Prescription drug insurance
Becoming a recipient of last-resort financial assistance
When a person becomes a recipient of last-resort financial assistance, the Ministère de l'Emploi et de la Solidarité sociale notifies the Régie, which registers the person for the Public Prescription Drug Insurance Plan Public plan
The Public Prescription Drug Insurance Plan is administered by the Régie de l'assurance maladie du Québec and is intended for persons who are not eligible for a private group insurance plan covering prescription drugs, for persons age 65 or over, and for recipients of last-resort financial assistance and other holders of a claim slip (carnet de réclamation). Children of persons registered for the public plan are also covered by that plan.. The person therefore has no steps to take.
When purchasing insured drugs, recipients of last-resort financial assistance must present their valid Health Insurance Card and their claim slip (carnet de réclamation) Claim slip (carnet de réclamation)
The Ministère de l'Emploi et de la Solidarité sociale issues claim slips to recipients of last-resort financial assistance and, in certain conditions, to adults or families not receiving last-resort financial assistance benefits. Holders of claim slips can obtain certain drugs prescribed by a doctor and certain services, such as eye examinations and dental care..
Ceasing to be a recipient of last-resort financial assistance
When a person ceases to be a recipient of last-resort financial assistance, the Ministère de l'Emploi et de la Solidarité sociale notifies the Régie, which cancels his or her public plan registration. The person must then take certain steps regarding his or her prescription drug insurance coverage.
The person first needs to determine whether he or she is eligible for a private plan. Eligibility is usually available through employment or through membership in a professional order or association to which the person belongs.
Eligibility for a private plan is also possible through one's spouse Spouse
Two persons (of the opposite sex or the same sex) are considered spouses if they are married and have entered into a civil union, or have been living together for 12 months (separations of less than 90 days do not interrupt the 12-month period), or are living together (regardless of for how long) and together have had or have adopted a child. In fact, those persons covered by a private plan Private plan
Private plans are usually available in the form of group insurance or employee benefit plans. Persons may be eligible for a private plan through employment, through membership in a professional order or association, or through their spouse or parents. Persons who are eligible for a private plan are required to join that plan. are required to obtain coverage under it for their spouse and children, unless their spouse and children are already covered by another private plan.
Persons who are eligible for a private plan must join that plan, at least for the prescription drug portion. Prescription drug coverage is most often included in a plan covering other health care (called a health insurance plan), but is sometimes offered alone.
Persons who are not eligible for a private plan must register for the public plan by contacting the Régie.
Maximum annual contribution
There is a maximum annual amount that insured persons may be required to pay for their drug purchases. As a general rule, the private insurer Insurer (of persons)
A legal person that holds a permit issued by the Autorité des marchés financiers authorizing it to transact personal insurance in Québec and that assumes, in return for a premium paid, the financial consequences resulting from one or more risks specified in the contract signed by the parties. or the Régie sees to it that this maximum is not exceeded. However, persons who change insurance plans and believe they will reach their maximum annual contribution before the end of the year must themselves inform their new insurer of the amount of their contributions.