7.6 Children in the At Home Program (Plan F)

General Policy Description

The At Home Program medical benefits of the Ministry of Children and Family Development provides community-based, family-style care for severely handicapped children who would otherwise become reliant on institutional care.

Children enrolled in the program qualify for full coverage of eligible prescription drugs and eligible medical supplies/equipment under PharmaCare Plan F.

Policy Details

To be eligible for Plan F, individuals must have active Medical Services Plan (MSP) coverage.

Coverage is provided for individuals, rather than families.

Children enrolled in the At Home Program Medical Benefits qualify for full coverage of eligible prescription drugs and eligible medical supplies/equipment under Plan F.

Coverage under Plan F does not extend to patients in acute or extended care hospitals.

PharmaCare does not confirm Plan F eligibility. Eligibility is confirmed by the Ministry of Children and Family Development during registration for the At Home Program.

Plan F coverage ends on the last day of the month that a child turns 18 years of age.

The Ministry of Children and Family Development provides eligibility information to PharmaCare. Coverage is in effect from the time it is entered into PharmaNet.

Plan F coverage cannot be provided retroactively.

Under Plan F, PharmaCare pays 100% of eligible drug and dispensing fee costs up to the maximum cost and dispensing fee recognized by PharmaCare.

Medical supplies and equipment eligible for coverage under Plan F include

  • Prosthetics and orthotics
  • Needles and syringes
  • Continuous glucose monitors and blood glucose test strips
  • Insulin pump supplies
  • Ostomy supplies

To determine the medical benefits provided directly by the At Home Program, and not by PharmaCare, visit www.gov.bc.ca/athomeprogram.

 

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