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.
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.
Health coverage in Saskatchewan covers only a part of the cost for the following services. You will be responsible to pay the amount that is not covered.
Air Ambulance Service
There is a charge of $350 to use medically directed flights for a medical service not available in Saskatchewan. Health coverage does not cover this cost.
A physician must order the flight based on the critical care needs of the patient.
Coverage does not include the return of Saskatchewan residents from outside the province or country. Residents are strongly encouraged to obtain travel insurance to cover unexpected costs including emergency care and transportation when travelling outside the province.
Senior Citizen's Ambulance Assistance
Senior citizens are charged a maximum of $275 for ground ambulance service within the province.
Most health regions provide home care for free in Saskatchewan, including:
- Case management and assessment;
- Home nursing; and
- Physical and occupational therapy service.
There is a fee to cover part of the cost of the following services, based on a person’s income and the amount of services they receive:
- Homemaking, including personal care, respite, and home management services;
- Meals; and
- Home maintenance.
Private home care services are not covered, such as private homemaking and private home nursing agencies.
Provincial funding to health regions covers a major portion of costs for long-term care in special care homes (nursing homes), health centres, and hospitals. However, each resident also pays a resident charge based on income.
Individuals admitted to a long-term care facility that are assessed as Level 1 must pay the full cost of services.
Charges for personal care homes (residential facilities that provide adults with accommodation, meals, and help with personal care) are not covered.
Only a portion of the cost of podiatry (chiropody) visits is covered. You will pay the portion not covered.
Special customer shoe inserts prescribed by the podiatrist (chiropodist) are not covered.
Hearing health services - Hearing Aid Plan
Audiology services are available to Saskatchewan residents of all ages. These services include:
- Hearing tests;
- Hearing loss prevention programs;
- Public education; and
- Hearing aid fittings.
The cost of hearing tests, and the fees associated with the purchase, fitting, and repair of hearing aids is not covered.
Health coverage in Saskatchewan covers the full cost of the following dental services:
- Certain oral surgery procedures required to treat specific conditions caused by accidents, infection, congenital problems, or other factors;
- Orthodontic services for cleft palate when referred by a physician or dentist; and
- Extracting teeth when medically required before undertaking surgical procedures related to:
- The heart;
- Chronic renal disease; and
- Total joint replacement with a prosthesis.
- Dental implants:
- Dental implants are covered in exceptional situations where no other method of treatment is appropriate.
- Coverage is limited to circumstances related to tumours and congenital defects (cleft palate and metabolic disorders).
- Coverage will require a specialist in oral maxillofacial surgery to request prior approval from the Ministry of Health by submitting in writing information and rationale to support the request.
- Coverage is limited to the initial cost to provide dental implants and does not extend to ongoing maintenance costs.
- Dental implants for trauma, post-surgical temporomandibular joint disorder (TMJ) or cosmetic purposes will not be covered.
Routine dental services are not covered.
An annual eye exam is covered for:
- All individuals under 18 years of age
- All individuals who have a confirmed diagnosis of type I or type II diabetes
*Note: Routine follow-up exams are not covered.
- Ocular emergencies are covered e.g. injury to eyes, foreign body in eye, etc.
*Note: Follow-up exams are covered for ocular urgencies/emergencies.
The Drug Plan provides coverage to eligible Saskatchewan residents for listed drugs prescribed outside Saskatchewan hospitals.
You are eligible for drug coverage if you:
Covered drugs are listed in the Saskatchewan Formulary. Ask your physician whether the drug prescribed for you is included in the Formulary.
The Special Support Program can help reduce drug costs for residents with low incomes and for families who have high drug costs in relation to their income.
- The program is available to those whose annual covered prescription drug costs exceed 3.4 % of their annual adjusted income; and
- The Drug Plan adjusts family income by deducting $3,500 for each dependent child under 18 years of age.
Families or individuals pay a reduced portion of drug costs if they receive Guaranteed Income Supplements, Saskatchewan Income Plan, or Family Health Benefits.
Saskatchewan Aids to Independent Living (SAIL) Program
Saskatchewan residents with a long-term physical disability may be eligible to receive services, equipment, and supplies from the SAIL program including:
Aids including magnifiers, talking book machines, and Braille watches.
- Free loan of mobility aids such as wheelchairs and walkers and other aids such as hospital beds and transfer assists;
- Financial assistance for home oxygen and aerosol therapy.
- Artificial limbs and braces; and