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Claimants: Essential Information :
Compensation Schedule
DISEASE-BASED COMPENSATION* SCHEDULE
FOR HCV-INFECTED CLASS MEMBERS
(*NOTE: Fixed payments are cumulative)
Table of Contents
LEVEL
|
MEDICAL CONDITIONS
CAUSED BY HCV
|
COMPENSATION
|
| |
S. 4.01
|
S. 4.02
|
S. 4.05
|
S. 4.06
|
S. 4.07
|
S. 4.04
|
| Maximum Cumulative Fixed Payments
as Compensation for Damages |
Fixed Payments as Compensation
for Damages |
Loss of Income or Compensation for Loss
of Home Services (Claim One or the Other)
|
Additional Payment if You Take
HCV Drug Therapy |
Reimbursement for Uninsured Treatment
and Medication Costs |
Reimbursement for Out-of-Pocket
Expenses |
Reimbursement for Care Costs |
6
|
You are considered a Level
6 claimant if:
- you receive a liver transplant;
- you develop
- decompensation of the liver;
- hepatocellular cancer;
- B-cell lymphoma;
- symptomatic mixed cryoglobulinemia;
- glomerulonephritis requiring dialysis; or
- renal failure.
|
$225,000* |
You will receive
$100,000 |
Yes |
$1,000 per month
of completed therapy |
Yes |
Yes |
up to $50,000
per year |
(top)
LEVEL
|
MEDICAL CONDITIONS
CAUSED BY HCV
|
COMPENSATION
|
| |
S. 4.01
|
S. 4.02
|
S. 4.05
|
S. 4.06
|
S. 4.07
|
S. 4.04
|
| Maximum Cumulative Fixed Payments
as Compensation for Damages |
Fixed Payments as Compensation
for Damages |
Loss of Income or Compensation for Loss
of Home Services (Claim One or the Other)
|
Additional Payment if You Take
HCV Drug Therapy |
Reimbursement for Uninsured Treatment
and Medication Costs |
Reimbursement for Out-of-Pocket
Expenses |
Reimbursement for Care Costs |
5
|
You are considered a Level
5 claimant if you develop:
- cirrhosis (i.e. fibrous bands in the liver extending or
bridging from portal area to portal area with the development
of nodules and regeneration);
- unresponsive porphyria cutanea tarda which is causing
significant disfigurement and disability;
- Unresponsive thrombocytopenia (low
platelets) which is associated with purpura or other spontaneous
bleeding, or which results in excessive bleeding following
trauma or a platelet count below 30x10 9; or
- glomerulonephritis not requiring dialysis.
|
$125,000* |
You will receive $65,000 |
Yes |
$1,000 per month of completed therapy |
Yes |
Yes |
No |
(top)
LEVEL
|
MEDICAL CONDITIONS
CAUSED BY HCV
|
COMPENSATION
|
| |
S. 4.01
|
S. 4.02
|
S. 4.05
|
S. 4.06
|
S. 4.07
|
S. 4.04
|
| Maximum Cumulative Fixed Payments
as Compensation for Damages |
Fixed Payments as Compensation
for Damages |
Loss of Income or Compensation for Loss
of Home Services (Claim One or the Other)
|
Additional Payment if You Take
HCV Drug Therapy |
Reimbursement for Uninsured Treatment
and Medication Costs |
Reimbursement for Out-of-Pocket
Expenses |
Reimbursement for Care Costs |
4
|
You are considered a Level
4 claimant if:
you develop bridging fibrous (i.e. fibrous tissue in the
portal areas of the liver with fibrous bands bridging
to other portal areas or to central veins but without
nodular formation or nodular regeneration).
|
$60,000* |
There is no further
fixed payment at this level |
Yes |
$1,000 per month
of completed therapy |
Yes |
Yes |
No |
(top)
LEVEL
|
MEDICAL CONDITIONS
CAUSED BY HCV
|
COMPENSATION
|
| |
S. 4.01
|
S. 4.02
|
S. 4.05
|
S. 4.06
|
S. 4.07
|
S. 4.04
|
| Maximum Cumulative Fixed Payments
as Compensation for Damages |
Fixed Payments as Compensation
for Damages |
Loss of Income or Compensation for Loss
of Home Services (Claim One or the Other)
|
Additional Payment if You Take
HCV Drug Therapy |
Reimbursement for Uninsured Treatment
and Medication Costs |
Reimbursement for Out-of-Pocket
Expenses |
Reimbursement for Care Costs |
3
|
You are considered a Level
3 claimant if:
- you develop non-bridging fibrosis (i.e. fibrous tissue
in the portal areas of the liver with fibrous bands extending
out from the portal area but without any bridging to other
portal tracts or to central veins); or
- you receive Compensable HCV Drug Therapy (i.e. interferon
or ribarivin); or
- you have met or meet a protocol for
Compensable HCV Drug Therapy even though you have
not taken the therapy.
|
|
OPTION 2:
If you waive the $30,000 payment, you may claim loss of income
or compensation for loss of services in the home |
Yes |
$1,000 per month of
completed therapy |
Yes |
Yes |
No |
| If you elect OPTION 1 $60,000 |
OPTION 1:
You receive $30,000 |
No |
(top)
LEVEL
|
MEDICAL CONDITIONS
CAUSED BY HCV
|
COMPENSATION
|
| |
S. 4.01
|
S. 4.02
|
S. 4.05
|
S. 4.06
|
S. 4.07
|
S. 4.04
|
| Maximum Cumulative Fixed Payments
as Compensation for Damages |
Fixed Payments as Compensation
for Damages |
Loss of Income or Compensation for Loss
of Home Services (Claim One or the Other)
|
Additional Payment if You Take
HCV Drug Therapy |
Reimbursement for Uninsured Treatment
and Medication Costs |
Reimbursement for Out-of-Pocket
Expenses |
Reimbursement for Care Costs |
2
|
You are considered a Level
2 claimant if:
you test positive on a polymerase chain reaction (PCR) test
demonstrating that HCV is present in your blood.
|
$30,000 |
You will
receive $20,000 |
No |
Not applicable |
Yes |
Yes |
No |
(top)
LEVEL
|
MEDICAL CONDITIONS
CAUSED BY HCV
|
COMPENSATION
|
| |
S. 4.01
|
S. 4.02
|
S. 4.05
|
S. 4.06
|
S. 4.07
|
S. 4.04
|
| Maximum Cumulative Fixed Payments
as Compensation for Damages |
Fixed Payments as Compensation
for Damages |
Loss of Income or Compensation for Loss
of Home Services (Claim One or the Other)
|
Additional Payment if You Take
HCV Drug Therapy |
Reimbursement for Uninsured Treatment
and Medication Costs |
Reimbursement for Out-of-Pocket
Expenses |
Reimbursement for Care Costs |
1
|
You are considered a Level 1 claimant
if:
your blood test demonstrates that the HCV
antibody is present in your blood.
|
$10,000 |
You will receive $10,000 |
No |
Not applicable |
Yes |
Yes |
No |
(top)
* assuming the $30,000 Fixed Payment was not waived at Level 3
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