Your Saskatchewan health coverage covers most medically necessary services (hospital and physician) provided in a publicly funded facility, as these services are covered by a reciprocal billing arrangement.
You must present a valid Saskatchewan Health Services card. If you cannot do so, the hospital or physician has the right to ask you to pay for your services. This also applies to health services in Saskatchewan.
Certain services covered in Saskatchewan are excluded from the reciprocal billing arrangement. In such cases, you may be billed directly. If this happens, Saskatchewan will reimburse you at Saskatchewan rates for physician services and at agreed-upon rates for out-patient or hospital services.
Some services in another province may require prior approval from Medical Services Branch. For more information, talk to your health care provider or call 306-787-3475 or 1-800-667-7523.
Community Based Health Services
Out-of-province health services, including mental health, alcohol and drug, problem gambling and rehabilitation/therapy services are not covered by a reciprocal billing agreement.
Approval must be obtained from the Ministry of Health prior to receiving these services. Requests for out-of-province assessment or treatment can only be accepted from the Saskatchewan Health Authority or the Physician Support Program of the Saskatchewan Medical Association.
For more information on eligibility for community based health services you can refer to the Out of Province Assessment/Treatment Program for Community Based Health Services fact sheet, contact the Saskatchewan Health Authority or call 306-787-3479.
How to submit your claim
If the health service you received:
- Does not require prior approval; or
- You paid for it because you were unable to present your valid Saskatchewan Health Services card.
You should submit your bill to Saskatchewan Ministry of Health, Claims Unit.
We will reimburse you at Saskatchewan rates for physician services and at reciprocal billing rates for qualifying hospital services.
For more information, refer to How to obtain a refund for physician or hospital services below.
Things to consider when receiving services
Before you are admitted, hospital staff will ask you to sign a form declaring that you have valid coverage from Saskatchewan.
Physician services received in Quebec
The reciprocal arrangement for physician services applies to every province except for Quebec. Submit your physician bill and your Saskatchewan health coverage will pay for insured services provided in Quebec at Saskatchewan rates.
Drug Plan services
If you bought a prescription drug from a pharmacy in another province or territory, you may submit the original receipt to the Saskatchewan Drug Plan and Extended Benefits Branch.
We reimburse prescription drugs normally covered in Saskatchewan according to Saskatchewan prices and our policies. Include your health services card number with the original receipt.
We only cover physical therapy provided as part of an acute hospital stay in other provinces and territories. We don't cover private physical therapy or rehabilitative physical therapy out-of-province.