Manitoba provincial health plan fact sheet

Your Manitoba Health Services Plan provides:

Prescription drugs

  • 100 per cent coverage for eligible drug expenses listed on the Manitoba drug formulary after a deductible has been satisfied
  • Deductible rates are based on your adjusted total family income and can be obtained from the Pharmacare website

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  • Effective June 15, 2017 Manitoba Pharmacare & Employment and Income Assistance limits annual quantity for blood glucose test strips based on the diabetes treatment the patient is receiving

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  • Effective August 18, 2017, Manitoba Pharmacare introduced a dispensing fee cap.

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Ambulance

  • No coverage for ground ambulance services except for medically necessary hospital-to-hospital transfers for those that meet the criteria
  • Coverage for air ambulance transfers may be available for those that meet the criteria

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Dental benefits

  • No coverage for routine, major services or treatment of accidental injury to teeth
  • Coverage for services provided by a dental surgeon, for specific procedures performed in a hospital

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Vision care

  • No coverage for eye exams, glasses or contact lenses (limited coverage for seniors)
  • Coverage for one complete routine eye exam provided in a 2-year benefit period for residents under the age of 19 years and 65 years of age and over
  • Coverage provided for exams for all residents, regardless of age, if deemed medically necessary by the eye care provider

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Hospital

  • Coverage provided for accommodation and meals at the standard level

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Paramedicals

  • No coverage for psychologists and dietitians outside a hospital or institution, chiropractic services other than adjustments, , massage therapy, naturopath, osteopath, acupuncture or podiatry services
  • Coverage for chiropractic adjustments, subject to an annual visit maximum.
  • Coverage for physiotherapy, occupational therapy, speech therapy or dietetic counselling when performed in a hospital

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Hearing aids

  • Coverage provided for one devise per ear every 4 years for residents under the age of 18 who require a hearing aid, as prescribed by an otolaryngologist or audiologist
    • A deductible per claim applies

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Nursing benefits and home care

  • Coverage for basic nursing care and placement in a personal care home for those residents that meet the criteria

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Medical supplies

  • Coverage may be provided for prosthetic or orthotic services for one device every 2 years as prescribed by a medical practitioner:
    • Limb prosthetic devices and services
    • Limb and spinal orthotic devices and services

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Orthopaedic Equipment

  • Coverage may be provided for residents under the age of 18 as prescribed by a medical practitioner

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Accidental death and dismemberment

  • No coverage.

Out of country

  • Coverage may be provided for emergencies only, and coverage is limited to a maximum per visit.
    • Emergency services are reimbursed at a rate equal to what a Manitoba doctor would receive for a similar service.

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These highlights from the Manitoba Health Services Plan are for general reference only and are subject to change, corrections and updates. Other government programs may also be available. For more information on the latest coverage details, contact:

Insured Benefits Branch, Manitoba Health
300 Carlton Street
Winnipeg, MB R3B 3M9

In Winnipeg, call 204-786-7101
Winnipeg Deaf Access Line TTY/TDD: 204-786-7132
Outside of Winnipeg, call toll-free 800-392-1207

Outside of Winnipeg deaf access phone: The Manitoba Relay Service at 711 or 1-800-432-4444 to reach the above number.

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Updated: January 2020