Blue Flex - 59 years and under
Extended Health Care - Basic coverage
Basic coverage for regular health needs and unforeseen medical expenses. Offered in 4 types of coverage: personal, couple, single-parent or family.
The amounts indicated are the maximum amounts refunded per calendar year.
Hospitalization
| 100% reimbursement, no deductible | |
|---|---|
| Expenses for a stay in a semi-private room | |
| In a hospital for short-term care | Unlimited number of days |
| In a public or private convalescent home In a physical rehabilitation centre |
Combined maximum of 90 days per year |
| If a semi-private room is unavailable, you will receive a daily compensation of $25, as of the 4th day of hospitalization. | |
Diagnostic services
| 80% reimbursement, after annual deductible | |
|---|---|
| Medical examinations | |
| Laboratory tests (blood and urine, throat culture and cytology) | Unlimited |
| Scanner (computerized tomography) | $250/year |
| Magnetic resonance imaging (MRI) | $675/year |
| Ultrasound | $50/year |
| Polysomnography | $400/24 months |
Services of healthcare professionals
| 80% reimbursement, after annual deductible | |
|---|---|
| Services of healthcare professionals with no prescription required | |
| Acupuncturist, audiologist or hearing-aid specialist, chiropractor, dietician, occupational therapist, kinotherapist, massage therapist (prescription required), naturopath, speech therapist, osteopath, physiotherapist or physical rehabilitation therapist, podiatrist, psychologist | $50 visit, max. $500/year for each professional |
| X-rays by chiropractor | $25/year |
| Optometrist or ophthalmologist (eye exam) | $100/24 consecutive months |
| Dental care following an accident | $1,000/accident |
| Home nursing care (fees of a registered nurse) | 160 hours, max. $5,000/year |
| Ambulance transportation, to or from the nearest hospital | Unlimited |
Prosthetics and orthotics
| 100% reimbursement, after annual deductible | |
|---|---|
| Prosthetics and orthotics | |
| Purchase and repair of hearing aids | $500/36 months |
| Initial cost of an internal breast prosthesis following a mastectomy | $200 |
| Initial cost of a capillary prosthesis following chemotherapy | $300 |
| Purchase of orthopaedic shoes or podiatric ortheses | $200/year |
| Purchase of elastic stockings | $100/year |
Medical and paramedical expenses
| 80% reimbursement, after annual deductible | |
|---|---|
| Medical and paramedical expenses | |
| Rental or purchase of a TENS device (pain relief) | $500/year |
| Varicose vein injections (for medical purposes only) | $20/visit – max. 15 visits/year |
| Intrauterine device (IUD) | $75/24 months |
| Rental or purchase of medical accessories: syringes, hypodermic needles and reagent strips for diabetics | Unlimited |
| Devices and accessories for ostomy patients | Unlimited |
| Rental or purchase of oxygen, respirator, non-motorized wheelchair and manual hospital bed | Unlimited |
| Rental or purchase of crutches, walkers, canes, casts, trusses and orthopaedic braces | Unlimited |
| The annual deductible is $50 per individual policy and $100 per policy for a couple, single-parent or family and applies to certain benefits; please consult the brochure for more information. | |
Extended Prescription Drugs and Dental Care - Optional Benefits
Personalize your Blue Flex health insurance plan by adding the Extended Prescription Drug or Dental Care benefits. These benefits cannot be purchased without the Extended Health Care benefit and are offered in 4 types of coverage : personal, couple, single-parent or family.
Extended prescription drugs
100% reimbursement, no deductible
- Deductible and co-insurance paid to your pharmacist for your prescription drugs
- Certain prescription drugs not covered by RAMQ
Dental care
Preventive care
Reimbursement at 80%, after annual deductible
- Diagnostic services
- Complete oral examination (once every two years)
- Space maintainers (Insured under age 18 only)
Basic care
Reimbursement at 50%, after annual deductible
- Extraction of erupted teeth, restorative procedures, endodontics (e.g. root canal), periondontics (scaling), temporary dressing (pain relief) and polishing of fillings
- Prosthodontics (cleaning, polishing, minor adjustments and rebasing)
- Oral surgery and anaesthesia
The annual deductible is $50 per policy.
Virtual health care service
Get free medical support
With every eligible health insurance plan purchased, you can talk to a doctor online, obtain and renew prescriptions, all from the comfort of your own home.