Can You Get Your Medications Covered By The Government? ​​

3 Things You Need to Know About the Trillium Drug Program

Colin’s Story

Colin (name changed to protect his privacy), a 45-year-old owner of a men’s retail store, hadn’t been feeling well for weeks but doctors couldn’t figure out what was wrong with him. It got to a point where he couldn’t get out of bed and take care of his customers. Now he had medical and financial difficulties.

Finally, Colin was referred to a new doctor, and after some more blood tests, the doctor told him he had a virus that attacked his vascular system. The good news was, it was treatable. The bad news? If it wasn’t treated within the week, he could die.

Fortunately for him, there was a new drug on the market that could help, but it cost $20,000. Colin didn’t have healthcare coverage or that kind of money, but friends and family pulled together to help him. Slowly, he has been recovering but it has taken months!

Thankfully Colin was advised to apply to the Trillium Drug Program to help with these costs. Once he was approved, they picked up most of the cost of this drug, and reimbursed him for the first round that he paid for.

 

What is the Trillium Drug Program?

Trillium is a provincial government program that helps Canadians who are struggling to pay for high cosColin’s Story
Colin (name changed to protect his privacy), a 45-year-old owner of a men’s retail store, hadn’t been feeling well for weeks but doctors couldn’t figure out what was wrong with him. It got to a point where he couldn’t get out of bed and take care of his customers. Now he had medical and financial difficulties.

 

3 Things You need to Know About Getting Covered by Trillium

  1. Eligibility: You must be an Ontario resident, spending a large portion of your income on high-cost medications.
  2. Coverage: There are over 3,800 drugs approved to be covered under this plan, another few hundred that are partially covered. Unfortunately, many new specialty high-cost drugs are not covered at all.
  3. Deductible: Trillium requires Canadians to pay the equivalent of 4% of net income as a deductible, before they begin covering any costs

Do you or someone you know take high-cost prescription medication for a chronic or critical condition? 

Find out more about Trillium Drug Program  here, including what’s covered and how to apply.

 

Want to find out how you can avoid out-of-pocket medical expenses and get the healthcare coverage you need? Contact me for a complimentary 30-minute healthcare strategy session.

Aviva Abraham is a group benefits and insurance advisor at Creative Planning. She has been providing healthcare solutions for self-employed and business owners since 2010. You can reach her at aviva@cpfg.com or 416-545-5310.

 

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