Health Insurance

Health Insurance

Goods & Services Goods may be purchased anywhere in Canada and services must be provided within your province of residence
Ambulance Covers the cost of emergency transport by a road ambulance to the nearest hospital or health centre and 50% of the costs for return to your province of residence if you are bedridden at the time of your discharge; $2,000 maximum
Air Ambulance Covers the cost of emergency transport, within your province of residence, by air ambulance to the nearest hospital or health centre; maximum unlimited (requires authorization by a physician)
Casts & Crutches Covers the cost of fibreglass casts and the purchase or rental of crutches; maximum unlimited
Preferred Hospital Rooms Covers the cost of private or semi-private hospital rooms; maximum $500 per person per year
Private Duty Nursing Covers 80% of costs to $1,500 per person per year for in-hospital nursing
In-Hospital Drugs Covers the cost of prescription drugs, which are not covered by provincial prescription drug service plans, for patients in hospital; maximum $1,000 per person per year
Accidental Dental Covers the cost for dental services resulting from an accidental injury; maximum $500 per injury (services totaling $500 or more must be pre-approved by GMS)
*Wheelchairs, Motorized Scooters & Adjustable Beds Covers the cost to purchase or rent a wheelchair, motorized scooter, and/or adjustable bed when ordered in writing by a physician; maximum $500 per person per 5 years (a one year waiting period applies)
Artificial Limbs, Eyes & Larynx Covers the cost of artificial limbs, eyes and/or larynx to a maximum of $5,000 per person per year
Patient Walkers Covers 80% of the cost to purchase or rent a patient walker to a maximum of $300 per person per 5 years (requires a physician’s written order)
Breast Prosthesis Covers the cost of an artificial breast prosthesis to a maximum of $175 per 2 years if lateral and $350 per 2 years if bilateral (a physician’s written referral is required for bilateral mastectomy patients; excludes surgical brassieres)