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Insurance 101

Everything you need to know about health insurance on Felix

Zoe avatar
Written by Zoe
Updated over a year ago

At Felix, our mission is to make your life easier and that includes things like taking away the stress of holding onto prescription receipts and submitting insurance claims. We’ll take care of direct billing with your benefits/insurance provider (in accordance with your specific coverage), so all you have to do is provide us with your insurance information and we’ll do the rest!

We know health insurance isn’t necessarily a sexy topic but we’ve heard you loud and clear, and know it’s important when you’re thinking about personal health and medication. Take a look at our most commonly asked questions to better understand how insurance works when getting your medication through Felix.

Where can I add or update my insurance information?

Depending on what stage you are at in the process there are different ways to let us know that you have private or provincial coverage. We aim to make it as easy as possible to provide this information, but if you need a hand, here are the steps to follow.

If you’re submitting a new online visit:

If you’re new to Felix (welcome!) and are in the process of submitting a new online visit, you will be prompted during the assessment to provide your insurance details. Just upload a picture of your insurance card and this will be automatically applied while your prescription is processed by our pharmacy partner, once approved. If you don’t have your insurance information with you when you are completing your online visit, you can always add this to your profile later (prior to your first fill being processed) or pass it on to our pharmacy partner when they call you to discuss important health and safety information.

If you already have an active prescription with us:

If your insurance information has changed, you can let us know at any time by uploading this information to your account. This can be done from the Billing tab of your account.

Once you have uploaded this, our pharmacy partner will be informed of this change and will apply your insurance for your next fill, in line with your coverage.

What is covered by my insurance or provincial health plan?

Medication coverage varies greatly between different plans/provinces and there are often specific criteria that determine eligibility. We recommend that you upload your private benefit card or provincial health card during the online visit so that our pharmacy partner can apply any coverage you are eligible for before shipping your meds. Unfortunately in Canada, it’s not possible to pre-adjudicate in order to determine your precise coverage. This means our team cannot determine how much coverage you'll have until they actually bill your insurance for the medication. As such, we recommend that you check with your specific insurance provider to better understand your coverage.

Most providers have online formularies where you can check your specific coverage for different medications that you've been recommended or prescribed. We recommend checking your plan provider's website or app to find this information. If you require the Drug Identification Number (DIN) for a more specific search, please contact our support team.

Some resources and information about provincial health plan coverage:

Ontario:

Did you know? As of April 1, 2019, OHIP now covers some birth control options for women in Ontario who are under 25 years old that do not have private insurance. Make sure to upload your OHIP card during your Felix online visit so that the pharmacy can apply your coverage.

British Columbia:

If you still have any questions about insurance or any other non-medical inquiries, please feel free to reach out to us at hello@felixforyou.ca. We’d love to hear from you!


No content on this site should ever be used as a substitute for direct medical advice from your doctor or other qualified clinician.

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