| Vision Care |
Up to $50 |
An eye examination is covered once every 24 consecutive months. The services must be performed by a licensed Optometrist or Ophthalmologist.
|
| Up to $100 |
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.
|
| Up to $150 |
Laser eye surgery when performed by a licensed ophthalmologist per benefit year.
|
| Paramedical Services |
$40
per visit |
Your plan covers maximum of $400 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:
The paramedical services listed below are eligible for coverage when provided out-of-hospital:
| Practitioners |
Description |
| Athletic Therapists |
Treatment of movement disorders by a member of the Canadian Athletic Therapists Association. |
| Chiropodists or Podiatrists |
Treatment of conditions like heel pain, ingrown toenails, and foot injuries; includes one diagnostic x-ray per benefit year. |
| Chiropractors |
Treatment of muscle and bone disorders; includes one diagnostic x-ray per benefit year. |
| Dieticians |
Treatment of nutritional disorders; you must have a written referral from a physician or nurse practitioner.. |
| Registered Massage Therapists |
Treatment of conditions using manual techniques to relieve pain, improve circulation, and support healing; you must have a written referral from a physician or nurse practitioner. |
| Naturopaths |
Treatment of illness using natural therapies and holistic approaches. |
| Osteopaths |
Treatment of conditions related to the musculoskeletal system and overall body function; includes one diagnostic x-ray per benefit year. |
| Physiotherapists |
Treatment of movement disorders. |
| Speech Therapists |
Treatment of speech impairments. |
To access the indicated services, you must provide a written referral from your doctor or nurse practitioner.
|
| Mental Health Practitioners |
$40
per visit |
Services from registered psychologists, qualified social workers, psychotherapists, therapists, or counsellors are reimbursed up to $40 per visit, to a maximum of $400 conmbined per practitioner per benefit year, based on reasonable and customary charges.
| 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
|
|
| Medical Equipment & Supplies |
80% |
The plan covers reasonable and customary charges for eligible equipment when prescribed by a physician, podiatrist, chiropodist, or chiropractor.
Requires prescription and medical necessity. Pre-determination recommended.
Eligible durable equipment includes, but is not limited to, items such as:
| Medical Equipment & Supplies |
Description |
| Breathing Equipment |
Oxygen and related administration equipment. |
| Orthopedic Equipment |
Braces; up to $350 per benefit year for custom-made foot orthotics; up to $500 for custom-made orthopedic shoes, including modifications; splints and trusses. |
| Prosthetic Equipment |
Artificial eyes, standard artificial limbs, and up to $200 per benefit year for breast prostheses. |
| Mobility Aids |
Crutches and wheelchairs. |
| Communication Aids |
Hearing aids, up to $500 every 5 benefit years. |
| Diabetic Supplies |
Blood glucose monitoring machines, up to $700 per lifetime. |
|
| Licensed Ambulance Services |
100% |
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.
|
| Hospital |
80% |
Coverage for preferred hospital accommodation in the student's home province, including the cost difference between semi-private and standard ward rates.
Additional charges covered up to $25 per day, for up to 30 days per hospitalization.
|
| Private Duty Nursing |
80% |
Coverage includes home nursing care provided within Canada by a qualified nurse who is not a member of the patient's family. Services must require the skills and training of a professional nurse.
Benefits up to $25,000 are payable from the first day of care, with written medical necessity from the attending physician.
To confirm eligibility and determine the available coverage, students should complete a pre-care assessment before home nursing begins.
For more information about the pre-care assessment, please contact us at info@mystudentplan.ca
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