Canada Health Insurance

Prescription Drugs

- Individuals under 65 years on social assistance pay 33% per prescription to a maximum of $350 per year.
- Individuals over 65 pay an annual premium of $336, and 33% per prescription to a maximum of $350 per year.

Dental Care

- Children under 10 years receive 100% coverage for preventive and restorative services.
- Children also receive limited coverage for medically necessary surgical procedures when performed in a hospital.

Vision Care

- Children under 10 years and individuals over 65 receive coverage for one optometrist visit every 2 years.
- There is no coverage available for any other age group

Hospital Care

- Coverage is available for basic ward accommodations.

Health Specialists

- Coverage is available for physiotherapy only if services are performed in a hospital.
- No coverage is available for other services.

Homecare and Nursing

- For chronic home care the individual must pay a portion of home support services, personal care, and home oxygen fees. The cost is dependent upon the individual's income.
- 100% coverage is available for nursing care and medical supplies used during home care visits.

Ambulatory Services

- Individual pays $105 for medically necessary land transfer, and $100 – $600 for non-medically essential land transfer/use.

Hearing Aids

- No coverage is available.

Medical Equipment and Supplies

- 100% coverage is only available for colostomy supplies
- For oxygen, coverage is based on medical criteria and the fee charged is based upon the individual's ability to pay for services.
- There is limited coverage for prosthetics.
- No coverage is available for durable medical equipment or orthotics.