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Manitoba partially repays retiree for out-of-country surgery after twice refusing to pick up the tab

A Manitoba man has received partial reimbursement from the province after a lengthy dispute over coverage for an out-of-country spinal surgery. Tom Molinski, 69, travelled to Germany in fall 2024 for a spinal fusion procedure that he says he could not obtain in Manitoba within a timely period, citing barriers to access in the province’s health system.

In an unexpected turn, Molinski was initially denied coverage by Manitoba Health, who twice refused to reimburse the cost of the out-of-country surgery. After a period of appeals and ongoing medical need, the province ultimately issued a cheque totaling nearly $24,000 to the patient.

Molinski described the situation as a relief upon receiving the payment, which represents a partial repayment of expenses incurred for treatment obtained outside Manitoba. The cheque was received by mail, and the medical procedure remains a focal point of discussions about access to timely and necessary care within the province.

Manitoba Health did not disclose details of the decision or the criteria used to determine the partial reimbursement. The case highlights broader concerns about wait times and availability of certain surgical options within Manitoba’s health-care system, particularly for complex procedures like spinal fusion.

Advocacy groups and health-care observers have long argued that patients in Manitoba can face significant delays for specialized surgeries, prompting some to seek treatment abroad. In this instance, Molinski’s experience underscores the tension between out-of-province medical travel and provincial coverage policies.

Molinski, who is pictured in accompanying material from the report, said he pursued the Germany surgery after facing what he described as barriers to timely care at home. He emphasized the financial burden of seeking care outside the province without assurance of full reimbursement and welcomed the partial payment as a step toward acknowledging his medical need.

Manitoba Health has not indicated whether it plans to review or revise its coverage framework for future out-of-country procedures, or whether policy changes might impact similar cases moving forward. The department did not provide further comment beyond confirming the partial reimbursement.

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