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 |
Up to $40 per visit |
Your plan covers maximum of $300 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:
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 |
80% |
A combined maximum of $500 per benefit year based on reasonable and customary charges.
Practitioners must be registered and licensed in their field of practice.
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 |
100% |
The plan covers reasonable and customary charges for eligible equipment when prescribed by a physician, podiatrist, chiropodist, or chiropractor.
Prescription and pre-authorization may be required.
Eligible durable equipment includes, but is not limited to, items such as:
- Wheelchairs
- Walkers
- Hospital beds
- Iron lung
- Respirator
- Braces, Crutches, Splints and Trusses. Not solely for athletic use.
- Orthopaedics:
Maximum of $500 per benefit year for Custom-Made Orthopaedic shoes when they are required for the correction of deformity of the bones and muscles and provided they 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 are covered without a prescription.
- Prosthesis:
Reasonable and customary charges when prescribed by a physician for artificial limbs or other prosthetic appliances.
- Custom-Made Orthotics:
Maximum of $350 per benefit year custom-made foot orthotics, when prescribed by a physician, podiatrist, chiropodist or chiropractor.
|
Hospital |
100% |
Your plan covers the cost of an upgrade from a public ward to a semi-private room. Other hospital charges incurred during a person's hospital stay are covered to a maximum of $25 per day, for a maximum of 30 days per period of hospitalization.
|
Private Duty Nursing |
100% |
Maximum of $25,000 every 3 benefit years for the services of a Private Duty Nurse, when certified in writing as medically necessary by the attending physician. To establish the amount of coverage available under this policy, we suggest that prior to initiating home care, the student submit a pre-care assessment to the carrier.
|
Diagnostic Services |
100% |
Your plan covers diagnostic laboratory and x-ray procedures, including radiotherapy and coagulotherapy based on reasonable and customary charges, performed in the student's province of residence are covered when coverage is not available under a government provincial plan.
|
Licensed Ambulance Services |
80% |
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.
|