter Sunday under the Retail Sales Act.

** The National Holiday is legislated under the National Holiday Act. Eligibility and payment requirements for the holiday differ from all other statutory holidays.

The Commercial Establishments Closing Act includes the following observances: January 1, January 2, Easter Sunday, National Holiday (June 24 or June 25, if June 24 is a Sunday), July 1 (or July 2 if July 1 is a Sunday), The first Monday in September, December 25, December 26 (until 1:00 p.m.) and other days set by the government.

Minimum Age

Quebec doesn’t have any minimum age requirements. Adult status is given to anyone who is at least 16 years of age. The operation of heavy machinery is not allowed for anyone under the age of 18.

Pay Statements

For Quebec the pay frequency minimum, is semi-monthly. The employee must receive their pay every 16 days. By legislation, Quebec pay statements must contain the following (though employers may include additional items):


HRinfodesk – Canadian Payroll and Employment Law News, hsf claim form.#Hsf #claim #form


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