Update on the COVID-19 pandemic

Information regarding COVID-19 is in constant change, as is the situation regarding vaccination and prioritization for immune-compromised individuals.

If you have any COVID-19-related questions, we’ve created a specific COVID section on our website that can be accessed by clicking here or by selecting the “News & Events” tab from our homepage. In this section, you’ll find the latest news and information about the pandemic in Canada from trustworthy and reliable sources.

Any specific questions that you may have regarding the COVID-19 vaccination, delays between vaccine dosing, and prioritization within your province are best answered by your healthcare team. They’re the ones who know you and your particular situation and are therefore in a position to best address your unique concerns.

Created by, and entirely focused on, Canadians impacted by myeloma, Myeloma Canada is the only national charitable organization committed to providing you with the most up-to-date and reliable information on myeloma. Some of the ways we do this is through our monthly e-newsletter, “Myeloma Matters”, as well as through our social media platforms.

Please don’t hesitate to contact us at contact@myeloma.ca or toll-free at 1-888-798-5771 with any questions regarding our programs and services.

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Drug Coverage and Access

There are four ways to pay for cancer drugs in Canada:

  • The drug is on the approved list for your government health insurance plan.

Since drug coverage varies from one province to the next, it’s important to know your eligibility for health insurance coverage.  Drugs provided through cancer care centres can also vary by province. Speak with your cancer team social worker or pharmacist, or call your provincial Ministry of Health to learn about your options.

  • Your private drug plan will pay for the drug (many private plans also have formularies or lists of covered drugs).

If you have private health insurance or a drug plan at work, carefully review your benefits. Ask your doctor what drugs you may need in the future, and check to see if your plan covers them.

Some private insurance plans require that you pay up-front and then apply for reimbursement. Ask your insurance company to allow your pharmacy to send the bill directly to them.

  • The drug manufacturer will pay for all or part of the drug (if you meet certain financial eligibility criteria).

Some pharmaceutical companies have free services to help you search for coverage of specific drugs or even supply you with it.  Speak with your cancer care team or search online to see if you are eligible for such a program.

  • You pay for the drug yourself.

Coverage Overview in Canada

What if I am denied coverage?

If you are refused coverage of a medication you need, appeal. Sometimes the insurance company may reverse the decision.

 

APPROVAL PROCESS

MYELOMA DRUG ACCESS NAVIGATOR