Public+Assistance+Drug+Programs+in+Ontario

=**Public Assistance Drug Programs in Ontario **=

**__ Ontario Drug Benefit (ODB) Program – Ministry of Health and Long-Term Care __**
1-888-405-0405 Web: [|www.health.gov.on.ca/english/public/pub/drugs/odb.html] For a list of eligible products please refer to ODB formulary or: [|www.health.gov.on.ca/english/providers/program/drugs/odbf_eformulary.html] Drug products must be prescribed by an authorized Ontario prescriber. || * seniors 65 yrs+
 * ABOUT THE PROGRAM ||  WHO IS ELIGIBLE?  ||  ADDITIONAL INFORMATION  ||
 * The Ontario Drug Benefit (ODB) program is Ontario’s publicly-funded drug program. The ODB program covers:
 * approximately 3,200 prescription drug products listed on the Ontario Drug Benefit Formulary
 * a number of limited-use prescription drug products
 * most blood glucose test strips
 * some nutritional products
 * receiving Ontario Disability Support Program payments (ODSP)
 * receiving Ontario Works (OW) support payments
 * Trillium Drug Program client
 * receiving Home Care services
 * resident of a long-term care facility or Homes for Special Care || Note: ODB does not cover syringes, pen needles, lancets.

Limited number of prescription medications are available under the Exceptional Access Program (EAP)

For information on the program see: [|www.health.gov.on.ca/english/public/pub/drugs/section16.html]

For standardized forms see: [|www.health.gov.on.ca/en/public/forms/odb_fm.aspx]

For list of criteria for available medication see: [|www.health.gov.on.ca/english/providers/program/drugs/pdf/frequently_requested_drugs.pdf] ||

1-800-575-5386 Web: [|www.health.gov.on.ca/english/public/pub/drugs/trillium.html] The Ontario Drug Benefit (ODB) program provides Trillium Drug Program clients with coverage for: A patient will pay for his/her prescriptions until he/she reaches his/her quarterly (every 3 month) deductible and then coverage commences. ie. for prescriptions covered under the plan, should pay only $2.00 per prescription. ||
 * __ Trillium Drug Program (TDP) – Ministry of Health and Long-Term Care __**
 * ABOUT THE PROGRAM ||  ELIGIBILITY  ||  ADDITIONAL INFORMATION  ||
 * The Trillium Drug (TDP) program is intended for Ontario residents who have high prescription drug costs in relation to their //net// household income.
 * approximately 3,200 prescription drug products listed on the Ontario Drug Benefit Formulary
 * a number of limited-use prescription drug products
 * most blood glucose test strips || Patient can apply to the Trillium Drug Program if:
 * he/she is an Ontario resident with a valid health card; **//and//**
 * he/she does not have private insurance OR your private insurance does not cover 100% of your prescription drug costs; **//and//**
 * he/she is **not** otherwise eligible for coverage under the ODB program. || Trillium will set a “deductible” based on the household income and size;

1-888-256-6758 (for inquiries related to ODSP); Ontario Works – contact local OW office (contact info available online or through Service Ontario 1-800-8097) Web: [|www.mcss.gov.on.ca/en/mcss/programs/social/index.aspx]
 * __ Social Assistance Programs: Ontario Disability Support Programs (ODSP) & Ontario Works (OW) – Ministry of Community & Social Services __**
 * ABOUT THE PROGRAM ||  ELIGIBILITY  ||  ADDITIONAL INFORMATION  ||
 * If the patient is an ODSP or OW client, prescription drug products and blood glucose test strips are automatically covered through his/her Ontario Drug Benefit (ODB) card

Coverage for other diabetes supplies:

The patient is eligible to receive a monthly amount to help cover the cost of other supplies such as lancets, alcohol swabs etc. For more information, patient contacts his/her Caseworker directly. || Ontario residents receiving social assistance:
 * Ontario Works (OW) recipients


 * // Or //**

If the patient is a social assistance recipient and has diabetes, he/she is eligible to apply for the “Special Diet Allowance”. This Allowance provides additionly monthly amounts to help cover the cost of special diets for certain medical conditions including diabetes. Patient may ask his/her Caseworker for more information.
 * Ontario Disability Support (ODSP) Program recipients || // Special Diet Allowance: //

// Medical Appointments: // If the patient regularly spends more than $15.00 per month travelling to medical appointments, he/she may be able to get this money back. Patient may ask his/her Caseworker for more information.

