In Canada, insurance companies recently started covering medical marijuana in their health insurance plans.
Manulife (with Shoppers Drug Mart) has been Canada’s first insurance company that included medical marijuana coverage. The program is available as an option for participating group and individual health insurance plans.
Sun Life Financial and Desjardins are adding medical marijuana coverage to group benefits plans. The coverage will be added as an extended health-care benefit at the request of plan sponsors. It will include a yearly maximum, ranging between $1,500 and $6,000, a prior approval process and coverage criteria.
Due to the potentially high costs of covering medical cannabis and thin clinical evidence for its efficacy, the coverage extends only to a handful of health conditions. For many years, making purchases of cannabis for scientific research has been illegal or difficult because most countries ban its use. Today, the Canadian government finances medical research, including efforts to create cannabis-based pharmaceutical-like drugs.
Also, the insurance industry is concerned about the fact that many doctors who commonly prescribe pot don’t properly examine or follow their patients. On the other hand, some doctors are reluctant to prescribe cannabis to patients, in part because it has not yet undergone the studies and clinical trials required for prescription medication. Health Canada has published information for healthcare professionals on its website to make sure they have access to the best information available.
Diseases that are covered
Medical marijuana coverage will include expenses related to the treatment of illnesses and the relief of a number of symptoms, namely, pain related to advanced cancer, refractory neuralgia, nausea and vomiting caused by chemotherapy, and spasticity caused by multiple sclerosis or a lesion of the spinal cord. There is a possibility of adding other diseases and symptoms covered in the future.