| Prescription Drugs |
| • |
Individuals with the Trillium Drug
Program: Deductible based on family income. |
| • |
Individuals pay up to $2 per prescription
after deductible. |
| • |
Individuals receiving social assistance or
family benefits: pay $2 per prescription, no deductible. |
| • |
Individuals over 65: pay first $100 of
prescription drug costs per year and up to $6.11 per prescription thereafter. |
|
| Dental Checkups & Treatment
|
| • |
Coverage for some surgical dental
procedures performed in hospital, including fractures and medically necessary jaw reconstruction. |
| • |
CINOT provides basic urgent care for children through Public Health. |
|
| Vision Care |
| • |
Individuals under 20 and over 65 years
of age: coverage for one examination every 12 months. |
| • |
Individuals over 20 and under 64 years
of age: no coverage unless there is a medical condition. |
|
| Hospital Stay |
| • |
Coverage for basic ward accommodation,
normal hospital in-patient services and certain hospital out-patient services. |
|
Registered Specialists:
Chiropractor, Chiropodist, Naturopath, Osteopath,
Physiotherapist, Speech Pathologist, Podiatrist |
| • |
Partial payment available for chiropractor, osteopath, podiatrist. |
| • |
Physiotherapist: coverage provided if
services performed in an approved physiotherapy clinic, hospital, physician's office
that offers physiotherapy, and Community Care Access Centre. |
| • |
Speech Pathologist/Therapist: coverage when
services performed in hospital, when prescribed by a physician, or via CCAC. |
| • |
Chiropodist: no coverage. |
|
| Homecare & Nursing |
| • |
Limited health and homemaking services
available through Community Care Access Centre (CCAC), with physician referral: services
such as dietetic services, nursing, personal support and more. |
|
| Medical Equipment & Supplies |
| • |
Assistive Devices Program will pay up
to 75% of the cost of equipment such as: artificial limbs, wheelchairs, breast prostheses,
breathing aids, braces, oxygen, hearing and visual aids and more. |
| • |
Seniors and individuals receiving
social assistance: 100% coverage for oxygen and related equipment. |
|
| Ambulance Services |
| • |
Partial coverage for land and air
ambulance when medically necessary, patient pays $45 deductible (some exceptions apply). |
| • |
No coverage outside of province. |
|
| Out-of-Province Physician services
and Hospital care |
| • |
Coverage (to Ontario maximums), with the
exception of Quebec. Quebec services reimbursed at pre-determined rates. |
|
| Out-of-Country Physician services and
Hospital care |
| • |
Physician emergency services: 100% coverage (to Ontario maximums); |
| • |
Hospital Care: up to $ 400 per day; |
| • |
Out-patient care: $50 per visit; |
| • |
Dialysis treatment: up to $210 per treatment. |
|
| Hearing Aids |
| • |
Up to 75% coverage under the Assistive
Device Program for eligible individuals. |
|
This information is provided to give a general overview of possible
coverage. Information is subject to change without notice. For detailed
benefits and eligibility criteria, please contact your healthcare provider
or provincial government.
