Oral contraceptives, epinephrine auto-injectors, drugs for hormonal therapy, and antidepressants: covered.
Please note that your student Plan covers only eligible prescription drugs in only the above categories.
Some drugs covered by the Plan aren’t covered by RAMQ. In this case, the pharmacist will give you a receipt indicating that the public plan provides no reimbursement. The insurance company will then reimburse you for the cost of the lowest priced equivalent generic product on the market.
If you're a Quebec resident (including international students who have become Quebec residents):
Ensure that you’re registered for one of these two plans:
If you aren’t covered by one of these two plans (Quebec Medicare or a private or public drug plan), you can’t submit prescription drug claims to the student Health Plan.
All claims for prescription drugs must first be submitted to a parent’s, spouse’s, or employee plan or to RAMQ before being submitted to the student Health Plan. Note that only certain eligible drugs (see the categories above) are covered by the Plan.
Subsequently, the reimbursement received via the student Health Plan corresponds to the difference between the price of the drug (if it is covered) and the amount reimbursed by the former plan (private plan or RAMQ). When the drug is covered by both the private/RAMQ plan and the student Plan, Quebec residents can be reimbursed for up to 100% of eligible costs by combining their plans.
Payable amount of $150 per insured person per coverage period for all vaccines not covered by the RAMQ. Administration fees are not included.
The difference between the cost of a ward and a semi-private room for each day of hospitalization.
Additional allowance: $50 per day of hospitalization applicable to private room charges only, maximum of 30 days per period of hospitalization.
In the event of a medical emergency, the fees related to the transportation by a licensed ground or air ambulance to the nearest hospital.
Payable amount of $40 per visit, up to a maximum of $400 per insured person per coverage period, for each of the following specialist disciplines:
*The maximum applies to all specialists in this group combined.
X-rays required as part of a chiropractic treatment: maximum of $50 per coverage period
Walkers, canes, or crutches: Purchase or rental; conditions apply.
Wheelchairs: Purchase and repair, or rental; conditions apply.
Orthopaedic shoes: Purchase, up to a maximum of $200 per insured person per coverage period; conditions apply.
Foot orthoses: Purchase; conditions apply.
Rigid or semi-rigid braces for limbs, trusses, or casts: Purchase and repair.
Spinal braces: Purchase and repair.
Hearing aids: Purchase, up to a payable amount of $500 per insured person every 5 coverage periods.
Wigs: Purchase, up to a lifetime payable amount of $200 per insured person, when required for temporary hair loss due to alopecia, chemotherapy, or radiotherapy.
Breast prostheses: Cost of an external prosthesis and 2 mastectomy brassieres per coverage period, when required due to a mastectomy.
Artificial limbs and myoelectric prosthetics: Purchase, repair, and replacement when required due to a physiological change, up to $10,000 per prosthesis or repair.
Artificial eyes: Purchase and repair.
Glucose monitors: One monitor in any 36-month period.
Insulin pump supplies: Purchase, up to $150 per lifetime.
Support stockings: Purchase of support stockings at least 20 mm/Hg.
TENS nerve stimulators and their supplies: Purchase or rental, up to a lifetime maximum of $700 per insured person; conditions apply.
Catheters: Purchase.
Ostomy supplies: Purchase.
Paraplegics supplies: Purchase.
Tube feeding supplies: Purchase.
Tracheotomy supplies: Purchase.
Opaque glasses: Purchase, provided they are required during radiotherapy or psoriasis treatments.
Compressive garments other than support stockings: Purchase.
Medicated dressings: Purchase.
Stump-socks: Reasonable and customary charges.
Apnea monitors: Purchase or rental; conditions apply.
Oxygen and equipment required for its administration: Purchase or rental; conditions apply.
Lymphoedema pumps: Purchase.
Chest percussion accessories; Purchase.
Enuresis sensors: Purchase or rental; conditions apply.
Hospital bed: Purchase and repair, or rental, one per lifetime; conditions apply.
Traction apparatus: Purchase or rental; conditions apply.
Standing aids: Purchase or rental; conditions apply.
Diabetic supplies: Purchase.
Other therapeutic equipment and their supplies: Purchase or rental; conditions apply.
Imaging techniques, diagnostic laboratory tests, and prenatal screening tests for diagnostic purposes, up to $500 per coverage period.
The services of a dentist required to repair and replace sound teeth as a result of an accidental blow to the mouth received while the insured person is covered under this benefit, up to $5,000 per coverage period. Dental services must be rendered within 12 months of the accident. Reimbursement is governed by the current year’s Dental Association Fee Guide for General Practitioners where the participant resides.
The services of a private teacher if medically required while hospitalized or recovering at home from an illness or accident for longer than 7 consecutive days, up to a payable amount of $25 per hour and a maximum of $1,000 per coverage period.
Amount of insurance per insured person: $2,500
For detailed information and maximums, please consult your insurance brochure.
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