PEI Provincial Health Insurance Plan

Prince Edward Island offers its residents the PEI Hospital and Medical Services Plans, which covers basic hospital and medical treatment.

- for full details about PEI provincial health care visit the PEI provincial health plan site -

The following summarizes the PEI health care plan:

Medical Services:

These services are insured:

  • Most physician services in an office, hospital or in patients’ home.
  • Medically necessary surgical services.
  • Obstetrical services, including pre and post-natal care, new-born care.
  • Certain oral surgery procedures when performed by an oral surgeon in a hospital when medically required.
  • Male and female sterilizations; reversals are not insured.
  • Certain insured specialist services when referred by an attending physician.

Services that are not insured include:

  • Third-party examinations.
  • Immunizations.
  • Eye glasses, hearing aids, artificial limbs or other devices.
  • Acupuncture, audiologist, chiropodist, chiropractor, dietician, homeopath, naturopath, optometrist, physiotherapist, podiatrist, osteopath, psychologist and dentist services.

Hospital Services:

These services are insured (some are available for out-patient services):

  •  Meals and accommodations at standard rate.
  • Nursing services that are necessary.
  • Laboratory, x-rays and diagnostic procedures.
  • Radiotherapy and physiotherapy.
  • Operating room, routine surgical supplies, and anesthetic facilities.

These services are not insurable:

  •  Ambulance user fees within the province; all ambulance fees outside of the province.
  •  Some prosthetic devices, crutches.
  • Dental extractions, unless patient is medically required to be in hospital or unless there is prior approval.

Last updated October 2008
 


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