What is Covered by a PHSP

The Brock Health Administration Private Health Services Plan (PHSP) is bound by the list of eligible medical expenses set forth in subsection 118.2(2) of the Income Tax Act of Canada. The text is available on the Canadian Legal Information Institute website. There is also an Income Tax Folio and a Simplified List. These are in increasing order of simplicity, meaning an Income Tax Folio does not have the force of law but is intended as CRA’s interpretation of income tax law. The Simplified List web page is a further simplification of the Income Tax Folio. Plan subscribers are reminded that the Income Tax Act of Canada is the legal source of record in the case of any disagreement between the interpretation and the Act.

This is the same list of eligible services used for the Medical Expense Tax Credit for personal income tax. All PHSP providers must use the same list of eligible services. The List of Eligible Services is quite comprehensive. Brock Health Administration has summarized this list in short form below.

Plan subscribers are reminded that the List of Eligible Services is subject to change. In case of any discrepancy between Brock Health Administration’s List and the Income Tax Act of Canada, the Act takes precedence. Should you have any questions, please do not hesitate to contact us by phone or email.

Dental Services

Crowns & Bridges Hygienist
Dental X-Rays Periodontal Gum Treatment
Dental Repair and Replacement Oral Surgery
Examinations Orthodontics
Extractions Root Canals
Filling Teeth Veneers

Medical Services

Acupuncturist (Licensed) Optometrist
Audiologist Orthodontist
Chiropodist Orthopedist
Chiropractor Pediatrician
Counselling Therapist Physician
Dental Hygienist Physiotherapist
Dental Mechanic Podiatrist
Dietician Practical Nurse (Licensed)
Gynecologist Psychiatrist
Massage Therapist (Registered) Psychologist (Registered)
Naturopath Radiologist
Neurologist Registered Nurse
Nutritionist (Registered) Speech Language Pathologist
Obstetrician Surgeon
Occupational Therapist Tutor for Mentally Impaired (if prescribed)
Ophthalmologist

Prescribed Vision Care

Eye Glasses Eye Exams
Frames & Fittings Laser Eye Surgery
Contact Lenses

Prescribed Laboratory Services

Blood Tests Spinal Fluid Tests
Cardiographs Stool Examination
Diagnostics Fees Urine Analyses
Metabolism Tests X-Ray Examination

Hospital Services

Anesthetist Use of Operating Room
Hospital Bills Vaccines
Oxygen Masks, Tent X-Ray Technician

Medications

Prescription Drugs Oxygen
Birth Control Pills (if prescribed) Vitamin B12 – for pernicious anemia (if prescribed)
Insulin or Substitutes Viagra (if prescribed)
Liver Extract – injectable for pernicious anemia Tapes or Tablets-for sugar content tests by Diabetics (if prescribed)

Prescribed Treatments

Alcoholism & Detox Treatments MRI Scans
Blood Transfusion Nursing (by Registered Nurse)
Bone Marrow Transplants Organ Transplants
CAT Scans Pre-Natal, Post Natal Treatments
Diathermy Psychotherapy
Drug Addiction Therapy Radium Therapy
Electric Shock Treatments Speech Pathology or Audiology
Fertility Treatments Female Sterilization
Hearing Aids Ultra-violet Ray Treatments
Insulin Treatments & Injections X-Ray Treatments

Prescribed Devices and Equipment

An external breast prosthesis that is required because of a mastectomy
A walking aid, exclusively designed to support an individual in the action of walking, where the individual has a mobility impairment
Devices designed to assist an individual to enter or leave a bathtub or shower, or to get on or off a toilet
Devices designed to enable individuals with a mobility impairment to operate a vehicle
Devices or equipment designed exclusively for use by individuals suffering from a chronic respiratory ailment or severe chronic immune system disregulation
Electronic or computerized environmental control systems for individuals with severe and prolonged mobility restrictions
Electronic speech synthesizers for mute individuals
Equipment that enables deaf or mute persons to make and receive telephone calls including visual ringing indicators, acoustic coupler teletyping, which makes telephone communication possible with other persons
Extremity pumps or elastic support hose exclusively designed to relieve swelling caused by chronic lymphedema
Heart monitors, or pace makers, acquired for an individual suffering from heart disease (excluding blood pressure monitors)
Hospital beds, if required in home for an incapacitated individual or an individual with a severe mobility impairment
Inductive coupling osteogenesis stimulator
Infusion pumps for Diabetics, including peripherals
Monitors attached to infants identified as being prone to Sudden Infant Death Syndrome (SIDS) that sound an alarm if the infant ceases to breathe
Optical scanners or similar devices for a blind individual to enable him/her to read print
Orthopedic shoes, boots, or inserts (custom-made)
Oxygen tent
Power operated guided chair installation solely to be used in a stairway
Power operated guided lifts and transportation equipment designed to allow access to buildings, vehicles, or to allow wheelchair access to a vehicle
Synthetic speech systems, Braille printers, and large print-on-screen devices that enable blind persons to utilize computers
Syringes or needles designed to be used for the purpose of giving an injection
Television closed captioning decoders
Wigs for an individual who has suffered from abnormal hair loss as a result of disease, medical treatment, or accident

