The new Ontario government announced, soon after they were elected in mid-2018, that they would be modifying the OHIP+ program to reduce the number of eligible children and youth. Under a redesigned OHIP+, eligible children and youth, who do not have private insurance, would continue to receive their medications, through the program, without co-payments or deductibles. For those children and youth who are covered by private insurance, their drugs will be billed to those plans. Just as it was prior to the launch of OHIP+, private insurer will be first payor.
Starting on April 1, 2019, Ontarians 24 years old or younger who have private insurance that covers prescription drugs will no longer be eligible for the OHIP+ program. All drug claims incurred on or after this date will have to be sent to their group insurance plan for reimbursement.
Please feel free to contact us to find out who may be eligible for alternate funding sources such as the EAP, what medications are covered and how to get it.