Prescription Drugs |
90% |
Maximum of $5000 per benefit year. The maximum amount payable to an eligible brand-name drug will be limited to the lowest-priced item in the appropriate generic category.
Birth Control Prescription Drugs 100% Included in the overall benefit year maximum of $5,000. NuvaRing is an eligible birth control.
Advise your doctor and pharmacist that you are on the MB Provincial Formulary.
Drug Exception Process
In the event that the drugs covered are not effective in treating your condition, or a drug that is effective is not covered, an exception process is in place. Download and complete the Drug Exception Form.
Prescription Search Tool
Please use our Prescription Drug Search Tool to find out if your medication is covered by the plan.
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Vision |
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- 100% of the cost of one eye examination. The exam must be by an ophthalmologist or optometrist.
- $150 for eyeglasses or contact lenses. The eyeglasses frame is not covered by the plan.
The vision coverage is every 24 months from the initial date of service based on reasonable and customary charges.
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Paramedical Practitioners |
80% |
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 to a maximum of $500 based on reasonable and customary charges, per practitioner, per benefit year.
Practitioners must be registered and licensed in their field of practice.
Practitioners:
- Registered dietician*
- Physiotherapist
- Licensed massage therapist
- Chiropractor, including 1 x-ray examination per benefit year
- Osteopath, including 1 x-ray examination per benefit year
- Naturopath
- Audiologist
- Cardiac rehabilitation*
- Certified Athletic Therapy*
*physician's prescription/referral required for indicated services.
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Mental Health Practitioners |
80% |
The services of the following practitioners are covered to a maximum of $1,000 based on reasonable and customary charges, per practitioner, per benefit year.
- Psychologist
- Social worker
- Canadian Certified Counsellor
- Psychotherapist
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Podiatrist/chiropodist |
80% |
Up to $20 per visit to a maximum of $500 based on reasonable and customary charges, per benefit year. One x-ray examination is included per benefit year.
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Medical Equipment & Supplies |
80% |
The plan covers a lifetime maximum of $1,000 based on reasonable and customary charges for eligible equipment when prescribed by a physician, podiatrist, chiropodist, or chiropractor.
Prescription and pre-authorization may be required. Not solely for athletic use.
Eligible durable equipment includes, but is not limited to, items such as:
- Wheelchair
- Hospital beds
- Iron lung
- Respirator
- Braces, crutches, splints & trusses
- Other approved prosthetic devices
- Walkers
- Artificial limbs & eyes
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Ambulance |
80% |
To a maximum of $250 per occurrence. This coverage is applied after the provincial deduction.
To a maximum of $500 per occurrence 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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Orthopaedics |
80% |
To a maximum of $150 limited to one pair, per benefit year for custom-made orthopaedic shoes, repairs and modifications when required for the correction of deformity of the bones and muscles. Provided the orthopaedics 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 do not require a prescription.
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Hearing Aids |
80% |
To a maximum of $500 during a 4-year period for hearing aids and repairs, including batteries.
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Breast Prosthesis |
80% |
After a mastectomy, your plan covers reasonable and customary charges for breast prostheses. Replacement(s) every two benefit years. Two surgical bras per benefit year.
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Wigs and Hairpieces |
80% |
To a lifetime maximum of $100 for wigs and hairpieces.
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Out of the province Referral |
80% |
The following hospital and medical services provided in Canada or the United States which are not offered in the province of residence and are performed following written referral by the attending physician in the patient's province of residence are covered by the plan to a maximum of $10,000 per lifetime:
- Hospital room and board at ward rate
- Hospital services and supplies
- Diagnosis and treatment by physicians
The physician must give full details of the treatment and must be approved by the insurer in advance. You must apply and provide the insurer with a statement from your provincial health plan that describes what it will cover.
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Emergency Travel Assistance - Emergency Out of Province Medical and Accidental Death and Dismemberment Coverage |
100% |
Provides coverage of up to a maximum of $5 million per insured person per coverage period for certain expenses incurred as a result of an emergency while travelling on trips that originated from your Canadian province or territory of residence. It is important to remind you that this coverage is not available in the province where you attend the school or in your country of origin. Your coverage period is 180 days per trip. Coverage is subject to the terms and conditions provided in the Benefits Booklet.
This insurance product is underwritten by AIG Insurance Company of Canada. If you are travelling, download the Travel Medical Assistance Card.
Policy Number: SRG 9429059
You are eligible for this travel coverage when you are:
- an active member of the health plan,
- under the age of seventy (70), and
- are covered under a hospitalization and medical plan of a Canadian province or territory or equivalent.
Spouse and Dependent Children of a person eligible for this coverage who are, under the age of seventy and covered under a hospitalization and medical plan of a Canadian province or territory or equivalent, are eligible if the additional family health coverage was purchases for the current benefit period.
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Other Insurance |
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The student plan also offers the following complementary insurances:
These insurances are only applicable to the Student. Family members added to the plan are not eligible.
Your plan provides coverage for the loss of life or limb and for paralysis caused by an accident. The amount of benefit is based on a maximum benefit of $5,000.
Your plan covers 80% up to $15 per hour to a maximum of $2,000 per benefit year for private tutorial service if the student is confined to home or hospital for a minimum of 30 consecutive school days.
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