Other Expenses

Ambulance Charges
Any device to aid the hearing of a deaf person including bone conduction telephone receivers, extra loud audible signals and devices to permit volume adjustment of telephone equipment above normal levels
Artificial eye
Artificial kidney machine, including installation, operating costs
Artificial limb
Blood sugar level measuring devices for Diabetics
Brace for a limb
Catheters, catheter trays, tubing, diapers, disposable briefs required by incontinent persons
Colostomy pads
Crutches
Fees for Private Health Services Plan (PHSP)
Fees or premiums for non-government Health Insurance Plans (such as Blue Cross or Green Shield)
Hearing aid
Hernia Truss
Hydraulic wheelchair lifts for a vehicle
Illestomy pads
Incremental cost of gluten free food products for a patient who has celiac disease
Iron lung
Laryngeal speaking aid
Medical Cannabis (Marijuana) products purchased for medical purposes. Patient must be a holder of a medical document, be a registered patient of a licensed producer, and the purchase of cannabis products must be made from the licensed producer with whom they are registered
Moving expenses to a more accessible residence for an individual who lacks normal physical development or has a severe and prolonged mobility impairment – up to a maximum of $2000
Reasonable costs for adapting a residence to accommodate a disabled person (e.g. wheelchair ramp, lifts, bath facilities, driveway, new construction)
Rehabilitative therapy, Lip reading and sign language training
Rocking bed for patient with Poliomyelitis
Sign language interpreter
Specially trained animals to assist blind, deaf, or severely impaired persons, including the cost of its care and maintenance
Spinal Brace
Travel expenses to transport a patient to receive eligible medical services. Reasonable expenses for meals, accommodation, and vehicle costs for patient may be deductible if:
1. Substantially equivalent medical services are unavailable within the patient’s locality;
2. The patient takes a reasonably direct travel route;
3. It is reasonable, in the circumstances, for the patient to travel to that place for the medical services; and
4. The patient travels to a place that is at least 80 kilometres away (one way) from the locality where they dwell
Van modifications – adapted to transport a wheelchair to a maximum of $5000 or 20% of the value
Wheelchair

Not Covered

Amounts or fees paid to a fertility or donor clinic to obtain donor sperm or ova, or paid in respect of a surrogate mother, outside of Canada
Birth control devices (non prescription)
Blood pressure monitors
Cord Blood Storage
Cosmetic injections (including Botox and dermal fillers)
Cosmetic procedures (including related expenses)
Cold Therapy and Cryo-Therapy Devices
Diaper services
Fitness equipment
Gym memberships
Health programs offered by resort hotels, health clubs
Humidifiers
Illegal operations, treatments or drugs
Maternity clothes
Mattress
Medical expenses for which you are reimbursed or are entitled to be reimbursed from other plans
Medications, preparations, supplements, or vitamins that can be legally obtained Over-The-Counter without a prescription from a Medical Practitioner
Payments to a municipality where the municipality employed a doctor to provide medical services to the residents of the municipality
Personal response systems, such as Lifeline and Health Line Services
Personal training
Pillow
Plastic surgery (solely for cosmetic purposes)
Premiums for Life, Critical Illness, Disability, Accidental Death & Dismemberment, or Long-Term Care Insurance
Provincial Health Care Premiums
Saunas, including infrared saunas
Scales for weighing food
Special foods or beverages
Summer camps
Teeth whitening
Toothbrushes, toothpaste, floss, and water flossers
Treatments and services not performed by an Authorized Medical Practitioner
Vasectomy
Whirlpool baths or hot tubs