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Type 1 Diabetes Support Form

PharmaCare Deductible for Type 1 Diabetes Support Grant Application

Do you meet the following criteria:

  1. Child seeking help has type 1 diabetes & hasn’t turned 19.
  2. B.C. resident for a minimum of three months with a valid Care Card.
  3. Financial circumstance that limits the ability to afford the item or service required (Variety is currently able to consider requests from households with an annual income of up to $108,333).
  4. You must be using a Dexcom continuous glucose monitor (CGM). If you are not already using a Dexcom CGM, you must get a special authority to be eligible for coverage.
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Mandatory Requirement before filling out this application:
1. Confirm your PharmaCare Maximum Benefit Amount. You will have to upload your Confirmation of Fair PharmaCare Assistance letter from Health BC.

"*" indicates required fields

Step 1 of 3

Relationship to child*

What is the annual PharmaCare Family Maximum deductible of the child's family in dollars? (open this link and go to the far right column).

To obtain the family's current PharmaCare Maximum Family Deductible call 604-683-7151 or 1-800-663-7100, follow the prompts for PharmaCare and wait patiently to speak with an agent - they will give you the number over the phone.

Variety requires written proof of your deductible - this can be obtained by applying online - the letter of confirmation may take up to 3 weeks to be delivered. Once received it should be scanned and uploaded below.

Our family does not have extended medical coverage for the Dexcom CGM*

Upload "Confirmation of PharmaCare Benefits letter" (which lists the PharmaCare deductible).

Max. file size: 128 MB.

Do you meet the following criteria:

  1. Child seeking help is between birth and their 19th birthday. (Note: for autism assessment, the child seeking help must be 4 years or under.)
  2. B.C. or Yukon resident for a minimum of three months with a valid Health Care Card.
  3. Qualified special need (medical/developmental) as recognized by a designated professional. (This does not apply to private autism and psychoeducational assessments or mental wellness requests)
  4. Financial circumstance that limits the ability to afford the item or service required (Variety is currently able to consider requests from households with an annual income of up to $85,000).
You answered no to either or both questions above, click Close and refer to the Child Grant Supporting Document Checklists.

To be considered, the grant application must be completed together with supporting documents.