Can I get my medical marijuana covered ?
Canadians have access to drug benefits through various private insurance (third-party) plans, disability benefits, employer-provided health spending accounts, provincial/ territorial drug benefit programs and federal drug plans for certain groups. These plans provide access to prescription medications as well as non-prescription medications and medical devices. Coverage of the costs of medical marijuana through some these plans and programs is becoming routine for certain conditions. Other plans do not consider requests for coverage of medical marijuana at all presently. Some plans have a special authorization or exceptional access claim mechanism which can be used to request coverage of medications not listed on their formulary of eligible medical benefits.
CannabisCoverage ® is an initiative focused on improving drug plan coverage of the cost of medical marijuana. We ran a small pilot program where we worked with patients and their physicians and applied for reimbursement of the costs of medical marijuana or applied for prior authorization for coverage of these costs through various third-party payers. Using our learnings from this pilot and our company experience with reimbursement of cancer medications we prepared information on applying for coverage of medical marijuana through the various payers of outpatient medications. Using the buttons above, you can explore your reimbursement options and get assistance in preparing a request for coverage of the cost of medical marijuana through your drug plan or health spending account. While there are no guarantees of coverage, going through this process will maximize your chances of obtaining coverage for your medicine.