Any product, procedure or service you receive from a certified medical professional is covered!
A Medical Professional includes any licensed medical practitioner who is authorized to practice in accordance with the laws of the province and is certified to the practitioner’s governing body.
All Private Health Services Plan (PHSP) providers use the same list of eligible expenses to adjudicate claims, which is also the list used for the Medical Expense Tax Credit (METC) for personal income tax.
Below is a general list of the qualifying medical practitioners and eligible expenses that can be claimed through a PHSP as well as an indication of non-qualifying medical practitioners and ineligible expenses.
Note: Employers (Plan Owners) and employees (Plan Members) are reminded that the Income Tax Act of Canada is the source of record in the case of any disagreement in the interpretation.
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Medical expenses incurred while travelling may be eligible if you do not have alternate insurance, or if the service was not readily available in your locale (within 40 km of your home)
These expenses may include mileage, meals, accommodation, etc.
Devices to aid the hearing of a deaf person including bone-conduction telephone receivers, extra-loud audible signals and devices to permit volume adjustment of telephone equipment above ‘normal’ levels
Diabetic supplies
Diathermy
Fertility treatments
Hearing Aid batteries
Hernia truss
Home-maker service and Home care (attendant must be a non-relative – only eligible when other household members are physically incapable of home care)
Injections
Insulin or substitutes
Iron lung
Laryngeal speaking aid
Lasik eye surgery
Liver Extract – injectable for pernicious anaemia
Metabolic tests
MRI
Nicotine patch
Operating room fees
Organ transplant
Oxygen
Pre-natal/Post-natal treatments
Prescription birth control pills and devices
Prescription drugs
Private/Semi-private hospital room fees
Reasonable costs for adapting a residence to accommodate a disabled person (e.g. wheelchair ramp, lifts, bath facilities, etc).
Devices designed to assist walking where the individual has a mobility impairment
Devices designed to assist a person to use bathtubs, showers or toilets
Devices designed to enable individuals with a mobility impairment to operate a vehicle
Devices used by individuals suffering from chronic respiratory ailment or a severe chronic immune system deregulation
Electronic or computerized environmental control systems for individuals with severe and prolonged mobility restrictions
Electronic speech synthesizers for mute individuals
Equipment that enables deaf or mute persons to make and receive telephone calls including visual ringing indicators, acoustic coupler, and teletypewriter.
External breast prosthesis
Extremity pumps or elastic support hose to reduce lymph edema swelling
Heart monitors or pace-makers
Hospital bed, if required in-home
Inductive coupling osteogenesis stimulator
Monitors attached to babies identified as being susceptible to Sudden Infant Death Syndrome (SIDS)
Optical scanners or similar devices for a blind individual to enable him/her to read print
Orthopaedic shoes or boots
Oxygen tent
Power operated guided chair installation for stairways
Power operated lifts and transportation equipment designed to allow access to buildings, vehicles or to allow wheelchair access to a vehicle
Rehabilitative therapy, lip reading and sign language training
Synthetic speech systems, Braille printers and large print-on-screen devices that enable blind persons to utilize computers
Specially trained animals to assist blind, deaf, or severely impaired persons, including the cost of its care and maintenance
Air Cleaners – must be prescribed by an MD for a respiratory problem
Athletic therapy – must be performed by an MD, Physiotherapist, or Registered Massage Therapist
Biofeedback – must be performed by a qualified medical practitioner (e.g. MD, RN, ND, DC, R.Ac)
Botox injections – must be done by an MD
Circumcision – must be performed by an MD
Clinical Hydrotherapy – must be prescribed by an MD for arthritis or musculoskeletal disorder
Cord Blood Collection – qualified only when detailed letter by MD is provided that outlines the procedure is for testing purposes only
Herbal remedies – must have prescription from an MD, ND, or Traditional Chinese Medicine Doctor (in BC only), and herbs must be itemized on receipt by name
Herbology – must be done with MD or ND
Homeopathy – must be done or prescribed by an MD or ND
Laser Services (such as hair or tattoo removal) – eligible when performed by an MD or RN
Laser Therapy (for herniated disks, carpal tunnel, etc) – must be performed by an MD, RN or DC
Pulse Light Therapy – must be performed by an MD or Dermatologist
Registered Dietician or Nutritionist – only consultation is eligible
Therabands, Foam Rollers, Exercise Balls are eligible only when purchased from a Physiotherapist or Chiropractor
Tooth whitening procedures, kits and strips-eligible only when performed by, or purchased from, a dentist
Tuition and Tutoring for a child with special needs or a learning disability is qualified only when a note of diagnosis from an MD has been provided
