|Canada Life – 2022 Insured Benefit Claims Submission Deadline Reminder|
Canada Life must be in receipt of all outstanding insured benefit (health and dental) claims incurred from January 1, 2022, to December 31, 2022 by 4:30 p.m. EST on December 31, 2023, otherwise they will be declined. Claims with a date of service within the past 12 months may be made directly through the My Canada Life at Work online system or the My Canada Life at Work app. Claims with a date of service more than 12 months ago can be submitted to Canada Life by paper claim. This can be done by mail or through My Canada Life at Work by using the ‘Estimates and Other Claims’ option available in the ‘Make a Claim’ process. Members wishing to courier paper claims instead of submitting them online may send them to: Canada Life London Benefit Payments 255 Dufferin Ave London, ON N6A 4K1 Claim forms are available by through the OPPA’s website by clicking here and selecting the Target Benefits Forms Library. As processing times are longer for paper claims, please submit any outstanding insured benefit claims from January 1, 2022, to December 31, 2022, as soon as possible. If you have questions regarding your claims, please reach out to Canada Life using the new, dedicated, toll-free VIP phone number 1-888-381-4401.
|Ozempic and Rybelsus (semaglutide) coming to prior authorization Nov. 27, 2023|
As of Nov. 27, 2023, Ozempic and Rybelsus will be added to Canada Life’s prior authorization drug list and will only be eligible for coverage when used to treat diabetes. What does this mean for members? All new requests for coverage of Ozempic or Rybelsus will be subject to prior authorization. Members will be able to access the Drug Prior Authorization form through the Canada Life website or My Canada Life at Work. What does this mean for existing Ozempic or Rybelsus claimers? Members with other diabetes medications in their history will continue to be covered and receive reimbursement without interruption. Starting in December 2023, Canada Life will be mailing letters to members taking Ozempic or Rybelsus who don’t have other diabetes medication in their history. Members will have a 70-day grace period from the date of their letter to show that they are using these drugs to treat diabetes. Members using Ozempic or Rybelsus for non-diabetes treatment won’t be covered after their grace period.
|Canada Life Call Centre Wait Times |
Canada Life is taking measures to reduce call centre wait times for OPPA Members. To achieve this goal, they have provided a new, dedicated, toll-free VIP phone number that is now operational. Members are encouraged to use the new phone number: 1-888-381-4401 – effective immediately. Once you enter your plan number (44501 for Active Members, 6772 for Retired Members), your call will be prioritized in the phone system. This should result in reduced wait times for both general and claim-specific inquiries. It will also help in reducing the processing delays for manually processed claims. Please note the phone number displayed on the “My Canada Life at Work” app will continue to show the previous phone number. So, it’s important to remember to use the new phone number, 1-888-381-4401, for better and faster service moving forward. Coordination of Benefit Claims (COB) There have been recent changes to the way coordination of benefits (COB) claims are processed when both plans are with Canada Life. When these claims are submitted electronically to Canada Life by the provider, only the member’s claim is being processed in that submission. Canada Life is currently updating the technology platform with providers that process these types of claims. In the interim, members are required to submit the outstanding COB claim via “My Canada Life at Work”. Members requiring further information should contact Target Benefit Administrators at 1-1-888-660-6055 or 416-740-1335 or by email at firstname.lastname@example.org.
The following is shared from the OPP in an attempt to reach as many members as possible:
OPP Member Support Networks: connecting and supporting our greatest asset – our people!
OPRIL would like to invite those interested in learning more about Member Support Networks (MSNs) in the OPP, to join us on Monday, November 27th at 1pm for a virtual information session. This session will outline the purpose of MSNs, the benefit they can provide to our members, the process for implementation and answer any questions you may have.
If you’re curious about how MSNs could benefit you and support an OPP where our members are connected, can support one another and can take a lead in driving culture change, please email Sgt. Cass Jackson at Cass.Jackson@opp.ca for the session link.
What are Member Support Networks?
Member Support Networks are voluntary, member‐driven, self‐governing networks that are organized to support members. They provide a formalized structure to provide a safe and supportive environment for members and allies with shared interests, identities, challenges, and/or lived experiences. MSNs can serve many needs for members, including mentoring, informal coaching, networking, and information sharing, along with career and skills development. They can provide an energizing space for members to support their unique needs and have been proven to strengthen a sense of belonging and allyship. MSNs provide safe and supportive spaces for members, as the OPP seeks to build a safe, healthy, and inclusive workplace where members feel valued and are supported in reaching their potential and being their true, authentic selves.
For members with access to the OPP Connections you can visit OPP Connections – Member Support Networks (gov.on.ca) for additional information and resources.