Sunlife drug exception form 2025

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.
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Submit your claims online for instant processing. You save time and paper, and in most cases you get your benefits payment less than 48 hours after your claim is processed! View your claims statements as well as your claims history.
Drugs not listed on the formulary are called non-formulary or excluded drugs. A medication may be excluded from coverage under your pharmacy benefit when it works similarly to another prescription drug or over-the-counter (OTC) medication. Please speak with your provider about medication options.
To get your claim forms: Sign in to my Sun Life . Under Benefits, choose Submit a Claim, then Print claim form. Choose the PDF claim form you need and fill it out online, or print it and fill it out by hand.
Ask for the brand drug. Many plans allow you to ask for a formulary exception. Formulary exceptions also exist for drugs that arent covered in the formulary. Of course, your physician requests the brand medication on your behalf.
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.
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People also ask

When a claim arises you should inform the insurance company as per procedures required. After hospitalisation, you have to ensure that you obtain and keep ready documents such as claim form, discharge summary, prescriptions and bills that you should submit for a claim.
Contacting your Financial Advisor; Visiting our nearest Client Service Center; Calling SUNLINK Client Care at (+632) 8849-9888 (calls outside the Philippines may incur additional charges) or at toll-free (using PLDT Line) 1-800-10-SUNLIFE (7865433) for outside Metro Manila from Mondays to Fridays 8:00 AM to 5:00 PM; or.
If your loved one has benefits with Sun Life, call us at 800-247-6875, Monday through Friday from 8 a.m. to 8 p.m. ET and we can help you with your claim. Information we will need: Copy of the death certificate. Beneficiary designation (your loved ones employer should have this information)

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