Extended health plan coverage


How will I know if I should be using nicotine replacement therapy (NRT) or other drug therapy?

Information you provide to the Program Counsellor will assist him or her in determining whether or not you may benefit from NRT. A Program Counsellor may also advise that you visit your doctor for further assessment and possible prescription of another smoking cessation drug therapy.

Who is eligible for reimbursement of smoking cessation products/prescription drugs under the extended health plan?

Smoking cessation coverage is included as a benefit under the extended health plan for employees of the BC public service or other organization with coverage under the BC public service benefit plan. Employees must be eligible for benefits and enrolled in the extended health plan. Please ensure you are eligible for reimbursement prior to purchasing your quit smoking aids. To check eligibility you can contact your HR department or Pacific Blue Cross

Coverage is also provided to eligible employees’ family members who are spouse/dependents under the extended health plan.

If you wish to be reimbursed, you must register in the Quittin’ Time program first by calling the quit line at 1 877 455 2233 before purchasing any smoking cessation product/ prescription drug.

Pacific Blue Cross will only reimburse for smoking cessation products/prescriptions purchased in the 6 month period following your registration in the Quittin' Time Program. Claims must be received by Pacific Blue Cross before June 30th of the following calendar year.  

What coverage does the extended health plan provide for smoking cessation products/prescription drugs?

Coverage for smoking cessation under the extended health plan will include nicotine replacement therapy (NRT) products and eligible prescription drugs such as Nicorette gum, Nicorette inhaler, Habitrol, Nicotrol, transdermal nicotine patches (e.g. Nicotrol and Nicoderm patches), Prostep, Champix, nicotine resin, bismuth and Zyban.

You will be reimbursed to a maximum of $300 per calendar year to a lifetime maximum of $1,000 per individual. Reimbursement is subject to the normal plan rules such as the annual deductible and applicable health benefit plan percentage limits.

If you have any questions regarding reimbursement or specific products covered under the extended health plan, please contact Pacific Blue Cross in the lower mainland at (604) 419-2600 or toll-free at 1-888-275-4672.

How do I claim for reimbursement under the extended health plan?

To be eligible for the smoking cessation benefit under the extended health plan, you must first register with the Quittin’ Time program by calling 1 877 455 2233. After speaking with a counsellor, they will forward you a Registration Confirmation. Pacific Blue Cross requires a copy of your Registration Confirmation form to process your claim.

The extended health claim form is available at: www.pac.bluecross.ca/pdf-bin/100/10-60-025.pdf.

Mail your completed form to Pacific Blue Cross at the address provided on the claim form with your Quittin’ Time registration form and receipts for smoking cessation products attached.

Can I use my Pacific Blue Cross pay direct drug card for my prescription?

Pay Direct is not available for the smoking cessation products/prescription drugs.

Why am I required to register with Quittin’ Time to be eligible for the smoking cessation benefit coverage under the extended health plan?

Research has shown that more comprehensive programs that include counselling have a much higher success rate for participants. This program has been designed to help give you the tools and support to help you accomplish your goal.

Is there any coverage for therapies other than prescription drugs and nicotine replacement therapy, such as hypnosis, acupuncture, or laser treatment?

The extended health plan provides for acupuncture treatments performed by a medical doctor or a registered acupuncturist payable to the maximum health benefit plan limits. Hypnosis and laser treatments are not an eligible benefit.