Request coverage for services not included in the Yukon Health Insurance Plan

You can request health insurance coverage for medical services that are not covered under the territorial health care plan.

Prepare your request

1. Work with your physician to write a detailed letter that outlines the issue and the case history.
2. Include any correspondence between yourself and your physician about:
   •  the medical condition; and 
   • the service being requested.
3. Submit your request.
   In person: 4th floor, Financial Plaza, 204 Lambert Street, Whitehorse. Our office is open Monday to Friday from 8:30 am to 4:30 pm.
   Fax: 867-393-6486
   Mail:
   Government of Yukon
   Health Care Insurance Plan (H-2)
   Box 2703 
   Whitehorse, Yukon Y1A 2C6

The manager of registration and claims will work with assessors to see what Yukon case history is applicable to the request. The manager and assessors will consult with Yukon’s medical advisor who:

• will talk with medical advisors from across Canada to see if the procedure is insured elsewhere in the country;
• will see if there's new medical evidence to support a decision to insure the service being requested; and
• may take the case to the biannual national meeting of medical advisors for deliberation.

Based on the gathered information, the manager of registration and claims will give you and your physician a written response to your request.

If your request is declined

You can submit an appeal if your service request is declined.

1. Request a review by the director of Insured Health Services, under Section 5 of the Yukon Health Care Insurance Plan Act.
2. The director:
   •  will review all provided materials;
   • may request that the medical advisor do more jurisdictional analysis and medical research;
   • may research additional sources of information such as the Canadian Agency for Drugs and Technologies in Health; and
   • will contact you and your physician with a decision within 30 working days of you submitting your appeal.