If the patient disagrees with a decision made by Social Assistance, there are ways to __appeal__ the decision. Patient may call the local OW/ODSP office to find out how or contact the local Community Legal Clinic. (Patient may find the Clinic nearest him/her by calling 1-800-668-8258 or asking for information at any other community service agency). ||

1-800-387-0750 (for inquiries related to WSIB) 1-888-243-1569 (for inquiries related to eService) Web: [|www.wsib.on.ca] situation. //What benefits does the WSIB pay? // Depending on the patient’s personal situation, the WSIB may cover required: To receive WSIB insured benefits the patient must: not limited to any change in his/her income, his/her return to work status or his/her medical condition. || **Will generally cover medications directly related to injury __only.__ **
 * __ Workplace Safety and Insurance Board – Ontario (WSIB) __**
 * ABOUT THE PROGRAM ||  ELIGIBILITY  ||  ADDITIONAL INFORMATION  ||
 * The Workplace Safety and Insurance Board (WSIB) provides insurance benefits to workers who have a work-related injury or illness. Ontario’s //Workplace Safety and Insurance Act //covers most workers, by law //. //Each claim is considered and treated separately and benefits are based on each individual
 * Income replacement (loss of earnings benefit)
 * Health care and medical costs (doctor’s visits, surgery, physiotherapy etc)
 * Prescription drug costs
 * Special clothing or footwear costs
 * <span style="font-family: FranklinGothicBook,sans-serif;">Transportation costs to and from health care appointments. || //<span style="font-family: 'FranklinGothicDemi,Italic',sans-serif; font-size: 9pt;">Who qualifies for benefits? //
 * <span style="font-family: FranklinGothicBook,sans-serif; font-size: 9pt;">Have a worker-employer relationship
 * <span style="font-family: FranklinGothicBook,sans-serif; font-size: 9pt;">Have an injury or illness that is directly related to his/her work
 * <span style="font-family: FranklinGothicBook,sans-serif; font-size: 9pt;">Promptly file a claim and give consent to the release of functional abilities information to his/her employer by a health professional treating him/her (to claim benefits we must have the patient’s signature on file within six months of the date of injury)
 * <span style="font-family: FranklinGothicBook,sans-serif; font-size: 9pt;">Provide all relevant information to help the WSIB decide on benefits
 * <span style="font-family: FranklinGothicBook,sans-serif; font-size: 9pt;">Co <span style="font-family: FranklinGothicDemi,sans-serif; font-size: 9pt;">- <span style="font-family: FranklinGothicBook,sans-serif; font-size: 9pt;">operate (patient) in his/her health care and treatment
 * <span style="font-family: FranklinGothicBook,sans-serif; font-size: 9pt;">Co <span style="font-family: FranklinGothicDemi,sans-serif; font-size: 9pt;">- <span style="font-family: FranklinGothicBook,sans-serif; font-size: 9pt;">operate (patient) in any early and safe return to work or labour market re-entry program
 * <span style="font-family: FranklinGothicBook,sans-serif; font-size: 9pt;">Report to the WSIB any material change in his/her circumstances. Material change includes, but is

416-344-3862 (available 24 hours daily) 1-800-387-5540, ext. 416-344-3862 (available during business hours) Health Professional's Report (Form 8) [|www.wsib.on.ca/files/Content/Downloadable FileForm8/Form8.pdf] ||
 * Forms order line**
 * [|what is diabetes]**