Please refer to booklet for full coverage information. This is just an overview.
Paramedical practitioners shall be limited to speech therapists, occupational therapists, chiropractors, osteopaths, massage therapists, homeopaths / naturopaths, acupuncturists, chiropodists and podiatrists. There is no longer a requirement for a doctor’s note.
Coverage is 80% of $70 per treatment ($56 reimbursement) – 20 treatments per year
Charges for active treatment provided by private practice psychologists who are duly licensed, certified or registered to practice, and social workers with a master’s degree up to a maximum of $125 per treatment (maximum reimbursement $100) and a maximum of 20 treatments per 12 consecutive month period.
Physiotherapy – Charges for active treatment provided by private practice physiotherapists who are duly licensed, certified or registered to practice. Not subject to the 20 treatment limit. No doctors note required.
Hearing aids – 80% of $1,200 for each ear every 5 consecutive years ($960 reimbursement). Charges for hearing tests, maintenance, batteries or ear molds are not covered.
Diagnostic X-ray or Laboratory Tests – Charges for x-ray or laboratory tests carried out by a hospital, government or other laboratory qualified to render such services except when an in-patient of a hospital.
X-ray Therapy – Charges for x-ray therapy, radium and radioactive isotope.
Vision overview – Charges for the purchase of frames and prescription lenses or prescription contact lenses up to $250 (maximum reimbursement $200).
Charges for contact lenses and professional fitting services up to $250 (maximum reimbursement $200) for non-elective, medically necessary conditions. There are several conditions which facilitate payment in lieu of frames and prescription lenses, or prescription contact lenses. The list of conditions is available upon request.
Vision Training and Remedial Eye Exercises limited to $150 per lifetime (maximum reimbursement $120) when performed by a licensed optometrist or ophthalmologist.
Laser Eye Surgery – 80% of $1,500 lifetime maximum ($1,200 reimbursement)
The benefit period for vision care services is a period of 24 consecutive months for adults and 12 consecutive months for persons under the age of 18. Also some coverage for some Nursing Services, Medical Equipment, Medical Prosthesis, Medical Supplies, Supports, Orthotics, Orthopaedic shoes and modification, Emergency Transportation, Dental Services, Accidental Injury,