Government of New Brunswick
 

How are premiums determined?

After you submit your completed application, your premium will be calculated based on your family income, which is verified with the Canada Revenue Agency for the year immediately preceding the current year. Consent is required from each adult applicant to verify income with the Canada Revenue Agency. If we don’t receive consent, enrolment can proceed and you will be charged the maximum annual premium of $2,000 per adult ($166.67 per month). 

For information on premiums please visit our Premiums webpage.

 

Premium Payment

Premium payment is due on the first day of the coverage period. Your monthly premiums will be automatically deducted from your bank account each month. For further details on payment of premiums, please visit the Frequently Asked Questions webpage.

 

What benefits are covered?

The New Brunswick Drug Plan covers drugs listed on the New Brunswick Drug Plan formulary, which can be found on the formulary webpage.

 

How are prescription claims paid?

Pharmacies that have registered with the New Brunswick Drug Plan as participating providers can submit your prescription claims directly to the Drug Plan for payment. Members need to pay a 30% co-pay up to a maximum of $30 for each prescription. This avoids members from paying out-of-pocket for prescriptions and submitting the receipts for reimbursement.

Pharmacies that can submit claims directly to the Drug Plan are listed here: NB Participating Providers

If a pharmacy has not registered as a participating provider, it cannot submit claims directly to the Drug Plan.  A member can chose to fill a prescription at a non-participating pharmacy.  However, they will be required to pay the pharmacy for the total cost of the prescription and submit the official receipt to the Drug Plan for reimbursement at the address below. Please note that a non-participating provider pharmacy may charge a member a higher amount for a prescription than the Drug Plan will reimburse.

 

Overdue Premiums

Members must pay their premiums each month to receive benefits.  If premiums are not paid in full, benefits will not be provided.  If you wish to have no interruption to your drug coverage, please ensure your premiums are paid in full by the required due dates.  You and your spouse are responsible to pay the premiums owing.

Should your coverage be suspended or cancelled, an official notice will be sent in the mail. If you wish to re-enroll in the New Brunswick Drug Plan, at a future date, a reinstatement fee and a waiting period could apply and all amounts owing will have to be paid in full. For further details, please visit the Frequently Asked Questions webpage.

 

Dependants 19 years of age and older

Only dependants under the age of 19, or over the age of 19 with a disability incurred prior to the age of 19 can be included on a family application. Dependants 19 years of age and older (without a disability) are required to complete a separate application form.

New Brunswick laws recognize that people who have reached the age of 16 are able to make independent decisions about how their personal health information is collected and used. As a result, members of the New Brunswick Drug Plan who are 16 to 18 years old must consent to sharing their personal health information with the New Brunswick Drug Plan by completing the consent form

 

Annual Reassessment of Premium and Copayment

Reassessment of premium and maximum copayment will occur annually (every summer), based on your family income, as indicated on the Canada Revenue Agency tax return for the year immediately preceding the current year. This annual reassessment will ensure that you are paying the appropriate premium and copayment amounts.

 

Change in Circumstances

Please use the following forms if you are adding/removing family members to the plan or if there are changes to your personal or payment information:

If you wish to cancel your coverage, please call us at 1-855-540-7325.

 

Contact Information

New Brunswick Drug Plan
PO Box 690
Moncton, NB E1C 8M7
Toll-Free Number: 1-855-540-7325
Fax: 1-888-455-8322