| Vision Care |
$50 |
An eye examination is covered once every 24 consecutive months. The services must be performed by a licensed Optometrist or Ophthalmologist. |
| $100 |
Eyeglasses or contact lenses are covered once every 24 consecutive months. |
| $150 |
Laser eye surgery is covered per benefit year. |
| - |
Limitations: No benefits are payable for vision care items required by the college, including safety glasses, sunglasses, or magnifying glasses. |
| Paramedical Practitioners |
$40
per visit |
Benefits are payable after Provincial Health Care coverage is exhausted. User fees are not covered.
Services from registered and licensed paramedical practitioners are reimbursed up to $40 per visit, to a maximum of $400 per practitioner per benefit year, based on reasonable and customary charges.
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. |
| Chiropractors |
Treatment of muscle and bone disorders; includes one diagnostic x-ray per year. |
| Registered Dietitians |
Treatment of nutritional disorders when prescribed by a physician. * |
| Registered Massage Therapists |
Treatment by a qualified therapist when prescribed by a physician. * |
| Licensed Naturopaths |
Treatment by a licensed naturopath. |
| Osteopaths |
Treatment by a licensed osteopath; includes one diagnostic X-ray per benefit year. |
| Physiotherapists |
Treatment of movement disorders. |
| Speech Therapists |
Treatment of speech impairments. |
* A prescription or referral from a licensed physician or nurse practitioner is required for the services indicated.
|
| 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% |
Reasonable and customary charges for emergency transportation to the nearest hospital, including air ambulance services. |
| 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
|
