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Emergis Drug Claim |
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Use
Under normal circumstances, when you use your pay-direct drug
card to purchase prescription medicines, you pay only the
Member's share at time of purchase and no claim form is
needed. Rarely, you may find that the pharmacy is not able to
process your prescription using your pay-direct drug card due
to technical difficulties with the pay-direct computer system or the fact that the pharmacy
doesn't participate in the drug card program. In these rare
cases you may have to pay the full amount for your
prescription and file a claim directly with Emergis for reimbursement.
Use the Emergis
Drug Claim form if you've paid for prescription drug
purchases that would normally be covered when using your
pay-direct drug card and you wish to be
reimbursed. |
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Information Needed to Complete the Form
In addition to your personal information, the following
information is needed to complete the form:
- employee ID number from your Assure Card,
- claimant information, and
- information on coordination of benefits
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Notes
Questions on completing the form should be directed to the
Plan Administrator.
Completed forms should be forwarded directly to Emergis.
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Plan Administrator
Millworkers Health & Welfare Plan (CEP) Administrator
c/o D.A. Townley & Associates Ltd.
101 – 4190 Lougheed Highway
Burnaby, BC V5C 6A8
Phone: 604-299-7482 or 1-800-663-1356
Fax: 604-299-8136
Email: Health
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PDF
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