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Chronic disease program

The Chronic Disease and Disability Benefits Program provides benefits for Yukon residents who have a chronic disease or a serious functional disability.

A chronic disease is defined as a health condition or disease marked by a long duration or frequent recurrence.

A disability is defined as a serious functional impairment and includes partial and complete paralysis, amputation, brain damage and intellectual disabilities. It does not include sensory impairment such as poor vision or hearing deficits, except significant hearing loss in children under 16 years of age.

Benefits

Financial assistance is provided for prescription drugs, medical surgical supplies, medical equipment, food supplements or prostheses that are medically required for the management of a condition, and are recommended by a medical practitioner licensed to practice in the Yukon.

The physician must apply for benefits on behalf of the patient. In communities without a resident physician, a community health nurse can make the application. Applications for benefits are normally made before a purchase is made although some circumstances may not permit prior approval.

A claim can be made for reimbursement of the cost with the recommendation of a qualified medical practitioner and all documentation. Claims must be made within one year of purchase. 

Coverage

  • A prescription drug is defined as a recognized therapeutic agent that has restricted access under the federal Food and Drug Act or the Controlled Drugs and Substances Act. Coverage in this category includes professional dispensing fees.
  • Medical surgical supplies include body supports, prosthetic garments, ostomy supplies, hand inhalers and nebulizers, syringes and glucose test kits, oxygen supply, dressings, and bandages for chronic and recurrent conditions.
  • Medical equipment includes respiratory equipment, manually operated hospital beds, manually operated wheelchairs, walking aids, grab bars and support rails, commodes and glucometers.
  • Other equipment or devices that are medically necessary may be covered at the discretion of the Director and subject to prior approval.

Chronic Diseases and Conditions Covered

A chronic disease is defined as a health condition or disease marked by a long duration or frequent recurrence.

ADHD Attention Deficit/Hyperactivity Disorder
Adrenal Disease
Affective Disorders
HIV/AIDS
Alzheimer's Disease
Amyotrophic Lateral Sclerosis
Ankylosing Spondylitis
Appendicular Arthritis
Asthma
Barrett's Esophagus
Cancer
Celiac Disease
Cerebral Palsy
Chronic Obstructive Lung Disease
Cardiac Disorders
Crohn's Disease
Cystic Fibrosis
Cystinuria
Diabetes
Down Syndrome
Epilepsy
Galactosemia
Glaucoma
Heart Valve Problems
Hemophilia
Hirschprung's Disease
Huntington's Disease
Hypercholesteremia
Hypertension
Hypogammaglobulinaemia
Hypogonadism
Multiple Sclerosis
Muscular Dystrophy
Myasthenia Gravis
Narcolepsy
Organ Transplants
Osteoporosis
Pancreatitis
Parkinson's Disease
Phenylktonuria
Pernicious Anemia
Pituitary Disease
Pseudoxanthoma Elasticum
Psoriasis
Psychoses
Restless Leg Syndrome
Sarcoidosis
Schizophrenia
Smith-Lemli-Opitz Syndrome
Spina Bifida
Systemic Lupus Erythematosus
Thrombophlebitis
Tourette's Syndrome
Tuberculosis
Turner's Syndrome
Ulcerative Colitis
Williams' Elf Syndrome

Restrictions

Goods and services are not covered if benefits are already available through a federal and territorial act or by private or group insurance. There is an annual deductible. Program recipients are required to pay the first $250 of eligible costs per year, to a maximum of $500 per family.

The cost of medical equipment will not be covered if the equipment can be borrowed from a hospital or the Canadian Red Cross. Items not covered include the cost of installation or set up of medical equipment, fitting prostheses and appliances and any other professional service charges related to the provision of goods, except dispensing fees for prescription drugs.

If you receive health insurance benefits through your employer or a third party insurance agency – claims must be submitted to these insurers first. The Chronic Disease Program is the payer of last resort.

People receiving benefits under the Chronic Disease Program are no longer eligible to receive benefits if they are absent from the Yukon for more than 183 consecutive days, unless the period is for no more than 210 days. The beneficiary must then satisfy the Director that the Yukon is his or her only permanent residence.

All purchases made outside the Yukon must have prior approval from the program. Payment for these purchases is handled only on a reimbursement basis and claims must be submitted within one year.

Related links

Drug Formulary - Products can be searched for by using brand name, generic ingredient, drug identification number (DIN) or by manufacturer name.

Chronic Conditions Support Program - The Chronic Conditions Support Program (CCSP) assists doctors, nurses and other health professionals to work together with patients to achieve the best possible care.

Contact info

Chronic disease program

Phone: 867-667-5092

Toll Free (Yukon, Nunavut and NWT); 1-800-661-0408 ext. 5092

Fax: 867-393-6486

Mailing Address:

Chronic disease program (H-2)
Health & Social Services, Government of Yukon
Box 2703
Whitehorse, Yukon  Y1A 2C6

Location: 4th floor, Financial Plaza | 204 Lambert St. | Whitehorse, Yukon [map]

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