As of July 1, 2022, the out-of-pocket maximum will remain the same as last year. The co-insurance rate will also not change. The out-of-pocket rates affect plan sponsors who provide drug coverage to plan members residing in Quebec.
Legislative changes |
Drug claims for Quebec Plan Members |
|---|---|
No change to the annual out-of-pocket maximum of $1,161. |
Drug claims from plan members residing in Quebec for drugs listed on the RAMQ formulary are subject to an annual out-of-pocket maximum of $1,161. |
No change to the amount RAMQ pays (co-insurance of 65%). |
Drug claims from plan members residing in Quebec for drugs listed on the RAMQ formulary are still subject to the minimum co-insurance of 65.0%. |
Questions? We’re here to help.
If you have fewer than 50 employees, please contact your Client Service Administrator at 1-877-786-7227.
If you have more than 50 employees, please contact your Sun Life Group Benefits representative.
