The Trillium Drug Program also called the Trillium Drug Plan (TDP) is a program that offers financial assistance for Ontario residents who have high prescription drug costs in relation to their net household income.
What is the Trillium Drug Program (TDP)?
The Trillium Drug Program ( TDP) is intended for Ontario residents who have high prescription drug costs in relation to their net household income. The TDP provides coverage for prescription drug products (in the same manner as the Ontario Drug Benefit program) that are listed on the Formulary:
What is the difference between Trillium and the Ontario drug benefit?
It reimburses you for a maximum of $450 of drugs per year. You could be eligible for Trillium but would need to deduct the amount paid by your plan before receiving any benefit. On the other hand, the Ontario Drug Benefit (ODB) covers a number of people. If you fall into one of these groups, you will get coverage from the ODB rather than Trillium:
What is the Trillium Drug Program’s policy on accommodation?
The Trillium Drug Program recognizes that accommodation needs may arise during any aspect of the process. If an accommodation issue comes to the attention of Trillium Drug Program staff, it will be directed to the appropriate person.
What is the Trillium prescription drug deductible?
Their deductible is 4 percent of their net income – or $2,000. They would have to pay the deductible before receiving any Trillium benefit. In their case, they would receive $1,000 per year (the $3,000 cost less their $2,000 deductible). Once you have paid your deductible, you only have to pay $2 for each prescription filled.
What is the Trillium Drug Program?
How to apply for Trillium?
Is a senior over 65 eligible for ODB?
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How does the Trillium drug Program Work?
Once you've paid the deductible (usually about 4% of your household income after taxes), your Trillium Drug program coverage begins and you will only pay up to $2 for each drug that is filled or refilled until the end of the program year.
What does the Ontario Trillium benefit cover?
The Ontario Trillium Benefit combines the following three credits to help pay for energy costs as well as sales and property tax: Northern Ontario Energy Credit. Ontario Energy and Property Tax Credit. Ontario Sales Tax Credit.
Who qualifies for the Trillium drug benefit?
Who is Eligible. Ontario residents (individuals or families) with valid Ontario Health Insurance (OHIP) may apply, regardless of their income, if they do not have private insurance or their private insurance does not cover 100% of their prescription drug costs.
What is covered under Trillium?
The Trillium Drug Program is a Government of Ontario program to lower the cost of expensive prescription medications, including for HIV meds, PrEP, chronic conditions, and more. You only pay a small deductible, based on your income. The new Trillium year starts on August 1st, 2022, and ends on July 31st, 2023.
Do I get Ontario Trillium benefit every year?
Ontario trillium benefit (OTB) The annual OTB entitlement is usually divided by 12 and the payments issued monthly. Your 2022 OTB payments, which are based on your 2021 income tax and benefit return, will be issued on the 10th of each month, starting in July 2022 (see note for exceptions).
How much does Trillium benefit cover?
It reimburses you for a maximum of $450 of drugs per year. You could be eligible for Trillium but would need to deduct the amount paid by your plan before receiving any benefit.
What is the income cut off for Trillium benefit?
OTB Qualification: Ontario Sales Tax Credit Component For 2021, you would have received full benefits if your income is: $24,916 or under as a single individual, or. $31,144 if you are a single parent, married, or living in a common-law relationship.
Does Trillium Ontario cover dental?
Valuable dental benefits may be included with your plan to help keep you – and your smile – healthy. Enjoy this short video to learn how your dental benefits work and how to get the most from your Wellcare By Trillium Advantage plan.
What is the 2022 Ontario Trillium benefit?
The Ontario Trillium Benefit is refundable tax credit for low to moderate income residents of Ontario. It was created by the provincial government in 2011 and combines three previous credits: The Northern Ontario Energy Credit, the Ontario Energy and Property Tax Credit, and the Ontario Sales Tax Credit.
Who qualifies for Ontario drug benefit?
You may be covered by Ontario Drug Benefit if you have OHIP coverage and are: eligible for OHIP+ age 65 or older. living in a long-term care home or a home for special care.
How is the Trillium drug deductible calculated?
How is My Trillium Deductible Calculated? The Trillium deductible is approximately 4% of your household income. The deductible is divided into 4 payments, payable on August 1st, November 1st, February 1st and May 1st of each year that you are on the program.
How much is the Trillium benefit 2022?
If your benefit for the year is $360 or less, a one-time payment is made in July. Current Trillium benefit entitlements are calculated using your tax return for the 2022 tax year....Ontario Trillium Benefit Payment Dates in 2022.Trillium Benefit MonthTrillium Benefit Date 2022DecemberDecember 9, 202211 more rows
Does Trillium Ontario cover dental?
