Prescription Drugs
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- Individuals with the Trillium
Drug Program must pay a deductible based on their family's net
income.
- Individuals receiving general welfare or family benefits will
have to pay a $2.00 deductible per prescription.
- Individuals over 65 must pay the first $100 of prescription
drug costs per year and
up to $6 per prescription thereafter.
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Dental Care
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- There is full coverage for some surgical dental procedures
performed in a hospital.
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Vision Care
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- Optometry services are insured every 2 years for persons 20
to 64.
- For those under 20 and over 65 services are insured
once a year.
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Hospital Care
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- Coverage for basic ward accommodations is available.
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Health Specialists
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- There is a maximum coverage of $150 per year for chiropractor
visits.
- There is a maximum coverage of $155 per year for osteopath
visits.
- There is a maximum coverage of $135 per year for podiatrist
visits.
- Full coverage is provided for physiotherapy if services are performed
in an approved physiotherapy clinic, hospital, or physician's office.
- Full coverage is provided for speech therapy if services are performed
in a hospital.
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Homecare and Nursing
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- Limited coverage is available for nursing home basic accommodations
(usually around $47 a day.)
- Limited coverage is also available for semi-private and private
nursing home accommodations.
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Ambulatory Services
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- 100% coverage of land and air transport is available
when medically necessary. The patient must pay a $45 deductible.
- 100% coverage for transfer to a hospital out-of-province
if treatment not available in any Ontario hospital.
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Hearing Aids
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- A maximum coverage of $500 is available for one hearing
aid, ear mold, and some accessories.
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Medical Equipment and Supplies
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- There is 100% coverage for oxygen for individuals
65+; 75% coverage is available for all other individuals.
- 75% coverage is available for custom orthotics.
- Coverage varies for prosthetics.
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