Be the first to like this
Presentation courtesy of Suzanne Lepage Consulting.
This presentation is entitled “Understanding your health insurance at work”. It was co-hosted by Bill Dempster of 3Sixty Public Affairs and Suzanne Lepage from Suzanne Lepage Consulting. The presentation provides insight into the following aspects of work health insurance for medications.
Overview of the structure and operation of Canada’s private drug plan marketplace, including the important distinctions and/or overlaps between private (insurance) and public (government) providers
Explanation of the role and place of medication coverage within the supplemental health benefits plans of life and health insurance companies which provide pharmaceutical coverage
Identification of the various providers and influencers which contribute to private formulary (lists of drugs which are covered) decision-making and their roles in the system
Understanding generally what gets covered, by which plans and under what circumstances and which medications are typically subject to restrictions
Guidance on how to determine which medications are covered
Exploration of how patients and caregivers can navigate through the complex private plan system including:
Who should provide answers regarding coverage and eligibility?
What you can do if you run into coverage restrictions/rejections?
How should patients interact with the private payer community generally?
What are some of the current obstacles/barriers for successful patient involvement in drug plan decision-making, and what are the strategies/approaches to address them?