FAQ: Uninsured Treatments or Medications
Uninsured Treatments or Medications
The cost of HCV related drugs and drug
therapy is high. Can I get compensation for such costs?
The Administrator will reimburse you for the uninsured costs
associated with HCV related medications. Please complete the
GEN 3 Form to make such a claim.
Private insurance, an employee benefit package, a provincial
healthcare plan or a provincial disability program may also
cover these costs, in whole or in part. The Administrator
will reimburse you for the difference or balance remaining
- in other words any amount that is not covered by the aforementioned
insurance or health plans. Before filing a Claim with the
Administrator, you must first file a Claim with your other
insurer. Once they have processed your Claim, you can forward
your Claim to the Hepatitis C Claims Centre for reimbursement
of any uninsured portion of the costs.
As always, please submit copies of your receipts with the
GEN 3 Form. This Form is sent
to all Approved Class Members, once the Full and Final Release
of an Approved Class Member is on file, with the exception
of Claims on behalf of HCV Infected Persons who died before
January 1, 1999.
Can I still make claims for Uninsured
Treatments or Medications purchased outside of Canada?
If the Claim is for medications purchased outside of Canada,
you must include a letter of explanation. As always, you should
get approval from your treating physician in Canada, and include
According to Section 4.06 of Transfused
Plan (Schedule A) and Hemophiliac
Plan (Schedule B), "if the costs are incurred outside
of Canada, the amount of compensation cannot exceed the lesser
of the amount of compensation payable if the costs had been
incurred in the Province or Territory where the claimant resides
or is deemed to reside and the actual costs."
For example, if the amount is lower in the Province or Territory
of residence in Canada, then you will be reimbursed for the
amount it would have cost in Canada. However, if the amount
is lower outside of Canada, then you will be reimbursed for
the amount it cost you outside of Canada.
Please indicate the currency used, when costs are incurred
outside of Canada.
Index of Questions