Effective January 1, 2018, Ontario residents 24 years old or younger will be able to receive some prescription medications for free under the new OHIP+ Children and Youth Pharmacare program. Medications currently on the Ontario Drug Benefit Formulary and eligible Exceptional Access Drugs may be covered.
What it means for you as a University employee:
- The Province of Ontario will be considered “first payer”. This process will be administered at the Pharmacy so you should not have to do anything.
- If the Province requires you to take additional measures, you will be advised by either your doctor or pharmacy with respect to what you should do.
- If the Province denies the coverage, the University will continue to offer the coverage through your normal plan in the capacity as a “second payer”.
Here are the steps being taken by the Ontario government and Manulife to ensure you have as much information as possible before the new program takes effect.
- Manulife will be contacting plan members (via email and regular post) who may be affected by OHIP+ about the actions they need to take, so they (or their dependants) have uninterrupted access to their prescription drugs.
- Manulife will be sending its messages using the contact information it has on file. If you are concerned that Manulife does not have up-to-date contact information, check the address on record for you at the University. To update your address, visit My HR Profile.
- Plan members or dependants affected by OHIP+ (24 years old or under):
- must submit all eligible drugs claims to OHIP+ for payment (if OHIP+ does not cover the entire cost, the claim may be eligible for coverage under the member’s Manulife Benefits plan)
- may need to visit their prescribing doctor before getting covered by OHIP+
- may need to get approval from the Ontario Ministry of Health and Long-Term Care (MOHLTC) for their prescription claims under OHIP+ (if such claims are declined, they may be eligible for coverage by Manulife)
OHIP+ has provided full details of the new program, including several fact sheets you can review in advance of the program’s effective date:
Manulife is working closely with the Ontario Ministry of Health and Long-Term Care to get more information about the guidelines and the impact on your coverage. Check the Manulife plan member message centre on the for OHIP+ updates. Log in to the Manulife secure website.
Should you have any questions, contact Manulife at 1-800-268-6195.