Updated: April 13, 2021
Making sure that plan members continue to get the care and treatment they need is our top priority.
We know that plan members may still have limited access to their regular health-care providers. For this reason, it may be difficult for plan members to update prescriptions, referrals and other documents. Plan members need these documents to support certain health care claims.
For documents expiring before June 30, 2021
If any such documents expire before June 30, we’ll still pay your plan members’ claims. This includes:
- Prescriptions, nurse practitioner or doctor referrals for paramedical services
- Drug exception forms, which includes prior authorization and special authorization
As a reminder, we’ll accept copies of drug exception forms
We don’t require original signatures. For example, your plan members can print their forms, sign them and then submit a photograph of that document. They can send them to us using the my Sun Life mobile app. They also have the option to send forms to us by mail or fax. We’ve created this for you to share with plan members.
We’ll apply our usual requirements on July 1, 2021
Starting in April, we’ll send a letter to plan members having drug exceptions on file that are about to expire. The letter will advise the plan member on next steps to continue coverage for their drug exception.