OHIP+: Children and Youth Pharmacare - How OHIP+ Will Make A Difference For You

Beginning January 1, 2018, the province will provide drug coverage for children and youth who are covered by OHIP and aged 24 and under, regardless of family income, OHIP+. For many youth and families, this is an exciting prospect for those who require medications and therapies not currently covered by OHIP.

OHIP+ will create a new class of eligible recipients under the Ontario Drug Benefit (ODB) program, which includes medications eligible for funding through the Exceptional Access Program (EAP). We’ve rounded up the pertinent information about this new OHIP+ program and what it might mean to you.

Do I Need To Apply For OHIP+?

Infants, children, and youth aged 24 and under who have OHIP coverage will be covered by OHIP+. Essentially, enrolment in this program will be automatic and the specified medications will be covered at no cost.

This coverage continues until the patient turns 25.

Patients do not need to pay any upfront costs. Those eligible for OHIP+ (residents of Ontario with a valid, up-to-date Ontario Health Card) only need to give their pharmacist a health card number and valid prescription to receive their medication at no cost.

What Drugs Are Covered Through OHIP+?

OHIP+ covers all drugs available through the Ontario Drug Benefit (ODB) program, which includes over 4,400 drug products. You can search the full list of drugs using the ODB Formulary/Comparative Drug Index. Many common drug products used by people 24 and under include but are not limited to:

• Antibiotics to treat infections
• Inhalers for asthma
• Various insulins, oral diabetic medications and diabetes test strips
• Antidepressants
• Oral contraceptives
• Epilepsy drugs
• Medications to treat mental health conditions
• Attention deficit hyperactivity disorder (ADHD) drugs
• Some drugs to treat childhood cancers and other rare conditions

It’s very important to talk with your health care professionals and work within the ODB program to ensure the medication prescribed is covered.

What Is The Exceptional Access Program?

If the drug product you or your child require is not covered within the ODB program, then the Exceptional Access Program (EAP) is another program that may help you get the medications you need.

The EAP program requires an application, and you must receive a prescription from a licensed medical professional.

EAP request forms have been developed for, but not limited to, the medications listed below:

• Alcohol Addiction Therapy (acamprosate, naltrexone)
• Alfacalcidol (drops)
• Betahistine
• Atomoxetine
• Buspirone
• Hormone Therapy (conjugated estrogen, estradiol, progesterone, testosterone)
• Modafinil
• Oxcarbazepine
• Phytonadione & Multivitamin (injections)
• Tranexamic acid
• Valacyclovir
  

Needless to say, OHIP+ and the EAP can be a significant resource for those children, youth, and families who require medications and therapies not previously covered by OHIP.

For more information visit the Ontario Ministry of Health and Long Term Care.

Has your long-term disability claim been denied? Contact Share Lawyers and put our experience to work for you. We offer free consultations and there are no fees unless we win your case. Find out if you have a disability case.

We have recently settled cases against Standard Life, Desjardins, Manulife, RBC Insurance, Sun Life, and much more. We love hearing feedback from our clients, so please share your own experience with us.

Denied your long term disability claim?

Contact Share Lawyers today and put our experience to work for you. Our 35+ years of experience can help you win your case against Canada Life, Desjardins, Manulife, RBC Insurance, Sun Life, and other insurance companies. We offer free consultations and there are no fees unless you win your case. Join us on Facebook and become a Top Fan for a chance to win each month.

_________

A note from our long term disability lawyers

Taking a medical leave from work is not an easy decision to make. Concerns about providing for yourself and your family and keeping your job may cause you to want to push through your pain, but this won’t make your problems go away. Stopping work is often the smartest decision for your long term health and well-being, and your disability benefits are there to provide you with financial support until you can return to work.

If you have made the tough decision to stop working and apply for your short term disability or long term disability benefits, you may feel overwhelmed by the process and have questions that your employer and your insurance company are not able or willing to answer. Share is There to see you through and answer your questions.

Our Disability law firm knows what you have been going through

We understand that things have not been easy for you over the last little while. Your health has been suffering, you are unable to work, and now your insurance company, who was supposed to be there in your time of need, has decided they will not pay your disability benefits or respect your disability claim. These benefits exist to provide you with the financial support you need so that you can focus on your health and rebuilding your life. It is unfortunate that your insurance company has not lived up to its promise. If your disability claim has been denied, we will fight to get you the benefits you are entitled to. Our disability lawyers have helped thousands of Canadians get their long term disability benefits over the past 35 years, and we can help you too.

Our experienced disability lawyers can fight back on your behalf

Share Lawyers believes that every client who is dealing with a disability claim deserves superior personal service. To achieve that goal, we have developed our team of experienced, compassionate, and caring long term disability lawyers, law clerks, and administrative staff to meet all of your needs. Our team of experienced long term disability, life insurance, employment, and critical illness insurance lawyers have made successful claims against many insurance companies, third-party administrators and employers.

If you are unable to work, your disability benefits should be there to provide you with the financial support you need. While your insurance company may be focused on finding ways to avoid paying your claim, our focus is on what is in your best interest. When Share Lawyers gets involved, you have an entire team of lawyers that are there to support you and to fight for what is yours.

Our disability claim lawyers fight for your disability insurance claim by relying on our many years of experience to apply the best strategic planning and approach in each case, using the latest technology available. Experience matters, and with Share Lawyers, you are in the best hands with 35 years of success on your side.

In this video, we explain the role of a long term disability lawyer and how we can support you when you have been denied your long term disability benefits.