Payable amount of $100 per insured person per coverage period for all vaccines not covered by the RAMQ. Administration fees are not included.
The cost of a semi-private room for each day of hospitalization with no limit as to the number of days.
Additional allowance: $50 per day of hospitalization, maximum of 30 days per period of hospitalization.
The cost of a semi-private room for each day of hospitalization, with a limit of 180 days per cause of hospitalization.
Payable amount of $10,000 per insured person per coverage period, provided it is prescribed by a physician and approved by Desjardins Insurance.
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 $30 per visit, up to a maximum of $400 per insured person per coverage period, for each of the following specialist disciplines:
*The maximum amount applies to all specialists of this discipline.
X-rays required as part of a chiropractic, osteopathic, podiatric, or podologist treatment: Maximum of one x-ray exam, per insured person per coverage period, combined with the maximum payable amount for the specialist discipline.
Physiotherapist or physiatrist: Payable amount of $40 per visit, up to a maximum of $400 per insured person per coverage period.
Conventional wheelchair: Purchase or rental; conditions apply.
Walkers or crutches: Purchase or rental; conditions apply.
Spinal brace: Purchase; repair costs are not included.
Brace for a limb, truss, and plaster: Purchase; repair or replacement costs are not included.
Conventional hospital bed: Purchase or rental; conditions apply.
Orthopaedic shoes: Purchase, up to a maximum of $500 per insured person per coverage period. Conditions apply.
Podiatric orthosis or arch support: Purchase.
Artificial limb: Purchase. Amount of $10,000 per prosthesis for the purchase, repair and replacement costs.
Artificial eye: Purchase.
External breast prosthesis: Purchase. Amount of $200 per period of 2 consecutive Plan years in the event of a total or radical mastectomy.
Surgical brassiere: Purchase.
Hearing aids: Purchase, up to a payable amount of $500 per insured person for any period of 3 consecutive Plan years.
Wigs: Purchase, maximum of $300 per insured person, when required as a result of alopecia, chemotherapy or radiotherapy.
Glucometer or reflectant meter: Purchase or rental; devices for continuous glucose monitoring are covered only with a prescription for insulin. Up to a maximum of one device per person for the duration of the policy.
Oxygen and equipment required for its administration: Purchase or rental; conditions apply.
Apnea monitor: Purchase or rental; conditions apply.
Drainage pump and chest percussion accessories: Purchase.
TENS nerve stimulators: Purchase or rental, up to a maximum of $700 per insured person per period of 5 years; conditions apply.
Other therapeutic equipment: Purchase or rental; conditions apply.
Elastic support stockings: Purchase, 4 pairs. Amount of $500 per coverage period, conditions apply.
Catheter: Purchase.
Opaque glasses necessary during radiotherapy or psoriasis treatments: Purchase.
Colostomy, ileostomy, or ureterostomy supplies: Purchase.
Supplies for paraplegics: Purchase.
Medical supplies for gavage: Purchase.
Medical supplies necessary following a tracheotomy: Purchase.
Compressive garments for the treatment of burns: Purchase.
Medicated dressings: Purchase.
Imaging techniques (including x-rays and ultrasounds), diagnostic laboratory tests, and radiotherapy or radium therapy. Such procedures do not include services received in a hospital and ultrasounds related to pregnancies.
The services of a dentist required to repair and replace healthy teeth as a result of an accidental blow to the mouth received while the insured person is covered under this benefit. Dental services must be rendered within 12 months of the accident. Reimbursements are based on the fees indicated in the Dental Association Fee Guide for General Practitioners of the province in which the services are provided (these fees are the ones suggested to general practitioners, not specialists).
Radiotherapy or treatment of blood coagulation problems. Such procedures do not include services received in a hospital.
The services of a private teacher, up to a payable amount of $10 per hour and a maximum of $300 per accident or illness.
Amount of insurance per insured person: $5,000
For a claim or for more information, contact ASEQ.
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