Services Covered by Saskatchewan Health Benefits
Partially Covered Services
Partially Covered Services
Air ambulance service - There is a charge of $350 to the client for medically directed flights originating within the province or outside the province when the service needed is not available in Saskatchewan. Flights must be ordered by a physician and will be screened based on critical care criteria.
Saskatchewan Health does not routinely pay for the return of Saskatchewan residents from outside the province or country. Residents are strongly encouraged to obtain travel insurance to cover unforeseen costs including emergency care and transportation when travelling outside the province.
Senior citizen's ambulance assistance - There is a maximum charge of $275 to the client for ground ambulance service for senior citizens within the province.
Home care - Saskatchewan Health provides funding to health authority boards to cover most of the cost of delivering home care services. The following home care services are free of charge for all Saskatchewan residents holding Saskatchewan Health coverage:
A fee applies to cover part of the cost of providing the following home care services:
The fee is based on your income and the volume of services delivered to you.
Home care services not provided or funded by the district health board, such as services received from private homemaking and private home nursing agencies, are not covered.
Long-term care - Saskatchewan Health provides funding to district health boards to cover a major portion of costs for long-term care in special care homes (nursing homes), health centers and hospitals. To meet costs over Saskatchewan Health funding, you are personally responsible for paying a resident charge based on your income. Individuals assessed as Level 1, who are admitted to a long-term care facility, must pay the full cost of services. Stays in personal care homes (residential facilities which provide adults with accommodation, meals and help with personal care) are not covered.
Podiatry (chiropody) - If you see a podiatrist (chiropodist), you will be responsible for paying part of the cost of your visit and for any special custom shoe inserts he/she may prescribe.
Hearing health services - Hearing Aid Plan - Audiology services such as hearing tests, hearing loss prevention programs, counselling, public education and hearing aid fittings are available to Saskatchewan residents of all ages. You are responsible for paying the hearing test and hearing aid fitting fees. Hearing aids and accessories are sold and repaired at reasonable cost.
Dental services - Saskatchewan Health covers:
Routine dental services are not covered.
Optometric services - If you:
b) partial eye examinations (except when your optometrist provides the service within 90 days of a routine eye examination)
c) glaucoma testing (when your optometrist provides it during a routine eye examination, and you are 40 years of age or older).
Prescription drug services - The Drug Plan provides coverage to eligible Saskatchewan residents for listed drugs prescribed outside Saskatchewan hospitals. Saskatchewan Health lists these covered drugs in the Saskatchewan Formulary. Ask your physician when he/she prescribes a drug whether it is included in the Formulary.
You are eligible for drug coverage if:
In addition, the Plan is designed, through the Special Support Program, to reduce payments for those on low incomes and for families that have high drug costs in relation to their income.
Families and individuals can apply for special support which is available to those whose annual covered prescription drug costs exceed 3.4% of their annual adjusted income. The Drug Plan adjusts family income by deducting $3,500 for each dependent child under 18 years of age.
Families or individuals receiving Guaranteed Income Supplements, Saskatchewan Income Plan or Family Health Benefits are automatically assigned lower patient contribution levels.
If you don't qualify for these benefits, you will be responsible for the full cost of your prescriptions.
Saskatchewan Aids to Independent Living (SAIL) Program - If you have long-term physical disability, you may be eligible to receive equipment and supplies from the SAIL program. The equipment and services include:
Information on ambulance transportation and provincial subsidies.
Services to help people who need acute, palliative and supportive care to remain independent at home.
Privately-run homes that provide lodging, meals, and assistance with or supervision of daily living are provincially regulated, but not part of the publicly-funded health system.
Institutional long term care services to meet the needs of individuals usually having heavy care needs.
Learn about the plan and how to qualify for coverage.
Those who qualify for Supplementary Health benefits are eligible for a number of health services and products.
Benefits available to assist people with long term disabilities or illnesses in leading more independent and active lifestyles.