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Extended health care benefits to seniors

The Pharmacare and Extended Health Benefits programs are designed to assist registered senior citizens with the cost of prescription drugs, dental care, eye care, and medical-surgical supplies and equipment.

Eligibility

To be eligible for benefits you must be registered with the Yukon Health Care Insurance Plan (YHCIP). You must be a Yukon resident at least 65 years of age or aged 60 and married to a living Yukon resident who is at least 65 years of age.

If you are already registered with Yukon Health Care Insurance Plan, you will be automatically sent a Pharmacare program application in the month which you turn 65. A green Pharmacare card will be issued to you once the application form has been returned and processed. It will take approximately three weeks for your card to arrive in the mail.

New Yukon resident

If you have only recently moved to the Yukon, you must first register for Yukon Health Care Insurance. The application forms for Pharmacare and Extended Benefits can be filled in at the same time and a card will be issued to you once the registration process has been completed. It takes three months for your Yukon Health Care Insurance coverage and seniors benefits to begin.

Pharmacare card

The Pharmacare card confirms your eligibility for all insured physician, hospital and seniors benefits.

Benefits

Benefits include partial or 100 per cent coverage of the following benefits:

  • Medical surgical supplies/equipment: The plan may provide walking aids, hand inhalers, artificial eyes and limbs, respiratory equipment, commodes and manual wheelchairs.
  • Hearing aids: One hearing aid is allowed in a four-year period. Repair and adjustment of  one hearing aid with a 12 month warranty.  No charge for adjustments.  Batteries are not covered.
  • Dental care: The plan pays for dentures or rebases once in a five-year period. Coverage is limited to $1,400 in any two-year period. If you present your Pharmacare card to the dentist, they will submit the bill directly to the health care plan for payment.

You will be required to pay any amount exceeding the $1400 limit. If you require high cost procedures you should sign an application form and have the dental clinic submit it to the Pharmacare program for prior approval.

  • Eye examinations and glasses: The plan may pay for one eye examination, new lenses and a maximum of $100.00 toward the purchase of frames once every two years. Benefits do not include the repair of glasses. The purchase of tinted or contact lenses is not covered.

You will be charged directly for the cost of drugs if you do not have the card with you when making a purchase. The program may refund this amount but you must submit the original receipt.

Restrictions

Yukon Pharmacare does not cover the cost of products which can be obtained without a prescription, including vitamins, patent medicines, personal care items, medical/surgical supplies, laxatives, antacids and most medicines used in the treatment of colds.

Persons receiving benefits under these programs are no longer eligible if they are away from the Yukon for more than 183 consecutive days, unless the absence is for no more than 210 days and the individual has satisfied the director of Insurance Health Services that the Yukon is their only permanent residence.

If you move out of the territory permanently, benefits cease on the date of your departure.

Private insurance coverage

If you receive health insurance benefit through your employer or a third party insurance agency, claims must be submitted to these insurers first.

The Pharmacare program is the insurer of last resort.

Payment is made on a reimbursement basis.

Related links

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

Pharmacare - The Pharmacare and Extended Health Benefits programs are designed to assist registered senior citizens with the cost of prescription drugs, dental care, eye care, and medical-surgical supplies and equipment.

Payment schedule for Yukon - The Payment Schedule for Yukon is the list of fees agreed upon by Insured Health Services and the Yukon Medical Association, and are payable to physicians for insured medical services.

Contact info

Extended Benefits Program

Phone: 867-667-5403

Toll Free (Yukon, Nunavut and NWT); 1-800-661-0408 ext. 5403

Mailing Address:

Extended Benefits 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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