For Insurers and Employers

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Efficient

Direct Communication

Facilitates insurer communication with physicians and ultimately with plan members as it clearly shows what the benefits plan covers

Direct Communication

Reduces Repeat Visits

Reduces repeat visits to the physician and lowers wait times at the pharmacy for plan members due to incorrect or incomplete paperwork or prescription changes

Reduces Repeat Visits

Cost-Effective

Fewer Service Center Calls

Reduces plan member inquiries to insurer service centers related to the approval and/or reimbursement rate of drugs

Fewer Service Center Calls

Access to Drug Options

Delivers to physicians immediate access to information on alternate lower-cost or generic drugs

Access to Drug Options

How it works

TELUS Health’s unique connectivity with health professionals across Canada allows us to offer innovative strategies to further manage your costs. Giving physicians visibility into patients’ drug benefits coverage* has a positive cascading impact at every touch point:


  • Insurers can offer more innovative benefit plan designs that will optimize health benefit investments for plan sponsors (employers).
  • Plan sponsors can confidently implement more flexible plan designs, knowing that plan members (employees) will be less likely to need to revisit prescriptions as physicians will be able to prescribe ‘on plan’ from the outset.
  • Plan members benefit from a better overall experience because the prescription process is smoother right from the start. Physicians know immediately what is or is not covered by their plan, so there is no time wasted in starting treatments with the right prescriptions. And the claim process is also smoother at the pharmacy, since the prescription has been validated before being issued.

* This service is offered by participating insurers in select provinces.

Respected, recognized and approved

Nathalie Laporte, Vice-President of Group Insurance at Desjardins Insurance, believes there are numerous benefits to offering physicians access to information about their patients’ insurance coverage.

“The physician can issue prescriptions in line with the insured’s plan, and can also access other relevant information to determine, for instance, whether a pre-authorization form needs to be completed for a particular drug. Therefore, the employer is better positioned to control plan-related costs and help improve the insured’s experience within the healthcare continuum.“

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