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Medically required physician, osteopath and hospital services;
Claims paid at the standard rates of the province/territory where services were obtained;
Required to pay directly for dental, chiropractic, podiatry and optometry services received outside Alberta and submit a claim for these services;
Limited benefits paid at the same rate as payable in Alberta;
Maximum benefits apply. |
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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Physician services and medical care coverage for expenses.
Claims paid at the standard rates of the province/territory where services were obtained.
If admitted to an approved hospital, covered for the standard rate. |
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Physician and hospital services obtain in Canada (except Quebec) paid at the standard rate.
Services obtained in Quebec, paid at Quebec rates, which could be less than the amount billed by the physician. |
Insured medical services obtained in other provinces and territories paid at the standard rates of the province/territory where services were obtained |
Most doctor visits (except in Quebec) and hospital care for medically necessary services;
Travel must originate in the NWT in order to be eligible for medical travel benefits;
Claims paid at the standard rates of the province/territory where services were obtained. |
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Most medical services obtained within Canada can be billed by the attending physician to the host provincial plan.
Services must be insured by MSI;
Claims paid at the standard rates of the province/territory where services were obtained. |
Medically required physician and hospital services |
Hospital and physician services outside Ontario;
If hospitalized within Canada, while temporarily absent from Ontario, eligible for Ontario health coverage for the duration of hospitalization up to a maximum of 12 months;
Claims paid at the standard rates of the province/territory where services were obtained. |
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Medical and hospital services obtained within Canada as a result of an emergency or sudden illness.
Any related non-emergency or elective service is not covered unless prior approval is received;
Claims paid at the standard rates of the province/territory where services were obtained. |
Physician Services - physician reimbursed at the Québec rate.
Pharmaceutical services:
- Cost of prescription drugs purchased outside Québec not covered.
- Cost of drugs administered during a hospital stay is covered.
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Most hospital and medical care services.
Claims paid at the standard rates of the province/territory where services were obtained. |
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Basic coverage for medically necessary hospital and physicians services if Yukon residency and registration with the Yukon Health Care Insurance Plan is maintained;
Claims paid at the standard rates of the province/territory where services were obtained. |
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