本文发表在 rolia.net 枫下论坛Ontario Drug Benefit : Trillium Drug Program
What ?
The Trillium Drug Program helps people who have high drug costs in relation to their income. Once an application is approved, the program covers :
over 3,400 quality-assured prescription drug products;
over 400 limited-use drug products;
some nutritional and diabetic testing products.
Who ?
You can apply to the Trillium Drug Program if :
your private insurance does not cover 100% of your prescription drug costs;
you have valid Ontario Health Insurance (OHIP); and
you are not eligible for drug coverage under the Ontario Drug Benefit (ODB) Program.
Deductible
The program has a deductible that is based on income and family size. Each year starting August 1, you must pay your drug costs up to your deductible level before you are eligible for drug coverage. The program runs from August 1 of one year to July 31 of the following year.
On August 1, 1999, the annual up-front deductible previously paid by Trillium recipients changed to a deductible that is paid in four installments over the Trillium program year (August 1 to July 31 of the following year). For example, a family with an annual deductible of $500, will pay $125 for prescriptions purchased at the start of each quarter on August 1, November 1, February 1, and May 1. After the deductible is paid in each quarter, the family will receive benefits for that quarter, and may be asked to pay up to $2 per prescription each time they purchase a covered drug product. Any unpaid deductible in a quarter will be added to the next quarter's deductible.
A prorated deductible for families who come into the program part way through the program year was also introduced. New applicants to Trillium can choose the date on which they wish to be enrolled in the program. The deductible they pay will be based on the number of days left in the program year. Please note that proration of the deductible will apply only for the first year that a family is enrolled in the program.
Drug Costs
Only certain drug costs count towards your Trillium deductible or as program benefits. Check with your pharmacist or health care provider to make sure your prescriptions are :
listed in the ODB Formulary/Comparative Drug Index (Parts III and IX);
on the Facilitated Access List of HIV/AIDS drugs (Part VI).
Requests for non-ODB drugs must be pre-approved by the ministry before the costs can count towards the Trillium deductible, or as program benefits.
Where ?
Trillium application kits are available at your local pharmacy or by calling the Ministry of Health and Long-Term Care INFOline.
Call the ministry INFOline at 1-800-268-1154
(Toll-free in Ontario only)
In Toronto, call 416-314-5518
TTY 1-800-387-5559
Hours of operation : 8:30am - 5:00pm Call the ministry Trillium Drug Program at
1-800-575-5386
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