|
Insurance company |
Plan
Type |
Prescription Drug Benefit Summary |
What
medications are covered |
|
Manulife Financial
|
Basic |
70%
first $750
90%
next $4,972
Total
benefit payable per year: $5.000 |
Generic Plan (name brand allowed, but price paid will
be deemed to be the generic equivalent price) |
|
Enhanced |
90%
first $2,222
100%
next $8,000
Total
benefit payable per year: $10.000 |
Name
brand or generic drugs, including birth control and fertility drugs |
|
Catastrophic |
1) Unlimited 100% coverage when annual claims exceed $4,500 per
anniversary year
2)
Unlimited 100% coverage when annual claims exceed $10,200 per
anniversary year
|
Generic
and name brand prescription drugs |
|
Ontario Blue
Cross |
Prescription drugs Basic |
80%
of $5,000 per calendar year |
Medications must be approved by the Federal Drug Information Division
and assigned Drug Identification Number (DIN).
Reimbursement is
based on the lowest-cost generic equivalent if available.
Birth
control drugs are covered |
|
Prescription drugs Deluxe |
80%
of $10,000 per calendar year |
|
Desjardins Financial Security |
Prescription drugs (Basic Plan) |
70 % reimbursement
for eligible prescribed medication of $4,285 per year
Total
benefit payable per year:
$3,000 |
Eligible prescription drugs
are generic or original brand name drugs that can only be
obtained by prescription.
Reimbursement is
based on the lowest-cost generic equivalent, if available |
|
Prescription drugs (Enhanced Plan) |
70 % reimbursement for
first $4,285 of eligible prescribed medications and 90%
thereafter
No limit |
Eligible prescription drugs
are generic or original brand name drugs available only
by prescription, including contraceptives (oral
contraceptives, patches, injections and Mirena intra-uterine device)
Reimbursement is
based on the lowest-cost generic equivalent, if available |
|
Group Medical Services
|
Prescription Drugs Basic |
100% of $3,500 per policy year.
Deductible $4 per eligible prescription. |
Drugs
listed in the provincial health prescription drug services formulary
|
|
Prescription Drugs Enhanced |
100% of $5,000 per policy year .
Pay only $4 per eligible prescription.
|
Drugs
listed in the provincial health prescription drug services formulary,
and
Payment up to $500 per policy year for prescription medication for any
pre-existing medical condition at the time of application + special
status drugs |
|
The Edge |
Prescription Drugs Basic |
Covered at 80%, Maximum $1,000 per benefit year |
Benefits include prescription drugs/medications that have been approved
for use in Canada and which require a prescription by law.
•
Benefits also include charges for diabetic syringes, needles and testing
agents, insulin and other approved injectibles.
•
Where a generic equivalent drug exists, reimbursement will be made for
the cost of the lowest priced equivalent drug. If your medical or dental
practitioner prescribes a brand name drug indicating no substitution,
you will be required to pay the difference. |
|
Prescription Drugs Enhanced |
Covered at 90%, Maximums:
first 12 months $1,000, next 12
months $1,500, each 12 months thereafter $2,000 |