Coverage for GLP-1 medications depends on your plan. When you log in to your account, check Drugs under your Coverage to see which medications are covered.

GLP-1 medications can be used to support diabetes treatment or weight management. Some examples include:

• For diabetes: Ozempic, Mounjaro, Trulicity, Rybelsus, and Victoza
• For weight management: Saxenda, Wegovy, and Zepbound

Coverage requirements may vary by plan. In some cases, your plan may require prior authorization. Your doctor can help you understand what’s needed for your situation. You can learn more about how to request prior authorization for diabetes below.

Find prior authorization request forms
Search for GLP-1 medications

Coverage for diabetic supplies, such as test strips, will vary based on your plan and the type of diabetes treatment you use.

If your plan has quantity limits, they are generally based on:

• If you are not taking a diabetes medication: lower limit
• If you are taking a diabetes medication but not insulin: higher limit
• If you are being treated with insulin: highest limit

If you need more test strips than your plan covers, you can download the Blood Glucose Testing Supplies Request Form here.

Sensors are covered when you use insulin because their coverage is based on diabetes treatment. If you don’t use insulin, regular blood glucose testing is usually enough for day-to-day diabetes management.

To check if your plan covers sensors, log in and go to Coverage to review your benefits.

If another insurer pays for your insulin, your pharmacist can send us confirmation by emailing [email protected] so we can update your file and review your sensor coverage. For more details, see the FAQ below.

If your insulin is covered by another payer, we may not see it in your file. Without that history, your plan may not show coverage for sensors.

However, you can still claim your sensors by following these steps:

1. Submit your insulin claim to the payer who covers it.
2. After it's processed, send us a copy of the paid claim or statement from your other payer. Please include a note documenting your history of insulin use, as this helps confirm eligibility for sensor coverage.
3. We'll review your coverage based on your plan.

Please note this does not guarantee coverage. Learn how coordination of benefits works when another payer is involved.

Insulin pumps require pre‑approval.

To get pre-approval, you’ll need:

• a prescription
• and a detailed quote from an approved provider

To see your coverage for insulin pumps, log in to your account and:

1. Go to Extended Health Benefits
2. Select Medical Equipment/Supplies
3. Click on Insulin Pump to see full details

To submit a claim for an insulin pump, you'll need:

• an insulin pump from an approved Medavie Blue Cross provider
• a prescription that confirms a Type 1 diabetes diagnosis prescribed by an endocrinologist
  • an attending physician or nurse practitioner can request a replacement pump for you
• a detailed quote for the insulin pump

If provincial healthcare is helping to cover costs, please include a statement showing how much they cover.

To submit a claim for an insulin pump, log in to your account.

To submit a claim for orthopedic shoes, you'll need:

• shoes from an approved Medavie Blue Cross provider
• a prescription that includes your diagnosis (from a physician, podiatrist/chiropodist, or nurse practitioner)
• an assessment such as a biomechanical assessment, gait analysis, or a letter from your provider
• and a detailed receipt that lists the name and cost of the shoes, along with any permanent modifications and their cost

To submit a claim for orthopedic shoes, log in to your account.

Rental and purchase claims follow different steps. To submit a claim for medical equipment, log in to your account.

Rental
For most rental claims, you only need:

• a prescription for the equipment
• a paid receipt

If you need the equipment for a long time or permanently, we may approve a purchase instead.

Purchase
You'll need pre-approval before you buy medical equipment. To get pre-approved, you'll need two quotes from different providers. Each quote must include:

• your name
• diagnosis
• the expected duration of use
• the equipment provider's name
• and an itemized cost breakdown

If Medavie Blue Cross is not your primary health insurer, we need confirmation of what your primary insurer has approved.
If provincial healthcare covers part of the cost, we’ll need a statement that confirms the amount.

To submit a claim for purchase after you're pre-approved, you will need:

• a prescription for the equipment
• a paid receipt
• and a detailed (itemized) receipt