Medical Services
Ambulance: Transportation to the nearest hospital for adequate treatment.
Chronic Care: Provided in a hospital, nursing home, or at home in Canada, reimbursed at 100% for conditions with unlikely improvement or deterioration in the next 12 months.
Hospital Accommodation: Covers private room and board for acute, convalescent, or palliative care in Canada.
Nursing: Home nursing and private duty nursing by licensed nurses in Canada.
Treatment of Injury to Natural Teeth: Coverage for dental treatment following injury within 60 days, with exclusions for orthodontic care and incomplete procedures.
Medical Supplies
Diabetic Supplies: Includes flash glucose monitors (up to $250 lifetime), continuous glucose monitors (up to $4,000/year), insulin pumps (with $5,000 every 3 years for replacements).
Hearing and Speech Aids: Covers hearing aids (up to $2,000 every 60 months) and speech aids (up to $4,000 every 5 years).
Breathing Equipment: Covers oxygen, CPAP machines (one every 5 years), and apnea monitors.
Orthopaedic Equipment: Covers braces, foot orthotics (up to $500 per person), casts, and bone stimulators.
Prosthetic Equipment: Covers artificial eyes, standard artificial limbs, and external breast prosthesis once a year.
Mobility Aids: Includes canes, walkers, wheelchairs (including repairs), patient lifters (up to $2,000 every 5 years), and outdoor wheelchair ramps (up to $2,000 once).
Other Medical Supplies: Includes hospital beds, catheters, nerve stimulators, compression hose (up to 2 pairs/year), wigs for chemotherapy patients (up to $500 lifetime), and heart monitors.
Paramedical Services
$700 per person, per calendar year for services including acupuncture, chiropractic, kinesiology, massage therapy, naturopathy, osteopathy, physiotherapy, podiatry, and speech therapy.
$5,000 combined maximum, per person, per calendar year for counselling, including services from psychologists, social workers, and psychotherapists (including marriage and family therapists, psychoanalysts, and sexologists).
Smoking Cessation
$1,500 per calendar year for smoking cessation products.
*Note: Refer to the booklets for detailed information, exceptions, and conditions for availing these benefits.