Services are reimbursed at the insurers Usual, Customary and Reasonable level. Any amount over this is not covered.
Paramedical practitioners must be licensed and certified within their respective fields of expertise and validated/registered with Medavie Blue Cross. If your provider is not registered please contact us, Health Association Nova Scotia, and we can give direction to the paramedical practitioner.
The Plan covers up to the maximum $1,500 in each calendar year for the combined services of a:
- Chiropodist or Podiatrist
- Massage Therapist
- Occupational Therapist
- Speech Therapist
The Plan covers up to the maximum $1,800 in each calendar year for the combined services of a:
- Counselling Therapist
- Social Worker
The Plan does not cover charges for any treatment performed in a hospital or covered under your provincial health plan.
There is a calendar year maximum of $35 per practitioner for x-rays.
Usual, Customary and Reasonable: Charges incurred by the Participant that are:
- consistent with the amount typically charged by Health Practitioners or Approved Providers for similar services or supplies in the province in which the services or supplies are being purchased; and
- in the opinion of Medavie Blue Cross in consultation with its health care consultants, consistent with the frequency and quantity that would usually be prescribed or needed for the Participant’s condition.