Medi Blue Benefits

Ambulance

Charges for emergency ambulance services provided by a participating ambulance company anywhere in Manitoba, and payment of up to $500 per trip for services provided elsewhere. Non-emergency trips are also covered on the prior recommendation of an attending physician if the patient is non-ambulatory (can't walk) and cannot be transported by any means other than ambulance.

Treat No Transport (Treat and Release)

Charges for medical treatment provided by an ambulance paramedic when a participating ambulance operator is called to the scene of an accident or place of illness and transportation to hospital is not provided. Payment is limited to allowable charges set by the applicable Regional Health Authority.

Air Ambulance

Charges for air ambulance to a maximum of $5,000 per trip. Maximum $10,000 per person per calendar year.

Stretcher Service (Medical Van)

Charges for "non-emergency" transport by stretcher by a participating stretcher service to a lifetime maximum of $400 per person.

Semi-Private Hospital Room

Combined maximum of 60 days in any one hospital per person per calendar year for:

• Charges for a semi-private hospital room in Manitoba, or comparable payment toward the cost of a semi-private room in a hospital elsewhere.
• Payment of $20 per person for each day hospitalized when semi-private room accommodations are not available.

Hostel Care

Payment of the per diem charge for hostel accommodation if diagnostic testing or treatment is required at a Manitoba hospital located more than 60 km from your home and you are placed in a recognized medical hostel associated with the hospital.

Extended Health Benefits

Prescription Drugs

Charges for drugs or medicine listed in the most current edition of the Manitoba Drug Benefits and Interchangeability Formulary as issued by the Government of Manitoba. Maximum $160 per contract per calendar year. Drug benefits payable will be integrated with those provided by Pharmacare or any other government sponsored program. For Pharmacare information please visit the Province of Manitoba Health website.

The following benefits are subject to a 20% co-insurance. Payment will be 80% of eligible expenses up to the maximum payments indicated.

Accidental Dental

Charges for dental treatment resulting from accidental injury to jaw or natural teeth to a maximum of $1,000 per accident.

Assisted Care

Charges for assisted care services provided by a person regularly employed as a professional health care aid, home care worker, or homemaker (not a relative) when prescribed by the attending physician. Benefit payment is limited to $40 per day to a maximum of 14 days per illness or injury.

Athletic Therapy/Occupational Therapy

Charges for services of an occupational therapist when prescribed by a physician and charges for the services of a certified athletic therapist to a combined maximum of $250 per person per calendar year.

Cardiac Rehabilitation

Charges for a recognized cardiac rehabilitation program when prescribed by the attending physician for patients with diagnosed cardiac disease to a lifetime maximum of $500.

Foot Care

Charges for diagnosis and treatment by a podiatrist and charges for services by a certified foot care nurse to a combined maximum of $450 per person per calendar year. This benefit is subject to per visit maximums.

Medical Appliances

Charges for rental, purchase or repair of:

• a hospital bed, oxygen equipment or respirator when prescribed by the attending physician or occupational therapist to a lifetime maximum of $1,000 per item per person.
• a wheelchair when prescribed by the attending physician, occupational therapist or physiotherapist to a lifetime maximum of $1,000 per person.
• walkers when prescribed by the attending physician, occupational therapist or physiotherapist to a lifetime maximum of $500 per person.
• other medical equipment including medical devices used to aid daily living when prescribed by the attending physician, occupational therapist or athletic therapist to a lifetime maximum of $250 per person.

Nutritional Counselling

Charges for the services of a registered dietitian when prescribed by a physician. Maximum $450 per person per calendar year.

Orthopedic Shoes and Modifications to Orthopedic Shoes

Charges for orthopedic shoes custom made from a mould, or stock shoes which are modified (excluding orthotics or insoles, removable or permanently-affixed) to accommodate, relieve, or remedy a mechanical foot defect or abnormality.

Charges for orthopedic shoe modifications (excluding orthotics or insoles, removable or permanently-affixed) to accommodate, relieve, or remedy a mechanical foot defect or abnormality.

A copy of a prescription from the attending physician or podiatrist, including a medical diagnosis along with a detailed description of the orthopedic shoe and modification(s) is required.

Boots, sandals or sport specific footwear are not eligible.

Payment is limited to a combined maximum of $200 per person per calendar year.

Physiotherapy

Charges for the services of a physiotherapist. Maximum $450 per person per calendar year. This benefit is subject to per visit maximums.

Private Duty Nursing

Charges for private duty nursing or home visits by a professional registered nurse (not a relative) either in the hospital or home when prescribed by the attending physician. Maximum $2,000 per person per calendar year.

Prosthetic And Remedial Equipment

Charges for purchase or repair of:

• casts,canes and crutches.
• artificial limbs and eyes when prescribed by the attending physician.
• compression garments when prescribed by the attending physician.
• breast prostheses and surgical bras when prescribed by the attending physician to a maximum of $400 per single mastectomy and $800 per double mastectomy per calendar year.
• wigs and hairpieces when prescribed by the attending physician to a lifetime maximum of $1,000 per person.
• splints, trusses, braces, lumbar-sacro supports, corsets, traction equipment, and cervical collars when prescribed by the attending physician, occupational therapist, physiotherapist, or athletic therapist.

Psychological Counselling

Charges for the services of a clinical psychologist to a maximum of $450 per person per calendar year.

Travel Health Care

Charges for emergency medical, surgical and hospital services resulting from illness or injury while travelling outside of the province. Maximum $1,000 per person per calendar year. Additional coverage for U.S. or international travel is recommended.

Accidental Death & Dismemberment

Maximum amount payable: $5,000 per person. Payments vary depending upon the nature of loss.

Extended Health Benefit Maximum

Maximum $5,000 per person per calendar year. Lifetime maximum $40,000 per person.