This version of the form is not currently in use and is provided for reference only. Download this version of Form 905E for the current year.
Form 905E is the application form for the Multiple Sclerosis Plan in New Brunswick, Canada. It is used for applying for financial assistance and support for individuals diagnosed with multiple sclerosis in the province.
The Form 905E Multiple Sclerosis Plan Application Form in New Brunswick, Canada is generally filed by individuals who are diagnosed with multiple sclerosis and want to apply for financial assistance through the provincial MS Plan.
Q: What is the Form 905E Multiple Sclerosis Plan Application Form?
A: The Form 905E is an application form specifically for the Multiple Sclerosis Plan in New Brunswick, Canada.
Q: Who is eligible to apply for the Form 905E Multiple Sclerosis Plan?
A: Individuals with a confirmed diagnosis of multiple sclerosis (MS) who meet the residency requirements in New Brunswick, Canada are eligible to apply.
Q: What is the purpose of the Form 905E Multiple Sclerosis Plan?
A: The purpose of the form is to provide eligible individuals with coverage for MS medications, as well as coverage for related medical services and devices.
Q: What documents are required to accompany the Form 905E Multiple Sclerosis Plan Application Form?
A: Typically, you will need to provide proof of residency, proof of diagnosis of MS, and any other supporting documents as outlined in the application form.
Q: Is there a deadline to submit the Form 905E Multiple Sclerosis Plan Application?
A: There is no specific deadline mentioned for the application, but it is recommended to submit it as soon as possible once you have completed all the required information.
Q: Are there any fees associated with the Form 905E Multiple Sclerosis Plan Application?
A: No, there are no fees associated with the application for the Multiple Sclerosis Plan.
Q: Can I appeal if my application for the Form 905E Multiple Sclerosis Plan is denied?
A: Yes, you have the right to appeal the decision if your application for the Multiple Sclerosis Plan is denied. Information on the appeal process should be provided to you upon denial.
Q: Who can I contact for more information about the Form 905E Multiple Sclerosis Plan Application?
A: For more information, you can contact the New Brunswick Prescription Drug Program (NBPDP) or the Department of Health in New Brunswick, Canada.