Extended Health Care Benefit
Extended Health Care Benefit
Coverage under the program includes reimbursement of 100% of the following health care expenses, not normally covered by the provincial medical care program:
| Expense | Individual Limits |
|
Private nursing care by a Registered Nurse, Licensed Practical Nurse or Personal Care Worker, other than a relative or an employee of the hospital, and with the prior approval of the employee's physician who must sign a special authorization form certifying approval of the services
|
$5,000 per participant in any 12 consecutive months
|
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Accidental dental treatment if natural teeth are damaged due to accidental blow to the mouth or jaw. Services must be rendered or approved for payment within 180 days of accident.
|
No Limit
|
|
Diagnostic and x-ray services in a hospital when not provided by a government program
|
No Limit |
|
Oxygen
|
No Limit |
|
Ambulance or air transportation, if necessary for a stretcher patient
|
$300 in any 12 consecutive months
|
|
Special ambulance attendant including travel expenses of a registered nurse where medically necessary and having prior authorization
|
|
|
Ostomy supplies
|
No Limit |
|
Physiotherapy treatment, including the services of an athletic therapist and virtual physiotherapy.
|
Annual Maximum $2,000 |
|
Treatment by a licensed Chiropractor, Naturopath, Acupuncturist, Homeopath, Dietician, Osteopath, Chiropodist/Podiatrist, Audiologist, Speech Therapist, Occupational Therapist, Massage Therapist* (licensed masseur as authorized by the attending physician osteopath or chiropodist/podiatrist
|
Annual Maximum $1,000 per practitioner every 12 consecutive months. Combined annual maximum $2,000 every 12 consecutive months.
|
|
Remedial prosthetic appliances/supplies--breasts, artificial eyes, or limbs, crutches, splints (including carpel tunnel splint @ $85 maximum), casts, trusses, braces, and hair.
Replacements due to pathological change are also covered
|
No Limit, except Hair - which has a $300 lifetime limit
$50 in any 12 consecutive months for repairs
|
|
Rental (or purchase if approved in advance by Medavie Blue Cross) of wheelchair, hospital bed, equipment for administration of oxygen
|
No Limit |
|
Orthopaedic shoes, including repairs and adjustments, as prescribed by a physician specializing in orthopaedics (include doctor's referral & diagnosis with submission of paid in full receipt)
|
$200 in a calendar year |
|
Molded arch supports including prescribed replacements where due to pathological change
|
$300 per calendar year |
|
TENS machine
|
$200 per calendar year |
|
Hearing aids (excluding batteries) prescribed by an otologist or audiologist (include report from audiologist/otologist with submission of receipt)
|
$700 in any 3 consecutive calendar years |
| Chronic Disease Management | Maximum $500 every 12 consecutive months |
|
Clinical Psychologist/Social Worker/Counselling Therapist, Psychotherapist, Psychoeducators and internet based cognitive behavioral therapy () |
$3,000 every 12 consecutive months combined.
|
All services/supplies must be through Medavie Blue Cross approved providers.
Contact us
Human Resources
(902) 496-8116
Mailing address:
Saint Mary's
McNally South 111
923 Robie Street
Halifax NS B3H 3C3