Prescription Drugs
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- Individuals up to 19 years receive 100% coverage.
- Individuals 65+ and their spouse receive 100% coverage.
- Individuals receiving social assistance are provided with 100%
coverage.
- Individuals with certain chronic diseases receive 100%
coverage.
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Dental Care
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- Children in kindergarten to Grade 8 receive coverage
for dental services and oral surgical procedures if performed in
a hospital.
- Individuals 65+ receive coverage for up to $1,400
every 2 years for dental services and dentures.
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Vision Care
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- There is no coverage for optometrist visits.
- Individuals under 65 years do not receive any coverage.
- Individuals over 65 receive 100% coverage for one
examination and prescription lenses each year.
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Hospital Care
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- Coverage is available for basic ward accommodations.
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Health Specialists
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- There is no coverage available.
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Homecare and Nursing
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- There is nursing home coverage for acute care only.
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Ambulatory Services
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- There is no coverage available.
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Hearing Aids
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- Individuals under 16 years who are not covered by their
parent's employer plan receive 100% coverage.
- Individuals over 65 are covered for one hearing aid every
4 years.
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Medical Equipment and Supplies
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- Partial coverage is available for colostomy, durable medical
equipment, supplies, oxygen, prosthetics, trusses, crutches and
braces.
- Individuals suffering from chronic diseases receive 100%
coverage after a $250 deductible per person or $500 deductible
per family.
- There is no coverage for orthopedic shoes. |