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Lifestyle Drugs

Lifestyle drugs are prescription medications used to improve quality of life rather than to treat or manage life-threatening or medically necessary conditions. These drugs address personal or lifestyle-related concerns, such as sexual performance, hair growth, weight management, or cosmetic enhancement.

Most health and drug insurance plans in Canada exclude lifestyle drugs from coverage because they are not considered medically essential. Common examples include medications for erectile dysfunction, hair loss prevention, smoking cessation, or weight loss that are taken for non-medical reasons. However, some comprehensive plans may provide partial coverage if the medication is prescribed for a legitimate medical condition and approved by the insurer.

Lifestyle drug exclusions help insurers manage costs while focusing reimbursement on essential therapies like chronic disease management, preventive care, and acute medical treatments.

Example:

If your physician prescribes a medication for hair loss and the drug costs $100 per month, your insurer will likely not reimburse any portion unless the plan specifically includes lifestyle drug coverage.

What to Watch For:

Always check your plan’s drug formulary or list of exclusions before filling a prescription. Even if a lifestyle drug requires a valid prescription, that does not guarantee coverage. If your medication has both medical and lifestyle uses, ask your doctor to provide supporting documentation to clarify the medical necessity.

Related Terms

Lapsed Policy

A lapsed policy is an insurance contract that has ended because the required premium was not paid within the grace period. Once a policy lapses, coverage stops, and the insurer is no longer obligated to pay any benefits for claims incurred after the lapse date. A lapse can occur in any type of insurance - including health, dental, life, or disability - when the policyholder fails to make a payment by the due date and does not bring the account up to date before the grace period expires.

Laser Eye Surgery Allowance

A laser eye surgery allowance is a vision care benefit included in some health insurance plans that provides reimbursement toward the cost of corrective laser procedures such as LASIK or PRK. These procedures permanently reshape the cornea to improve vision and reduce or eliminate the need for glasses or contact lenses. Because laser eye surgery is considered elective and not medically necessary, it is not covered by provincial health insurance plans, making this allowance a valuable feature in private coverage.

Licence

A licence in the context of insurance refers to the official authorization granted by a provincial or territorial regulatory body that allows an individual or company to sell, advise on, or administer insurance products. Licensing ensures that insurance professionals meet educational, ethical, and legal standards required to operate in their jurisdiction. It protects consumers by ensuring that only qualified and accountable individuals provide insurance advice and services.

Life Insurance

Life insurance is a financial protection product that provides a tax-free lump-sum payment, known as a death benefit, to designated beneficiaries when the insured person dies. It is designed to replace income, pay debts, cover final expenses, or provide financial stability for dependents and loved ones. Life insurance helps ensure that family members can maintain their quality of life and meet ongoing financial obligations even after the loss of the primary earner.

Life Insured

The life insured is the individual whose life is covered under a life insurance policy. If the life insured passes away, the insurer pays the death benefit to the designated beneficiary or to the policyholder, depending on the policy structure. The life insured may or may not be the same person as the policyholder. For example, a spouse, parent, or business partner may own a policy that insures another person’s life.

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