Type text, add images, blackout confidential details, add comments, highlights and more.
02. Sign it in a few clicks
Draw your signature, type it, upload its image, or use your mobile device as a signature pad.
03. Share your form with others
Send drug exception form sunlife via email, link, or fax. You can also download it, export it or print it out.
How to use or fill out sun life drug exception application form with our platform
Ease of Setup
DocHub User Ratings on G2
Ease of Use
DocHub User Ratings on G2
Click ‘Get Form’ to open the Sun Life Drug Exception Application Form in the editor.
Begin by filling out the Plan Member information section. Enter your Contract number, Member ID number, last name, first name, address, date of birth, and daytime telephone number. Ensure all fields are completed accurately.
In the Claimant information section, provide details about the claimant including their last name, first name, date of birth, relationship to the Plan Member, and select the reason for request from the options provided.
Proceed to the Authorization and signature section. Review your information for accuracy and sign electronically. Include the date of signing.
If applicable, have your prescribing physician complete the reverse side of the form. They will need to provide details about the medical condition and treatment required.
Once all sections are filled out completely, save your document and follow mailing instructions to submit it as directed.
Start using our platform today for free to streamline your form completion process!
Fill out sun life drug exception application form online It's free
See more sun life drug exception application form versions
We've got more versions of the sun life drug exception application form form. Select the right sun life drug exception application form version from the list and start editing it straight away!
If this is your situation, you can request that Sun Life Assurance Company of Canada make an exception. Exceptions will only be made for drugs which legally require a prescription. To be eligible for coverage, trials with two alternative drugs covered on your plan may be required.
What is the drug exception form?
Use this form to request coverage of a drug that is not automatically covered under your drug plan. Provide the requested information to ensure timely assessment of your claim.
What is a drug exception request?
An exception request is a type of appeal that you can file with your health insurance company when a medication is not covered on the list of drugs covered by your plan, also known as a formulary.
Does Sun Life cover Wegovy?
Sun Life: Offers optional coverage for GLP-1 medications such as Ozempic, primarily for diabetes. Coverage for weight loss drugs like Wegovy may be available in customized group plans with prior authorization and plan sponsor approval.
sun life drug coverage list
Sunlife drug exception form PDFSun Life special Authorization form WegovySun Life special authorization form OZEMPICDrug Exception form Canada LifeList of drugs covered by sunlife pdfSunlife drug coverage listSunlife wegovy formSunlife prior authorization
Security and compliance
At DocHub, your data security is our priority. We follow HIPAA, SOC2, GDPR, and other standards, so you can work on your documents with confidence.
Jan 1, 2010 This form is available from your Employer. If you decide later you want to enroll for insurance, Sun Life must first approve your Evidence of
Jul 1, 2013 If the forms are not received within 15 days after written notice of claim is sent, proof of claim may be sent to Sun Life without waiting to.
Cookie consent notice
This site uses cookies to enhance site navigation and personalize your experience.
By using this site you agree to our use of cookies as described in our Privacy Notice.
You can modify your selections by visiting our Cookie and Advertising Notice.
