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Hospital services must be provided in an active-treatment general or auxiliary hospital;
Maximum amount for hospital in-patient care provided outside Canada - $100 per day, not including the day of discharge;
In-patient and out-patient hospital rates are all-inclusive;
Out-of-country practitioner services payable at the rate an Alberta practitioner would receive on a fee-for-service basis or the amount billed, whichever is less;
Maximum amount for routine hospital outpatient services - $50 per visit with a limit of one visit per day. |
Emergency in-patient or out-patient services;
Unexpected medical services that are medically required, rendered by a licensed physician and normally insured by MSP.
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Emergency doctors’ services outside of Canada at a rate equal to what a Manitoba doctor would receive for a similar service.
Emergency hospital care paid on an average daily rate established by Manitoba Health.
Patient responsible for the difference above the covered amount.
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Emergency out-of-country physician and hospital services or services for which prior approval has been received.
Payment at $50.00 a day for out-patient emergency services, and
$100.00 a day for in-patient services resulting from an emergency admission;
Include most laboratory, radiological or interpretation fees billed separately from the hospital claim.
Out-of-country emergency physicians' fees paid in Canadian funds at New Brunswick rates. |
Insured hospital services paid at rates established by the provincial plan.
Services must be provided by a recognized facility (licensed or approved by the appropriate authority within the state or country in which the facility is located) outside Canada.
Newfoundland Hospital Insurance Plan pays the following Insured Inpatient Hospital Rates:
- A maximum of $350 per day in a community or regional hospital
- A maximum of $465 per day in a tertiary or specialized hospital
- Out-patient Hospital Rates maximum of $62 per day
With certain exceptions, claims for insured out-patient medical services obtained outside Canada are paid at MCP rates, which are the rates paid to Newfoundland and Labrador physicians.
Patient responsible for additional costs. |
Medically necessary physician services provided by licensed physicians outside Canada, with limitations;
Medically necessary services received outside Canada are reimbursed at NWT rates;
May be required to pay for the full cost of out-patient services received up front;
Patient responsible for any additional costs. |
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Emergency services obtained outside Canada;
Payment at Nova Scotia rates;
For hospital coverage outside Canada, payment made at the average ward accommodation rate of the Halifax/Dartmouth hospitals in effect at the time that the services were received;
Not covered for Out-patient services received outside Canada. |
Medically necessary services received outside Canada;
Reimbursed at up to $1269 per night for in-patient hospital services;
Medically necessary out-patient services received outside Canada reimbursed at $153. |
Emergency health services only;
If emergency care received, payment at OHIP rates;
OHIP covers services only when provided in hospitals or appropriately licensed health facilities;
Emergency inpatient hospital services eligible for OHIP coverage paid up to a maximum of $400 per day or the amount billed whichever is less:
Amount actually billed to a maximum of $400 per day for complex hospital care, that is rendered in a coronary care unit, an intensive care unit, a neonatal or paediatric special care unit or an operating room of an eligible hospital or health facility;
Up to $200 for less intensive medical care;
Emergency out-of-country out-patient services, with the exception of dialysis, paid to maximum of $50 for all outpatient services provided on any one-day.
Out-of-country dialysis treatment paid at $210 per treatment. |
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Emergency health services;
Payment at PEI rates in Canadian currency. |
Emergency hospital services as a result of a sudden illness or an accident;
Payment for services at Quebec rates;
Physician services outside Canada;
Maximum $100 (Cdn) per day of hospitalization, including day surgery.
Cost of drugs purchased outside Canada is not insured, even if they were prescribed by a physician;
Treatment at a hospital out-patient clinic or emergency ward without being hospitalized, maximum of $50 (Cdn) per day ( includes diagnostic and therapeutic services like analyses and x-rays). |
Emergency Hospital Services - Limited coverage for emergency medical care from approved general hospitals outside Canada if the same services would be covered in Saskatchewan.
Payment up to $100 per day for inpatient services;
Payment up to $50 for an outpatient hospital visit;
Saskatchewan Health will not pay for more than two out-patient visits in any one day. |
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If Yukon residency and registration with the Yukon Health Care Insurance Plan is maintained, basic coverage for medically necessary hospital and physicians services;
Limitations on the coverage apply;
Physician fees outside Canada and hospital charges are paid at Yukon rates; patient is responsible for additional costs. |
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