CLHIA-ACCAP - Consumer Information

A guide to supplementary health insurance

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SUPPLEMENTARY HEALTH INSURANCE • • • • • • • • prescription drugs/medicines; semi-private or private hospital accommodation; special nursing services; ambulance services; hospital and medical expenses incurred outside Canada; artificial limbs, prostheses and medical appliances; wheel chairs and other durable equipment; specified medical or paramedical services that fall outside government plans (e .g., services from chiropractors, physiotherapists, podiatrists, osteopaths and optometrists); and • vision care (eyeglasses and contact lenses). Expenses for dental services are often covered under a separate supplementary insurance plan. Coverage depends on the plan that is purchased. Typically, dental plans cover expenses for: • basic preventive and maintenance services such as regular checkups or examinations, cleaning, fillings, extractions and x-rays; and • root canals, periodontal cleanings and scaling. Your dental plan may also pay for major restorative work, such as inlays and crowns, bridgework and dentures, as well as orthodontic treatments. Other kinds of supplementary health insurance are available. Please see Section 4, Individual Plans, for descriptions of other kinds of plans and the benefits they provide. Who Is Covered? Supplementary plans typically provide coverage for the individual who is a member, along with eligible dependents such as his/her spouse or partner and children under 19 (or older if they are full-time students or disabled). Eligibility criteria vary, so check your plan for details. 3

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