|
Comprehensive Option |
Basic Option |
| Prescription drugs (Pay-direct drug card) |
80% reimbursement, subject to an $8 dispensing fee cap |
20% reimbursement, subject to an $8 dispensing fee cap |
| Semi-private hospital accommodation |
80% reimbursement up to $200 per day |
20% reimbursement up to %200 per day |
| Paramedical services (physiotherapist, chiropractor, naturopath, osteopath, podiatrist/chiropodist, masseur, acupuncturist) |
100% reimbursement and $1,000 per year for all practioners combined |
20% reimbursement and $1,000 per year for all practioners combined |
| Psychologist (includes licensed registered counsellors, social workers, psychiatrists, psychotherapists, psychoanalyst, and clinical counsellors) |
100% reimbursement and $1,000 per year for all practioners combined |
20% reimbursement and $1,000 per year maximum |
| Fertility Treatments |
$5,000 combined lifetime maximum for fertility drugs and fertility treatments |
$5,000 combined lifetime maximum for fertility drugs and fertility treatments |
| Speech Therapy |
100% reimbursement and $500Â per year maximum |
20% reimbursement and $500 per year maximum |
| Transgender Core Coverage(coverage for a selection of basic surgical procedures, available in some provinces, but not covered under the individual’s provincial healthcare plan) |
$10,000 annual maximum and $50,000 lifetime maximum |
$10,000 annual maximum and $50,000 lifetime maximum |
| Private duty nursing |
100% reimbursement and up to $25,000 lifetime |
20% reimbursement and up to $25,000 lifetime |
| Vision care |
20% reimbursement up to $200 for glasses/contacts and $75 for eye exams every 24 months |
100% reimbursement up to $200 for glasses/contacts and $75 for eye exams every 24 months |
| Hearing aids |
80% reimbursement up to $1,000 every 36 months |
20% reimbursement up to $1,000 every 36 months |
| Orthopedic shoes and orthotics |
50% reimbursement up to a combined maximum of $250 per year |
20% reimbursement up to a combined maximum of $250 per year |
| Out-of-province/country emergencies |
100% reimbursement up to 60 days per trip |
100% reimbursement up to 60 days per trip |
| Medical equipment and supplies (coverage diabetic supplies) |
80% reimbursement up to any specified limits |
20% reimbursement up to any specified limits |
