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Authorized Medications

Reimbursable medications are those obtained by prescription from a doctor, dentist, podiatrist, pharmacist, or nurse duly authorized by law to prescribe them and that are on the list of prescription drugs formulated by the Minister of Health and Social Services of Québec and set out in sections 8 and 60 of the Act Respecting Prescription Drug Insurance or are on the list made by the Commission de la construction du Québec (CCQ).

If they are prescribed by the professional(s) mentioned above, the cost of the following products may be reimbursed:

  • Certain smoking-cessation products
  • Vaccines for allergies (no other vaccines are reimbursable)
  • The cost of local anaesthetic for minor surgery up to a maximum $50
  • Applications of liquid nitrogen for treatment of warts
  • Sclerosing injections for varicose veins. Reimbursement of all costs, including ultrasound, is limited to $50.
  • Insurance plans cover certain medications related to in vitro treatment. The attending physician must confirm in writing that his or her patient is having in vitro treatment. The cost of the treatment itself is not reimbursable.

The Bulletin MÉDIC Construction for each plan indicates the amounts that may be reimbursed.

Exclusions

  • All over-the-counter products or medications – that is, products that can be purchased without a doctor’s prescription – are not reimbursable. Even if they are prescribed by a doctor, they are not reimbursable.
  • All products and medications administered or sold for treatments in a private clinic are not reimbursable (ophthalmology, dermatology, all “scope”-type interventions, etc.).
  • Doctors’ fees for aesthetic treatments and the cost of the materials used for injections for applications are not reimbursable.

Section 94 of the Règlement sur les régimes complémentaires d’avantages sociaux dans l’industrie de la construction defines the different exclusions.

Reimbursement of costs

The deductible and the co-insurance to be paid by the insured vary depending on the plan that he or she holds. This information is given on the MÉDIC Construction card.

Medications purchased in Québec may be paid using the MÉDIC Construction card or by submitting a claim using the Health and professional care claim form. This form must be used to request reimbursement of medications purchased outside of Québec.

It is important to note that specific conditions, limits, or exclusions other than those mentioned above may apply to reimbursement of certain coverages; only the Règlement sur les régimes complémentaires d'avantages sociaux dans l'industrie de la construction has legal force.

 

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