Change to co-insurance amount in Quebec
The Régie de l’assurance maladie du Québec (RAMQ) announced a change to the Quebec drug insurance plan. This change affects plan sponsors who provide drug coverage to plan members residing in Quebec.
Co-insurance (effective July 1, 2024). RAMQ has increased the minimum co-insurance amount. There is no change to the annual out-of-pocket amount.
Legislative change |
Drug claims for Quebec plan members |
|---|---|
Increase in co-insurance (amount RAMQ pays) to 68% from 67% |
Drug claims for plan members residing in Quebec for drugs listed on the RAMQ formulary are subject to the new minimum co-insurance amount of 68%. |
We’ve updated our systems to reflect this change. There will be no immediate rate adjustments due to the change. We expect minimal impact to plan members and on claim experience.
Questions? We’re here to help.
If you have fewer than 50 employees, please contact your Client Service Specialist at 1-877-786-7227.
If you have more than 50 employees, please contact your Sun Life Group Benefits representative.