Exciting Changes Coming Soon

Improved Health Benefits Plan

We listened to our members and are implementing a revised plan with rates that are more affordable.

For a limited time, beginning July 1, 2022, you can enroll in the plan without providing medical evidence.  Stay tuned for more information from the Ontario Pharmacists Association.

OPA Secure Health Plan

Flexible

Three plan designs provide you with the option to allocate your budget where it matters most. You will be able to select the benefits you need at a price that fits. Looking for more flexibility? Feel empowered by choosing how to spend your benefit dollars. Health Care Spending Account can be added to your plan with ease.

Affordable

You work hard for your money, and you want the most from your investments. Your investment into benefits is no different. The Ontario Pharmacists Association Secure Health Plan has improved coverage at a lower cost.

Enriched

Best in class insurance for our OPA members is what we had in mind. As part of OPA’s Secure Health Plan improvements we have: Implemented flexible paramedical coverage, Increased Mental Health support, Reduced costs

Benefits at a Glance

Application Forms

OPA Secure Health Plans - Under Age 70

Monthly Premiums Rates* effective August 1, 2022

Bronze*

AgeMonthly Premium**
Under age 26 Single$68.99
Under age 26 Family$121.24
26-35 Single$85.50
26-35 Family$155.13
36-45 Single$92.21
36-45 Family$161.11
46-50 Single$105.09
46-50 Family$173.52
51-55 Single$103.02
51-55 FamilyS172.42
56-60 Single$102.28
56-60 Family$171.68
61-64 Single$98.00
61-64 Family$165.79
65-69 Single$69.99
65-69 Family$118.67

Silver

AgeMonthly Premium**
Under age 26 Single$129.63
Under age 26 Family$229.24
26-35 Single$162.52
26-35 Family$298.80
36-45 Single$176.32
36-45 Family$310.58
46-50 Single$201.45
46-50 Family$335.16
51-55 Single$198.17
51-55 Family$333.02
56-60 Single$197.92
56-60 Family$332.77
61-64 Single$187.85
61-64 Family$320.19
65-69 Single$157.41
65-69 Family$270.49

Gold

AgeMonthly Premium**
Under age 26 Single$161.86
Under age 26 Family$286.47
26-35 Single$203.50
26-35 Family$374.71
36-45 Single$220.86
36-45 Family$389.51
46-50 Single$252.63
46-50 Family$420.58
51-55 Single$248.57
51-55 FamilyS417.97
56-60 Single$248.48
56-60 Family$417.88
61-64 Single$235.52
61-64 Family$401.73
65-69 Single$196.53
65-69 Family$338.18

* Health Spending Account (HSA) available at $2,000 additional cost
** Premiums are subject to tax – RST of 8%

Frequently Asked Questions

The current under age 70 plan is terminating July 31st 2022. You will automatically be mapped into the new plan unless you contact the OPA to select another plan.

Advantage Plus – Bronze
Standard – Silver

Note: You have a one time opportunity to move to the Gold plan without requiring evidence of insurability.

If you are a current member you will be automatically mapped into the new plan as follows:

Advantage Plus – Bronze
Standard – Silver

Note: you have a one time opportunity to move to the Gold plan without proof of health.

The open enrollment period is July with coverage starting August 1st, 2022.

Yes, all maximums reset January 1st, 2023.

Your Health Care Spending Account can be used to cover amounts that are not paid for by the benefit plan, including out-of-pocket co-insurance amounts, items that exceed the benefit plan maximums as well as benefits that may not be included in the benefit option selected, but are considered an eligible expense under the CRA guidelines. To verify if an expense is eligible, visit the CRA website at www.ccra-adrc.gc.ca.

A Life Event is a change in your personal status resulting in the loss of your spouse’s coverage or a change in your coverage status. Life events can include marriage, divorce, birth/adoption of a child. You must report any life event within 31 days of your status change.

Yes, the premium is reducing. The new rate table is posted on the OPA website.

Approved pre-determinations will automatically move into the new plan.

Both the Term Life and Critical Illness benefits are being moved into the stand alone Optional Life plan and Optional CI plan. All amounts are being grandfathered.

You will have 90 days, August 1st 2022 to October 31st 2022 in which to submit any eligible claims incurred in 2022 under the HCSA. Any remaining HCSA funds will be forfeited.

You have 90 days, August 1st 2022 to October 31st, 2022 to submit any eligible claims incurred in 2022 under the old plan.

More information on these exciting changes coming soon!

For further information, please contact OPA’s Insurance Department at (416) 441-0788, Option 2

Email: [email protected] | Fax: (416) 441-0474 | Toll Free: 1 (877) 341-0788

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