Qualified individuals are eligible for a number of health services and products in addition to the universal health benefits.
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.
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.
|If you’re eligible for supplementary health coverage, one of the following plans may apply to you:
|Individuals under 18 will receive benefit prescriptions for free. This option covers: insulin, oral medication for diabetes, and birth control pills.
||If you’re an adult, you pay no more than $2 for each benefit prescription.
||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.
||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.
In accordance with the recent 2017-18 Budget announcement, as of July 1, 2017, the Hearing Aid Plan will be discontinued. Hearing services/hearing aids will continue to be covered for eligible individuals under Family Health Benefits or the Supplementary Health Benefit program. For more information, see the extended health benefits bulletin.
Coverage includes audiology services and hearing aids provided through the Hearing Aid Plan in your health region until June 30, 2017. Effective July 1, 2017, hearing services will be available through approved suppliers. 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.
Supplementary health coverage covers the following dental services:
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.
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:
Your dentist will be able to provide further information about these services and the costs.
- Upgrading from the amalgam (silver-colored) to composite (tooth-colored) fillings in posterior (back) teeth; and
- Upgrading partial dentures from acrylic to cast metal.
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.
Supplementary health coverage covers the following optical services:
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.
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.
In accordance with the recent 2017-18 Budget announcement, as of July 1, 2017, podiatry services will be discontinued. Podiatry services will continue to be covered for eligible individuals under Family Health Benefits or the Supplementary Health Benefit program. For more information, see the extended health benefits bulletin.
Supplementary health coverage covers foot care visits and appliances provided through health regions’ clinics until June 30, 2017. Effective July 1, 2017, chiropody (podiatry) services will be available through approved service providers.
In accordance with the recent 2017-18 Budget announcement, as of July 1, 2017, chiropractor services will no longer be a benefit for individuals with coverage under Family Health Benefits and Supplementary Health Benefits and for seniors who receive Senior’s Income Plan. These individuals will be responsible for the cost of chiropractor services effective July 1, 2017. For more information, see the extended health benefits bulletin.
Effective July 1, 2017, chiropractic treatments are no longer a benefit. Your supplementary health coverage covers up to 12 chiropractic treatments per fiscal year (April to June 30, 2017).
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.
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.
Always provide your valid 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.