(note: TVFHT does not endorse a single insurance provider; we share this as information for the benefit of patients.)
Learn about the GreenShield Cares’ Essential Medicines Program
- Program overview
- Who is eligible
- Information for patients
- How to apply
- Information for health care providers
Program overview:
GreenShield Cares’ Essential Medicines program provides eligible patients coverage of up to $1,000 for drugs included in GreenShield’s approved essential medicines list. Medications are dispensed and delivered by GreenShield Health’s online pharmacy, The Health Depot. There is no co-pay and shipping is free.
A clinical pharmacist is available to review medications and provide advice.
Find out more:
- Welcome to GreenShield Cares’ Essential Medicine Program | Bienvenue dans le programme de médicaments essentiels de GreenShield Communautaire
- How the program works | Frequently Asked Questions
Who is eligible?
- A resident of Ontario
- Currently employed (but do not have to be currently working)
- Aged 25 to 64
- Have an income below Statistics Canada Low-Income Measure (LIM)
- Require prescription medications to treat a diagnosed medical condition
- Not enrolled in any private or employee drug plan
- Not enrolled in an Ontario public drug program, with the exception of the Trillium Drug Program
NOTE: the Essential Medicines plans are per person plans with zero (0) dependents so each person in a household who wants to participate would need to meet this criteria and complete an application.
Information for patients:
How the program works | Frequently Asked Questions
For more information, please call GreenShield:
- Phone: 519-739-1208 or Toll Free 1-888-348-5188
- Email: [email protected]
How to apply:
Information for health care providers:
- About GreenShield Cares’ Essential Medicines Program
- Referral guidelines
- Identify someone who may benefit (see above criteria)
- Provide the patient with the link to the application form found here: https://www.greenshield.ca/en-ca/form/essential-medicines-start-on. You can also choose to help them complete this simple application form.
- Inform patient not all meds that are prescribed will be covered, and that they must obtain the funded medications from an online pharmacy (The Health Depot), located in London. Patients do not need to switch all of their prescriptions to this pharmacy, but there is a dedicated clinical pharmacist who is able to provide clinical services as needed (medication reviews, pharmaceutical opinions, etc.) and the dispensing fee tends to be lower than most retail pharmacies.
- Medications will be filled by this pharmacy and shipped to your home / address of choice.
- Coverage lasts 1 year and must be reapplied for at the end of that time.
GreenShield’s essential medicines list was developed by members of GreenShield’s Pharmacy and Therapeutics Committee and was informed by the World Health Organization’s model list of essential medicines. The list includes drugs that meet the priority healthcare needs of a population and were selected based on evidence for clinical efficacy, safety, and cost-effectiveness.
Here is a summary of the evidence that this program is based on:
- Therapeutics Initiative Presentation – Dr. Nav Persaud (2021); published in JAMA
- Therapeutics Initiative | Best Evidence Webinar: Which Medicines are Essential in Canada? (ubc.ca)
- Free medications produce overall health-care savings in Ontario trial, new study suggests | CBC News (2023)
Synopsis: RCT of 786 patients in Ontario who could not afford their prescription medication were randomized to free access compared to usual care / access of medications.
Primary Outcome – Adherence, with secondary measures around surrogate health outcomes, and expenditures.
Findings:
- Adherence absolute increase 10% in adherence
- 60% increase (absolute) in patients now being able to make ends meet (rent, food, etc.)
- Healthcare system perspective – ~$1000 Median or $2000 (mean) savings per patient over 2-year study (reduce ER visits and hospitalizations)
For more information or a copy of the updated formulary, please contact GreenShield:
- Phone: 519-739-1208 or Toll Free 1-888-348-5188
- Email: [email protected]