We have had some feedback from clients (very few) that their employees with dependent children age 24 and under are having issues with the new OHIP+ program.  This issue is caused when someone under age 25 is using what is called an EAP drug.  In the past, these drugs would normally be covered by the private employer benefit plan. The province is now covering this with OHIP+ as of January 1st, 2018.  This means that the private plans will NOT pay for these drugs until the province has declined coverage.

There is more information on the provincial website link below, as well as the list of the over 1000 EAP Drug ID Numbers (DINS) that need special application forms completed…

http://health.gov.on.ca/en/pro/programs/drugs/eap_criteria.aspx

http://health.gov.on.ca/en/pro/programs/drugs/docs/eap_dins_list.xlsx