Eligible Benefits and Limitations. (A) The services (excluding x-rays) of a Practitioner of Chiropracty are an eligible benefit. Chiropractic treatments will be reimbursed at a maximum rate of $15.00 per visit until the applicable provincial benefit plan is exhausted and at a maximum rate of $25.00 per visit thereafter, to an annual maximum of $465.00. In provinces where chiropractic treatments are covered by a provincial benefit plan, reimbursement shall be at a maximum rate of $15.00 per visit until the applicable provincial benefit plan is exhausted and at a maximum rate of $25.00 per visit thereafter, to an annual maximum of $465.00.
Eligible Benefits and Limitations. (A) Out-of-Province Coverage – Supplementary coverage is provided to pay physicians, or to reimburse patients, for covered medical-surgical and hospital expenses incurred under certain circumstances outside the patient's province of residence. "Covered services" are those medical-surgical services for which a fee is scheduled under the fee schedule for the provincial medical-surgical plan and those hospital services for which a benefit is provided under the xxxx coverage of the provincial hospital. Benefits are provided under such coverage upon submission of proof satisfactory to the Insurer that a member received covered services out of the province of his/her residence because of:
Eligible Benefits and Limitations. (1) The services (excluding x-rays) of a Practitioner of Chiropracty are an eligible benefit. Chiropractic treatments will be reimbursed at a maximum rate of $15 per visit until the applicable provincial benefit plan is exhausted and at a maximum rate of $25 per visit thereafter, to an annual maximum of $465. Should any covered person reach the annual maximum, their reimbursement amount will be continued at an amount equivalent to the reimbursement provided under the applicable provincial benefit plan once such provincial benefit plan has been exhausted. Where chiropractic care is not a covered benefit under the applicable provincial benefit plan this reimbursement amount will be the equivalent of the reimbursement provided under the Ontario provincial plan.