Valuable dental benefits may be included with your plan to help keep you – and your smile – healthy. Enjoy this short video to learn how your dental benefits work and how to get the most from your Wellcare By Trillium Advantage plan.
Is Ontario Trillium benefit paid monthly?
What is the Ontario trillium benefit (OTB)? The OTB is the combined payment of the Ontario energy and property tax credit, the Northern Ontario energy credit, and the Ontario sales tax credit. The annual OTB entitlement is usually divided by 12 and the payments are issued on the 10th of each month.
What is the income cut off for Trillium benefit?
OTB Qualification: Ontario Sales Tax Credit Component For 2021, you would have received full benefits if your income is: $24,916 or under as a single individual, or. $31,144 if you are a single parent, married, or living in a common-law relationship.
Trillium Drug Program Application Form – ODANO
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What is the Trillium Drug Program?
The Trillium Drug Program also called the Trillium Drug Plan (TDP) is a program that offers financial assistance for Ontario residents who have high prescription drug costs in relation to their net household income.
How does the Trillium Drug Plan work?
You need to apply with detailed information about your household’s annual income and the employment status of your household members, your medical history, the medicine you need, as well as a transparent report regarding any private or group insurance plans that also assist your prescription drug costs.
Who is eligible for the Ontario Drug Benefit Program?
TDP has created some standards for its program that are intended to keep applicants at the same level and avoid giving benefits to a certain group of people over another. This means that you cannot be an outsider looking for financial help from Ontario, you cannot have any additional income that could easily cover the cost of your medication, and you cannot be part of the program if you are not in the financially-endangered category.
Where can I find more information on TDP?
You can check out more details about the TDP on Ontario’s official governmental website or through this downloadable TDP guide. You can also talk to a local pharmacist. If you prefer digital communication, you can send an email to [email protected] or you can inform yourself by calling 416-642-3038 (Toronto) / 1-800-575-5386 (toll-free).
What is TDP insurance?
TDP is meant to help those who aren’t eligible for another ODB program and those whose private insurance plans or other insurance plans aren’t sufficient enough.
How long does it take for a TDP to be reviewed?
Note that if you need an urgent TDP for a lethal condition, then your doctor or care worker needs to submit an urgent application that will be reviewed within the next 48 hours.
When is Trillium prescription coverage?
This means that the earliest prescription coverage by Trillium Drug Benefits you can get is after the first of August in the year in which you applied (and got accepted), and the latest prescription covered needs to be in July of the next year. Any prescriptions before or after this time frame will not be covered.
Who is eligible for OHIP?
Who is Eligible. Ontario residents (individuals or families) with valid Ontario Health Insurance (OHIP) may apply, regardless of their income, if they do not have private insurance or their private insurance does not cover 100% of their prescription drug costs.
Does Trillium have private drug coverage?
Trillium Drug Program and Private Drug Coverage. Registration with TDP does not jeopardize or interfere with private drug coverage. Patients with private coverage should continue to use it and apply for TDP assistance for drugs that are not covered or are only partially covered by their private insurance plan.
Is there a co-payment for TDP?
Please also be aware that there is a small co-payment for each prescription obtained through the TDP after the patient’s deductible is reached. Some retail pharmacies may choose to waive or reduce this fee.
Does TDP cover Rituximab?
TDP covers the same medications as the ODB General Benefit Program. Exceptional Access Program (EAP) or Compassionate Review Policy (CRP) requests may be required for some GN medications (i.e., Rituximab). See Ontario Drug Benefit & OHIP+ for coverage details.
Can TDP be submitted at the same time as EAP?
To expedite coverage of EAP or CRP-covered medications, the TDP application may be submitted at same time as EAP or CRP requests.
What is the Trillium Drug Program?
The Trillium Drug Program ( TDP) is intended for Ontario residents who have high prescription drug costs in relation to their net household income . The TDP provides coverage for prescription drug products (in the same manner as the Ontario Drug Benefit program) that are listed on the Formulary:
How to apply for Trillium?
To submit a Trillium Drug Program application or supporting documentation, you can either: 1 fax the documents to 416 - 642-3034; or 2 e-mail the documents to [email protected]
Is a senior over 65 eligible for ODB?
Are not eligible for drug coverage as another category of recipient under the Ontario Drug Benefit (ODB) Program (i.e., not a senior over 65 years of age, not a social assistance recipient, not receiving professional Home Care services, or not a resident of a Long-Term Care Home or Homes for Special Care).