Extended Health Care

Your Extended Health Care plan through Manulife helps cover many healthcare expenses that aren’t included in your provincial health plan. This includes prescription drugs, vision care, professional services, and medical supplies for you and your eligible dependents.

Coverage Overview

Feature Coverage
Overall Benefit Maximum Unlimited
Deductible None
Coinsurance 100% for most covered services
Drug Dispensing Fee Maximum $7 per prescription
Coverage Ends Age 70 or retirement (whichever comes first)

Medical Plan Highlights

Professional Services Benefits Per Calendar Year
Chiropractor $400 (includes diagnostic x-rays)
Osteopath
Podiatrist/Chiropodist
Massage Therapist $400 
Naturopath
Speech Therapist
Acupuncturist
Physiotherapist $400 combined for services of physiotherapist and occupational therapist
Occupational Therapist
Psychologist $400 combined for services of a clinical counsellor, marriage and family therapist, psychologist, and social worker
Clinical Counsellor
Marriage and Family Therapist
Social Worker

Medical Supplies

Medical Services & Supplies Benefits Per Calendar Year
Private Duty Nursing (per calendar year) $10,000
Orthopaedic Shoes (per calendar year) $400
Custom-Made Orthotics (every 24 months) $400
Hearing Aids (every 24 months) $250
Surgical Stockings (per calendar year) 6 pairs
Surgical Brassieres (per calendar year) 4
Wigs & Hairpieces (per lifetime) $500
Speech Aids (per lifetime) $1,000
External Prostheses (per lifetime) $25,000
External Breast Protheses or Mastectomy Forms (per calendar year) 2
Stump Socks (per calendar year) 4
All other medical services and supplies  Unlimited
Referral outside Canada for medical treatment available in Canada (every 3 calendar years) $3,000
Out-of-Network Lifetime Maximum $5,000,000

Important Notes

  • The benefit percentage for Out-of-Province/Canada Emergency Medical Treatment is 100%.
  • The benefit percentage for referrals outside of Canada for medical treatment available is Canada is 50%.
  • The benefit percentage for Emergency Travel Assistance is 100%.

Your plan includes prescription drug coverage through Manulife’s ManuScript Generic Drug Plan.

What’s covered

Prescription drugs prescribed by a physician or dentist and dispensed by a licensed pharmacist, including:

  • Medications to treat illness or injury
  • Oral contraceptives and related devices
  • Injectable medications
  • Preventive vaccines and medicines
  • Diabetes supplies such as syringes and diagnostic aids
  • Prescription vitamins
  • Life-sustaining drugs

Drug Maximums

Drug Type Benefit Maximum
Fertility drug (per lifetime) $2,500 
Anti-smoking drug (per lifetime) $500
All other covered drug expenses Unlimited
Drug payment type Direct claims payment

Generic Drug Policy

Your plan encourages the use of lower-cost generic medications when available. If a brand-name drug is prescribed but a generic equivalent exists, reimbursement may be limited to the cost of the generic alternative unless medical evidence shows the generic option cannot be used.

Using Your Pay Direct Drug Card

Your Pay Direct Drug Card lets the pharmacy confirm your coverage instantly.

When you use your card

  1. Present your card at the pharmacy.
  2. The plan pays the covered portion directly.
  3. You pay any remaining balance.

You may need to submit a claim later if:

  • The pharmacy does not participate in Pay Direct
  • You do not have your card with you
  • The prescription cannot be processed through the system

Vision coverage helps pay for eye exams and corrective lenses.

Vision Coverage

Service Coverage
Eye exams Once every 12 consecutive months
Prescription glasses

$250 every 12 consecutive months for persons under age 18

$250 every 24 months consecutive months for individuals ages 18 and over

Contact lenses

$200 every 2 calendar years

Visual training $200 lifetime maximum

 

Your plan covers services from licensed health professionals. Most services are covered up to $400 per calendar year per practitioner.

Covered Practitioners

  • Chiropractor
  • Osteopath
  • Podiatrist / Chiropodist
  • Massage therapist
  • Naturopath
  • Speech therapist
  • Acupuncturist

Combined Annual Limits

Some services share a combined maximum of $400 per calendar year:

  • Physiotherapy + Occupational Therapy
  • Psychologist + Clinical Counsellor + Marriage & Family Therapist + Social Worker

Your plan may also cover medically necessary supplies and equipment prescribed by a physician.

  • Medical aids and devices
  • Diabetes testing supplies
  • Other medically necessary health equipment

Refer to your benefits booklet for complete coverage details.

Contact

Manulife

(800) 268-6195

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