Hewitt

What is Covered: Physician Services

Medically required services associated with physician and diagnostic services and hospital in-and-out patient care.

Emergency in-patient services paid to a prescribed maximum per day for adults and newborns;
Unexpected medical services received anywhere in the world, provided the services are medically required, rendered by a licensed physician and normally insured by MSP;
Reimbursement is made in Canadian funds and does not exceed the amount payable had the same services been performed in B.C.;
MSP does not cover services of health care providers other than physicians;
Not covered for Pharmacare;
May be required to pay for out-patient medical services and seek reimbursement from MSP;
Patient responsible for any additional costs.

Medically required services associated with physician and diagnostic services and hospital in-and-out patient care, such as:

  • Surgery/anaesthesia
  • X-ray and laboratory services in approved facilities when ordered by a physician

Medically required services associated with physician and diagnostic services and hospital in-and-out patient care, such as:

  • Certain specified medically required surgical dental procedures provided by a dentist and rendered in an approved hospital

Medically required services associated with physician and diagnostic services and hospital in-and-out patient care, such as:

  • Surgical, diagnostic and therapeutic procedures
  • Anaesthesia
  • Pre- and post-operative care
  • Complete maternity care
  • Radiology interpretive services

Medically required services associated with physician and diagnostic services and hospital in-and-out patient care, such as:

  • Diagnosis and treatment of illness and injury
  • Surgery, including anaesthetic services and surgical assistance where necessary
  • Obstetrical care, including prenatal and postnatal care
  • Eye examinations, treatment and operations provided by an ophthalmologist

Medically required hospital, medical, dental and optometric services with some restrictions

Medically required services associated with physician and diagnostic services and hospital in-and-out patient care

Medically required services associated with physician and diagnostic services and hospital in-and-out patient care

Medically required services associated with physician and diagnostic services and hospital in-and-out patient care, such as:

  • Medically necessary surgical services, including the services of anaesthetists and surgical assistants where necessary
  • Obstetrical services, including pre-natal and post-natal care, new-born care or any complications of pregnancy such as miscarriage or caesarean section
  • Certain medically required oral surgery procedures performed by an oral surgeon when performed in a hospital
  • Sterilization procedures, both female and male
  • Treatment of fractures and dislocations
  • Certain insured specialist services, when properly referred by an attending physician

Medically required services associated with physician and diagnostic services and hospital in-and-out patient care, such as:

  • Visits and examinations;
  • Consultations
  • Psychiatric treatment
  • Diagnostic and therapeutic procedures
  • Surgery; radiology; anesthesia
  • Most laboratory services
  • Certain highly specialized examinations such as ultrasounds, CAT scans and magnetic resonance imaging, when performed in hospital centres

Medically required services associated with physician and diagnostic services and hospital in-and-out patient care

   

Medically required services associated with physician and diagnostic services and hospital in-and-out patient care, such as:

  • Physician services in their office, clinic, at the hospital, scene of accident or in the patient's home
  • Care and treatment by a physician before, during and after an operation including anesthesia
  • Physicians care during pregnancy
  • Certain dental-surgical procedures that have to be performed in an approved hospital