What's Covered
List of covered items.
Please note: this list is fairly comprehensive; however, certain items not listed may be covered if deemed to be part of a medical treatment by a licensed medical practitioner
Professional Services
Any service performed by a qualified medical practitioner, including but not limited to the following:
- Acupuncturist (qualified)
- Gynaecologist
- Orthodontist
- Practical Nurse (for medical service)
- Chiropodist
- Massage Therapist
- Osteopath
- Psychiatrist
- Chiropractor
- Naturopath
- Orthopaedist
- Psychoanalyst
- Christian Science Practitioner
- Neurologist
- Paediatrician
- Psychologist (if licensed)
- Dental Hygienist
- Obstetrician
- Pharmacist
- Registered Nurse
- Dental Mechanic
- Occupational Therapist
- Physician
- Speech-language pathologist or speech-language audiologist (treatment for pathological or audio logical impediments)
- Ophthalmologist
- Dentist
- Physiotherapist
- Surgeon
- Dermatologist
- Optician
- Plastic Surgeon
- Therapeutist or Therapist
- Dietician
- Optometrist
- Podiatrist
Please note: A qualified medical practitioner means a person who is authorized to practice in accordance to the laws of the province and certified according to the practitioner's governing body.
Dental Services
- Dental X-Rays
- Extracting Teeth
- Oral Surgery
- Dental Repair and Replacement
- Filling Teeth
- Straightening Teeth
- Examinations
- Gum Treatment
Laboratory Examinations and Tests
- Blood Tests
- Metabolism Tests
- Stool Examination
- X-Ray Examination
- Cardiographs
- Spinal Fluid Tests
- Urine Analyses
Hospital Services
- Anaesthetist
- Oxygen Masks, Tent
- Vaccines
- Hospital Bills
- Use of Operating Room
- X-Ray Technician
Prescribed Medical Treatments
- Diathermy
- Bone Marrow or Organ Transplant
- Blood Transfusion
- Electric Shock Treatments
- Healing Services
- Hydrotherapy
- Injections
- Insulin Treatments
- Nursing (by Registered Nurse)
- Pre-Natal, Post Natal Treatments
- Psychotherapy
- Radium Therapy
- Speech Pathology or Audiology
- Ultra-violet Ray Treatments
- Whirlpool Baths
- X-Ray Treatments
Medicines
Any non-prescription medicines (over the counter), prescribed by a qualified medical practitioner and recorded by a licensed pharmacist.
- All Prescription Drugs
- Liver Extract - injectable for pernicious anaemia
- Tapes or Tablets-for sugar content tests by diabetics, if prescribed
- Insulin or Substitutes
- Oxygen
- Vitamin B12 - for pernicious anaemia
Materials and Apparatus Which are Prescribed by a Recognized Medical Practitioner
- An external breast prosthesis
- Any device designed to assist walking where the individual has a mobility impairment
- Contact lenses
- Devices designed to assist a person to use bathtubs, showers, or toilets
- Inductive coupling osteogenesis stimulator
- Infusion pumps for diabetics, including peripherals
- Monitors attached to babies identified as being prone to sudden infant death syndrome
- Optical scanners or similar devices for a blind individual to enable him/her to read print
- Devices designed to enable individuals with a mobility impairment to operate a vehicle
- Devices used by individuals suffering from a chronic respiratory ailment or a severe chronic immune system deregulation
- Electronic or computerized environmental control systems for individuals with severe and prolonged mobility restrictions
- Electronic speech synthesizers for mute individuals
- Orthopaedic shoes or boots
- Oxygen tent
- Power operated guided chair installation for stairways
- Power operated guided lifts and transportation equipment designed to allow access to buildings, vehicles, or to allow wheelchair access to a vehicle
- Equipment that enable deaf or mute persons to make and receive telephone calls including visual ringing indicators, acoustic coupler, teletyping, which makes telephone communication possible with other persons
- Extremity pumps or elastic support hose to reduce lymph edema swelling
- Eye Glasses
- swelling Syringes
- Synthetic speech systems, Braille printers, and large print-on-screen devices that enable blind persons to utilize computers
- Television closed captioning decoders
- Heat monitors or pace makers
- Hospital beds, if required in home
- wigs if required as a result of disease, accident, or medical treatment
Other Expenditures
- Ambulance Charges
- Specially trained animals to assist blind, deaf, or severely impaired persons, including the cost of its care and maintenance
- Canadian Red Cross Home Maker Service
- Transportation costs-to hospital, clinic or doctor's office to obtain services not otherwise available
- Prescription Birth Control Pills
- Victorian Order of Nurses - Home Care
- Rehabilitative therapy, Lip reading and sign language training
Other Materials and Apparatus Which Don't Require a Prescription
- Any device to aid the hearing of a deaf person including bone conduction telephone receivers, extra loud audible signals and devices to permit volume adjustment of telephone equipment above normal levels
- Crutches
- Artificial eye
- Hernia truss
- Artificial kidney machine, including installation, operating costs
- Illestomy pads
- Artificial limb
- Iron lung
- Blood sugar level measuring devices for diabetics
- Laryngeal speaking aid
- Brace for a limb
- Spinal Brace
- Catheters, catheter trays, tubing, diapers, disposable briefs required by incontinent persons
- Wheelchair
- Colostomy pads
What's Not Covered
- Air conditioners, humidifiers, dehumidifiers, or air cleaners
- Maternity clothes
- Antiseptic diaper service
- Medical expenses for which you are reimbursed or are entitled to be reimbursed from other plans
- Birth control devices (Non prescription)
- Over-the-counter products (contacts lens solutions, vitamins, supplements, aspirin, bandages, etc)
- Cost of missed appointments
- Payments to a municipality where the municipality employed a doctor to provide medical services to the residents of the municipality
- Gym memberships
- Reiki Practitioner
- Health programs offered by resort hotels, health clubs
- Rolf therapy (unless paid to a physician)
- Homeopathic medicaments and herbal supplements
- Scales for weighing food
- Hospital parking (unless it can be included in long distance travel)
- Toothpaste
- Illegal operations, treatment or drugs
- Umbilical cord blood extraction and storage
IMPORTANT - Provincial Health Care Premiums ARE NOT eligible expenditures.



