| Vision |
- |
- $50 for one eye examination. The exam must be by an ophthalmologist or optometrist.
- $100 for eyeglasses or contact lenses.
- $150 for laser eye surgery per benefit year.
The eye examination and eyeglasses or contact lenses coverage are every 24 months from the initial date of service based on reasonable and customary charges.
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| Paramedical Practitioners |
100% |
Student benefits are payable after any Provincial Health Care benefits have been exhausted. This plan does not cover user fees.
The services of the following practitioners are covered for $40 per visit to a maximum of $300 based on reasonable and customary charges, per practitioner, per benefit year.
Practitioners must be registered and licensed in their field of practice.
Practitioners:
- Physiotherapist
- Registered massage therapist*
- Speech therapist
- Chiropractor, including 1 x-ray examination per benefit year
- Osteopath, including 1 x-ray examination per benefit year
- Naturopath
- Chiropodist or podiatrist, including one x-ray exam per benefit year
- Athletic therapist
* physician's prescription/referral required for indicated services
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| Mental Health Practitioners |
80% |
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
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- 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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|
| Medical Equipment & Supplies |
100% |
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.
Eligible durable equipment includes, but is not limited to, items such as:
- Wheelchairs
- Walkers
- Hospital beds
- Iron lung
- Respirator
- Braces, Crutches, Splints and Trusses. Not solely for athletic use.
- Orthopaedics:
Maximum of $500 per benefit year for Custom-Made Orthopaedic shoes when they are required for the correction of deformity of the bones and muscles and provided they are not solely for athletic use and are prescribed by a physician, podiatrist, chiropodist or chiropractor. Modifications, repairs and adjustments to custom-made orthopaedic shoes are covered without a prescription.
- Prosthesis:
Reasonable and customary charges when prescribed by a physician for artificial limbs or other prosthetic appliances.
- Custom-Made Orthotics:
Maximum of $350 per benefit year custom-made foot orthotics, when prescribed by a physician, podiatrist, chiropodist or chiropractor.
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| Hospital |
100% |
Your plan covers the cost of an upgrade from a public ward to a semi-private room. Other hospital charges incurred during a person's hospital stay are covered to a maximum of $25 per day, for a maximum of 30 days per period of hospitalization.
|
| Private Duty Nursing |
100% |
Maximum of $25,000 every 3 benefit years for the services of a Private Duty Nurse, when certified in writing as medically necessary by the attending physician. To establish the amount of coverage available under this policy, we suggest that prior to initiating home care, the student submit a pre-care assessment to the carrier.
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| Diagnostic Services |
100% |
Your plan covers diagnostic laboratory and x-ray procedures, including radiotherapy and coagulotherapy based on reasonable and customary charges, performed in the student's province of residence are covered when coverage is not available under a government provincial plan.
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| Ambulance |
80% |
The plan covers reasonable and customary charges for a licensed ambulance or emergency service that transports the patient to the nearest hospital equipped to provide the required treatment when the physical condition of the patient prevents the use of another means of transportation.
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