Form 4520-84 Request for Prior Approval for Full Payment of Insured out-Of-Country (Ooc) Health Services - Ontario, Canada

Form 4520-84, Request for Prior Approval for Full Payment of Insured out-of-Country (OOC) Health Services - Ontario, Canada, is used to request approval for full payment of health services received outside of Canada, specifically in Ontario. It is for individuals seeking coverage for healthcare services received abroad.

FAQ

Q: What is Form 4520-84?A: Form 4520-84 is a document used to request prior approval for full payment of insured out-of-country health services in Ontario, Canada.

Q: Who can use Form 4520-84?A: This form can be used by residents of Ontario, Canada who require out-of-country health services that are covered by the Ontario Health Insurance Plan (OHIP).

Q: What is the purpose of Form 4520-84?A: The purpose of this form is to seek approval from OHIP for the full payment of insured out-of-country health services, including hospital stays, medical procedures, and other necessary treatments.

Q: What information is required on Form 4520-84?A: The form requires detailed information about the patient, the requested services, the healthcare provider, and an explanation of why the services are necessary and cannot be provided in Canada.