Would a prescription drug card help reduce turnaround times?
Reimbursement of expenses for prescription drugs are not, by themselves, responsible for the longer than usual delays. Most drug claims are adjudicated within 3 to 5 days when they are submitted alone. However, a prescription drug card will eliminate even these short delays for reimbursement of claims because our members will no longer need to pay the pharmacist up-front. That is why the Parties to the Trust Agreement,( the Government of Canada, the Unions represented at the National Joint Council, and the Federal Superannuates National Association), recently negotiated the implementation of a pay direct drug card, as announced in the March issue of the PSHCP bulletin. What are the adjudication turnaround times? Sun Life is meeting the negotiated service standards and these are monitored very closely. Our contract with Sun Life requires an average turnaround time of 9 days, from the day the claim is received to the day it is released, i.e. the day a cheque is mailed to you or deposited