January 24, 2018

in Benefits & Health

Equitable Life introduces new process for Limited Use drug claims for Ontario plan members

Equitable Life is introducing a new adjudication process for Limited Use (LU) drug claims from Ontario seniors that are eligible for coverage under the Ontario Drug Benefit (ODB) program, effective March 1, 2018.

Any employee or dependent over the age of 65 who is prescribed a LU drug that may be eligible for coverage under the ODB program must fully explore provincial funding before the drug will be considered for coverage under an Equitable Life benefits plan.

Equitable Life will be sending letters to all affected employees informing them of the new requirement and process to ensure continued coverage.

If you have any additional questions please contact your Accompass consultant at 416 969 8588.