Making the Request

Authority Health Insurance BC

Duncan was reviewing the guidelines for Medical Services Plan premium assistance. Given his low income, Duncan figured he should have long-since qualified.

Duncan had contacted Health Insurance BC (HIBC) to request assistance. In fact, he had called several times, believing HIBC would look into his eligibility.

Unfortunately, Duncan never received a response to his calls or a decision regarding his eligibility.

Finally, after two years, Duncan spoke to HIBC again and received some news: his account had been flagged, he had a credit of $690, and he did not need to pay more. Nevertheless, Duncan could not get a clear answer: Had he actually been approved for premium assistance? Would he have to keep calling?

Looking for a concrete resolution, Duncan contacted us. We agreed to help and inquired with HIBC about his qualification.

HIBC reviewed Duncan’s file and made adjustments so that, going forward, Duncan would be premium-free. Additionally, HIBC placed a credit of $900 on his account, payable to Duncan, in the form of retroactive partial premium assistance. Then HIBC formally followed up with him directly.

Soon thereafter, Duncan called us to say thank-you. After waiting so long, he was pleased with the quick resolution we were able to help with.

Names in our case summaries have been changed to protect the privacy of individuals. This case study can also be found in the 2016-2017 Annual Report.

Category Health
Type Case Summary
Fiscal Year 2016
Location The North