| Vision Care |
Up to $60 |
An eye examination is covered once every 24 consecutive months. The services must be performed by a licensed Optometrist or Ophthalmologist.
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| Up to $150 |
Prescription eyeglasses or contact lenses, if prescribed to correct vision, are covered once every 24 consecutive months.
Limitations: No benefits are payable for vision care items required by the college, including safety glasses, sunglasses, or magnifying glasses.
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| Up to $200 |
Contact lenses for special conditions are covered when prescribed for severe corneal astigmatism, corneal scarring, keratoconus, or aphakia, and when vision in the better eye cannot be corrected to 20/40 with eyeglasses.
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| Paramedical Services |
80% |
Your plan covers up to $300 per practitioner per benefit year for licensed paramedical services.
- If your provincial health plan covers part of the cost, your student plan pays only after the provincial plan's maximum is reached.
- Coverage is based on reasonable and customary charges; to check the maximum reimbursement for paramedical services, log in to the Benefits Management Platform and click “Resources”.
- Practitioners must be registered in the province where care is provided.
- Services from family members or people you live with are not covered.
- User fees are not covered.
The paramedical services listed below are eligible for coverage when provided out-of-hospital:
| Practitioners |
Description |
| Chiropractors or Naturopaths |
Treatment of muscle and bone disorders and treatment of illness using natural therapies and holistic approaches; includes one diagnostic x-ray per benefit year. |
| Dieticians or Nutritionists |
Treatment of nutritional disorders. |
| Registered Massage Therapists |
Treatment of conditions using manual techniques to relieve pain, improve circulation, and support healing. |
| Osteopaths |
Treatment of conditions related to the musculoskeletal system and overall body function; includes one laboratory test and one diagnostic x-ray per benefit year. |
| Physiotherapists |
Treatment of movement disorders; you must have a written referral from a physician or nurse practitioner. |
| Speech Therapists |
Treatment of speech impairments are covered 100%. |
To access the indicated services, you must provide a written referral from your doctor or nurse practitioner.
|
| Mental Health Practitioners |
100% |
A combined maximum of $500 per benefit year based on reasonable and customary charges.
Practitioners must be registered and licensed in their field of practice.
| Eligible psychotherapists |
Eligible counsellors |
- Registered psychotherapist
- Licensed psychotherapist
- Psychotherapist
- Counselling psychotherapist
- Psychoeducator
|
- Canadian certified counsellor
- Certified clinical counsellor
- Registered counsellor
- Registered clinical counsellor
- Registered professional counsellor
- Registered therapeutic counsellor
- Licensed counsellor
- Clinical counsellor
- Clinical therapist
- Certified counsellor
- Counselling therapist
- Mental health therapist
- Marriage and family therapist
- Psychoanalyst
- Psychologist
- Sexologist
- Registered Social Worker
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| Orthotics, Orthopaedics Shoes |
80% |
- Maximum of $200 per benefit year for custom-made orthopaedic shoes and/or
- Orthotics when they are required for the correction of deformity of the bones and muscles.
- Modifications, repairs and adjustments to custom-made orthopaedic shoes and/or
- Prescription & pre-authorization may be required. not solely for athletic use
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| Medical Equipment & Supplies |
80% |
The plan covers reasonable and customary charges for eligible equipment when prescribed by a physician, podiatrist, chiropodist, or chiropractor.
Prescription and pre-authorization may be required. Not solely for athletic use.
Eligible durable equipment includes, but is not limited to, items such as:
- Wheelchairs and wheelchair repairs (lifetime maximum of $250)
- Walkers
- Hospital beds
- Traction kits
- Braces, Crutches, Splints and Trusses. Not solely for athletic use.
- Prosthesis:
- Charges for artificial limbs when the loss of the limb occurs while the individual is insured under this benefit. The cost of repair is also covered. Replacement is covered when required due to physiological change, excluding myoelectric appliances. It is recommended that an application for pre-approvable submitted to the insurer.
- Charges for artificial eyes including one polishing or one re-make each benefit year.
- Casts, splints, trusses, braces or crutches, including replacements when medically necessary. It is recommended that an application for pre-approval be submitted to the insurer.
- External breast prosthesis when required due to a total or radical mastectomy that has been performed while you are insured under this benefit. The purchase of 2 surgical brassieres is included to a maximum of $200 each benefit year.
- Other Eligible Expenses
- Charges for oxygen, blood or blood products and the equipment required for it's administration;
- Charges for treatment of a sickness by the use of radiotherapy or coagulotherapy;
- Charges for laboratory tests done in a commercial laboratory for diagnosis of a sickness but excluding any tests performed in a physician's office or a pharmacy.
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| Licensed Ambulance Services |
80% |
Your plan covers reasonable and customary charges per emergency, helping you pay for the cost of getting to the hospital quickly and safely. This coverage is applied after the provincial deduction.
The plan covers:
- A licensed ambulance, emergency service or air ambulance service to the nearest hospital that can treat you.
- Transfers between hospitals, if medically necessary.
- If you request an ambulance but do not end up using it, the plan does not cover the cost of the request.
How to Claim:
- You must pay the full amount upfront; direct billing is unavailable for this service.
- Afterward, submit an online health claim through the Benefits Management Platform, and ensure that you attach your ambulance receipt.
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