Drugs

ASEBP offers comprehensive drug coverage for the MyRetiree Plan. Here are the basic eligibility criteria for prescription drugs:

Prescribed by a doctor or other licensed health care provider in Canada
Dispensed by a licensed Canadian pharmacy
Purchased in Canada and while you or your dependants are covered under the plan
Being used for their intended purpose as defined by Health Canada

You can find your plan details on My ASEBP or My Benefits on the My ASEBP Mobile App. Note: over-the-counter drugs, even if prescribed, are not eligible for coverage.

The amount of coverage applies to the brand or generic preferred alternative or Therapeutic Alternative Reference Price (TARP), depending on the drug. Maximums and percentages reimbursed are noted where applicable.

Enhanced

50-64 Years

No yearly maximum
Per person per calendar year (January-December)
100% reimbursed for eligible drug claims

Over 65 (Alberta Seniors Benefit plan is first payor)

*Yearly max $5,000 (applies to dependants regardless of age)
Per person per calendar year (unless otherwise noted)
100% for eligible drug claims

Core

50-64 Years

No yearly maximum
Per person per calendar year (January-December)
70% reimbursement for eligible claims up to $20,000
100% reimbursement for eligible claims beyond $20,000

Over 65 (Alberta Seniors Benefit plan is first payor)

*Yearly max $3,500 (applies to dependants regardless of age)
Per person per calendar year (unless otherwise noted)
70% reimbursed for eligible drug claims

*If you join the plan after age 65: drug maximums are effective upon enrolment. If you’re already enrolled in the MyRetiree Plan when you turn 65, drug maximums become effective on January 1 following your 65th birthday.

What's Covered

Note that the following is a comprehensive summary of the official, legally binding ASEBP insurance policies and plan documents available through your employer or by contacting us.

Advisories

Biosimilar Drugs

Brand and Generic Drugs

Dispensing Fees and Compounding Drugs

Dispensing for Maintenance Medications

Early Refills

Enhanced Special Authorization

Erectile Dysfunction Drugs

Joint Injectable Materials

Generic Alternative Pricing

Life Sustaining Over-the-Counter Exception List

Maintenance Medication Program