Apply for extended heath care benefits and Pharmacare for seniors

  • Extended health care benefits
  • Pharmacare information
  • Pharmacare benefits

Yukon seniors can apply for extended health care and Pharmacare to help pay for medical, dental and vision needs.

  1. Extended health care benefits

    The Pharmacare and extended health-care benefits programs assist registered seniors with the cost of:

    • prescription drugs;
    • dental care;
    • eye care; and
    • medical-surgical supplies and equipment.

    Eligibility

    You must be registered with the Yukon Health Care Insurance Plan (YHCIP) and a Yukon resident over the age of 65. You're also eligible if you're:

    • a Yukon resident registered with YHCIP;
    • aged between 60 and 64; and
    • married to a Yukon resident who is 65 years of age or older.

    New Yukon resident

    If you're a new Yukon resident, it takes 3 months for your Yukon Health Care Insurance coverage and seniors benefits to begin. To receive your health care, you must:

    1. Apply for the Yukon Health Care Insurance Plan.
    2. Apply for Pharmacare and extended health benefits at the same time as when you apply for the Health Care Insurance Plan. In person: 4th floor, 204 Lambert Street, Whitehorse. Our office is open Monday through Friday, from 8:30 a.m. to 5 p.m.

    We'll issue you a card once you finish the registration process.

  2. Pharmacare information

    Eligibility

    If you're registered with Yukon Health Care Insurance Plan, you'll be sent a Pharmacare program application form in the month you turn 65.

    1. Fill out the application form.
    2. Return the application form.
    3. In person: 4th floor, 204 Lambert Street, Whitehorse. Our office is open Monday through Friday, from 8:30 a.m. to 5 p.m.
      Mail:
      Government of Yukon
      Extended Benefits Program (H-2)
      Box 2703
      Whitehorse, Yukon Y1A 2C6
    4. The application form is processed.
    5. You will receive a green Pharmacare card within 3 weeks by mail.
    Why would your benefits stop?
    • If you're away from the Yukon for more than 183 consecutive days.
    • Your benefits stop the date you permanently move out of the territory.
    If you're out of the territory for up to 210 days

    You can keep your benefits if you satisfy the director of Insurance Health Services that Yukon is your only permanent residence.

  3. Pharmacare benefits

    The Pharmacare card confirms your eligibility for all insured physician, hospital and seniors benefits. The program is the insurer of last resort. You have to pay yours costs first, then you'll be reimbursed.

    If you receive health insurance benefits through your employer or a 3rd-party insurance agency:

    • 1st, submit your claims to these insurers; and
    • don't submit the same claims to both Pharmacare and your employer or 3rd-party insurance agency.

    Pharmacare coverage

    Benefits under the Pharmacare program include partial, or 100 per cent coverage.

    Medical surgical supplies or equipment

    You may be able to get:

    • walking aids;
    • hand inhalers;
    • artificial eyes and limbs;
    • respiratory equipment;
    • commodes; and
    • manual wheelchairs.
    Hearing aids
    • 1 hearing aid is allowed in a 4-year period.
    • Repair and adjustment of 1 hearing aid with a 12-month warranty.
    • No charge for adjustments.
    • Batteries are not covered.
    Dental care
    • The plan pays for dentures, or rebases once in a 5-year period.
    • Coverage is limited to $1,400 in any 2-year period.
    • If you present your Pharmacare card to the dentist, they will submit the bill directly to the health-care plan for payment.

    You will be have to pay any amount over the $1,400 limit. If you need high-cost procedures, you should sign the appropriate application form available through your clinic. Then, have your dental clinic submit the form to the Pharmacare program to get prior approval for the procedure.

    Eye examinations and glasses
    • The plan may pay for 1 eye examination, new lenses and a maximum of $100 toward the purchase of frames once every 2 years.
    • Benefits do not include the repair of glasses.
    • The purchase of tinted, or contact lenses is not covered.
    Prescription medications

    If you do not have the Pharmacare card with you when making a purchase, you'll be charged for the cost of drugs. The program may refund this amount, but you must submit the original receipt.

    The Pharmacare program will pay the total costs of the lowest priced generics of all prescription drugs. You can find a list of drugs and costs in the Yukon Pharmacare Formulary. The cost includes the the dispensing fee.

    Non-prescription drugs and goods

    The program covers some non-prescription drugs and goods:

    • compounds used in the control of heart disease, nitroglycerin, preparations, digoxin and other digitalis- related products;
    • anti-inflammatory drugs;
    • analgesics used for the symptomatic relief of arthritic conditions; and
    • insulin syringes.

    What Pharmacare doesn't cover

    Pharmacare does not cover the cost of products that do not require a prescription, such as:

    • vitamins;
    • patent medicines;
    • personal care items;
    • medical or surgical supplies;
    • laxatives;
    • antacids; and
    • most medicines used in the treatment of colds.

Contact 

If you have questions about extended health benefits for seniors or Pharmacare, phone 867-667-5403, or toll free in Yukon, Nunavut and NWT 1-800-661-0408 extension 5403.