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About your coverage

About Your Coverage
Programs & Perks
Checking your eligibility

Member programs & perks

As a Medavie Blue Cross member, you have access to a variety of programs and services that help you live better,
manage your health, and save money.

For all members

These programs are available to all Medavie Blue Cross members.

Connected Care

As a Medavie Blue Cross member, you now have exclusive access and pricing for innovative health care services!

My Good Health® Wellness Portal

Create your own personal profile for customized advice, information, and tips on how to be and stay healthy. Use the interactive health risk assessment tool to assess your current health, set and track personal goals, and learn about lifestyle changes you can make for a longer and healthier life.

Patient First Network

Are you or a loved one suffering from a condition requiring expensive treatment?

Our Patient First Network helps you get faster access to the treatments you need and provides ongoing support and education to help you live better.

Blue Advantage Member Savings

Blue Advantage saves you money on a variety of health-related products and services from participating providers across Canada, regardless of whether the item is covered under your benefit plan. Simply present your Blue Cross member card to the participating provider and mention Blue Advantage!

Home Delivery of Prescription Drugs

In this era of online purchases and home delivery, more plan members than ever are looking for options to have the medications they take on a regular basis (“maintenance drugs”) delivered directly to them by a home delivery pharmacy.

My Home Rx provides convenient options for free home delivery of your prescription maintenance drugs that can help you save money, with the comfort and assurance of avoiding unnecessary trips outside the home.

Plan-Specific Programs

Access to these programs depends on how your particular plan was set up.
If you're not sure, you can check your coverage using our mobile app or through our Member Services Site.

Drug Management Features

Rx Choices

If your plan includes Rx Choices, eligible drugs are separated into two tiers, with the amount your plan covers varying between tiers.

Automated Step Therapy

Plans with Automated Step Therapy see medications separated into first and second-step drugs; first step options are more cost-effective and must be tried before second-step drugs become eligible through paperless prior authorization.

Maximum Allowable Cost

For plans with the Maximum Allowable Cost feature, for a number of drugs in certain therapeutic categories, you are reimbursed up to the price of the most cost-effective option.

Checking your eligibility

Are you covered for your new prescription? What about the health professional* you want to make an appointment for? How many times a year can you see the dentist*?

The easiest way to find details about what benefits are covered by your plan—including maximums and coverage limitations—is to check things out online or using our app. You can also find information in the benefits booklet you received separately.

*Keep in mind that services must be provided by a Medavie Blue Cross-approved health professional to be eligible for coverage. You can find an approved provider through our mobile app, or use our online search tool to find one who offers ePay direct payment service.

Checking prescription drug coverage

You can search for a specific drug to determine if it's covered under your plan using Medavie Mobile or the Member Services site.

From either the app or the website, navigate to the Coverage section, then select Drugs. From there you can enter a full or partial drug name, or the Drug Identification Number (DIN).