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Supplementary Health Benefits

Qualified individuals are eligible for a number of health services and products in addition to the universal health benefits. 

Eligibility

This program provides assistance with non-insured health service to:

  • Government wards;
  • Inmates of provincial correctional institutions;
  • Residents of special care facilities who are eligible for the Senior's Income Plan;
  • Those enrolled in the following income support programs:
    • Saskatchewan Assured Income for Disability (SAID)
    • Saskatchewan Assistance Program (SAP)
    • Transitional Employment Allowance (TEA)
    • Provincial Training Allowance (PTA) 

The Ministry of Health will send you a letter advising that you have been approved for Supplementary Health Benefits. 

Services Covered

The program covers the following health services and products:

Medical Supplies and Appliances

You may receive the following benefits only if a physician or authorized health professional prescribes these items. Many of these items require prior approval by the Ministry of Health:

  • Surgical dressings; 
  • Female contraceptive devices; 
  • Incontinence aids (except pads, diapers); 
  • Aerochambers; and 
  • Ostomy supplies. 

Drugs

If you’re eligible for supplementary health coverage, one of the following plans may apply to you: 
All Plans
Individuals under 18 will receive benefit prescriptions for free. This option covers: insulin, oral medication for diabetes, and birth control pills.

Plan One If you’re an adult, you pay no more than $2 for each benefit prescription. 
Plan Two If you’re on Plan One and you need several different drugs on a long-term basis, you may be eligible for benefit prescriptions for free. You, your physician, or your pharmacist may contact the Ministry of Health to request this coverage.
Plan Three Designed for people receiving the Seniors' Income Plan and residing in special-care homes. Individuals living in approved homes and group homes may also be eligible. You will receive benefit prescriptions for free. In addition to the benefits in Plan Two, you may receive, certain additional prescribed drugs for free.

Hearing Services

Coverage is limited to audiology services and hearing aids provided through the Hearing Aid Plan in your health region. Most of these services require prior approval from the Ministry of Health. Batteries and repairs are free. For further information, contact your health region.

Your supplementary health coverage may pay for the replacement of a lost or broken hearing aid on an individual basis.

Replacement is subject to a 30 per cent co-payment for clients over the age of 20.

Dental Services

Supplementary health coverage covers the following dental services:

Emergency benefits 

Coverage is limited to relieving pain and controlling infection.

If you are 18 and older and are able to work, you and your spouse are eligible for only emergency dental benefits for six months from the time of being nominated to this program. After six months of emergency coverage, you become eligible for full benefits.

Children automatically qualify for full benefits.

Full benefits

Coverage includes a range of basic dental services (preventive, restorative, exodontic and prosthetic) required to maintain good dental health.

You have the options to upgrade two specific dental services. But you are responsible for the difference between the basic service covered under the program and the optional upgraded service. The upgrades are:

  • Upgrading from the amalgam (silver-colored) to composite (tooth-colored) fillings in posterior (back) teeth; and 
  • Upgrading partial dentures from acrylic to cast metal. 
Your dentist will be able to provide further information about these services and the costs. 

Those needing dentures may obtain them from a licensed dentist or denturist. You will be asked to pay some of the cost. Your dentist or denturist is required to seek Ministry of Health approval to make sure the service is eligible for payment. 

Optical Services

Supplementary health coverage covers the following optical services: 
Eye exams
You are eligible for one exam per year if you are under 18 or over 64 years of age. Others are eligible for one exam every two years.

Glasses

An optometrist or optical dispensary may provide you with plain-framed glasses after prior approval from the Ministry of Health.

The program may pay for the replacement of lost or broken glasses on an individual basis.

Chiropody (Podiatry)

Supplementary health coverage covers foot care visits and appliances provided through health regions’ clinics. It does not cover the services of private podiatry clinics.

Chiropractic

Your supplementary health coverage covers up to 12 chiropractic treatments per calendar year.

Medical Transportation in Saskatchewan

Supplementary health coverage covers patient charges for emergency road and air ambulance services.

In northern Saskatchewan, long-distance, medically-related transportation by commercial carriers is available with prior approval by local health personnel.

 For information on eligibility and access to these services, contact one of the following: 
Athabasca Regional Health Authority 
Phone: 306 - 429-2200
Fax: 306 439-2212
P.O. Box 124
Black Lack, SK S0J 0H0
Keewatin Yatthé Regional Health Authority
Phone: 306 - 235-2220
Fax: 306 - 235-4604
Box 40
Buffalo Narrows, SK S0M 0J0
Mamawetan Churchill River Regional Health Authority
Phone: (306) 425-2422
Fax: (306) 425-5513
Box 6000 
La Ronge, SK, S0J 1L0

Benefits Outside Saskatchewan

Supplementary health coverage does not normally extend to services outside Saskatchewan. However, services may be covered if you receive prior approval of the Ministry of Social Services.

Payment Method

Always provide your Saskatchewan Health card or temporary health coverage form when you request a Supplementary Health service. Service providers will verify your coverage. The program does not reimburse clients as payments are made directly to the service providers. 

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