Latest News
Please check back periodically for updates.
September 5, 2007
2006 Trust Results Online
The Trust Results for 2006 have been posted
here.
July 18, 2007
Quebec amends basic drug plan
Quebec has announced some changes to the parameters of the basic drug plan administered by the Regie de l'assurance maladie du Quebec (RAMQ). Effective July 1, 2007, the following changes will affect plan sponsors who provide drug coverage to Quebec plan members:
Increase in annual out-of-pocket maximum to $904 from $881
Drug claims from your Quebec plan members will now be subject to the new out-of-pocket maximum of $904.
Reduction in co-insurance (amount RAMQ pays) to 70% from 71%.
Drug claims that were previously paid at 71% to comply with RAMQ’s minimum requirements will now be paid at 70%.
If your plan supplements RAMQ coverage for plan members age 65 and over, you can expect a slight increase in claim costs for these members because the portion reimbursed by RAMQ will decrease by 1%.
Mar. 8, 2007
Increasing fraudulent activity in the area of Orthotics has been causing major headaches for Insurance Carriers in Canada. An article (click here to view) in the National Post describes the situation.
The effects of this problem have caused increased stringency by Insurance Carriers administrating Orthopedic claims. As administrators, informing your employees to provide proper documentation proving medical necessity with speed up the claim process.
