Submitting Prescription Drug Claims

Prescription drugs are covered under Sonata Health Scales 1, 2, 3 and the Guaranteed Acceptance Plan (GAP).

Your prescription drug claims are settled right in the pharmacy with your Assure Card™.

When you purchase a prescription drug:

• Present your Assure Card to your pharmacist.
• Your pharmacist will use the card to verify your eligibility and drug coverage, and to apply any deductibles or coverage limits.
• You pay only for fees not covered by Sonata Health, and receive a printed explanation of benefits.
• You do not have to fill out any claim forms or wait for reimbursement. It's all handled on the spot.
• Pharmacies that recognize the Assure Card are also linked electronically with the provincial drug benefit plans. The pharmacist will know how much your provincial plan will cover, and how much you can claim under Sonata Health.

Using paper claim forms

The Assure Card is recognized by more than 7,500 pharmacies nationwide.

If you can't use your Assure Card:

1. Complete a Healthcare Expenses Statement. [PDF]
2. Mail the completed form and original receipts to the Individual Health Unit.