Prince Edward Island provincial health plan fact sheet

Your Prince Edward Island Insurance Plan provides:

Prescription drugs

  • Coverage is available under the Seniors Drug Program for eligible residents ages 65 and older.
    • Patients are required to pay a copayment as well as a portion of the dispensing fee.

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  • Coverage may be available to eligible residents under one of the various provincial drugs programs.
    • Some of these programs include conditional specific programs such as diabetes or cystic fibrosis; a high cost drug program; etc.
    • PEI provincial drug programs are always payer of last resort

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Ambulance

  • Residents are required to pay a flat rate for land ambulance service.

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Dental benefits

  • No coverage for routine or major services (i.e. cleanings, fillings, extractions, endodontics, periodontics, crowns, bridges, dentures, etc.)
  • Coverage provided to children who are not covered by private dental insurance
  • Coverage may be available for children who are born with a cleft palate, provided they are eligible.

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Vision care

  • No coverage for eye exams, or the purchase of glasses or contact lenses.
  • Kindergarten students are eligible for a free eye exam and a free pair of glasses if required.

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Hospital

  • Coverage for standard ward rooms.
    • Private and semi-private room charges are covered if provided for medical reasons or if standard accommodation is not available. Additional costs may apply.

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Paramedicals

  • No coverage

Hearing aids

  • No coverage

Nursing benefits and home care

  • Coverage for health care and support services available through the Home Care Program.

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Medical supplies

  • Coverage for Insulin Pump supplies for those 19 and younger living with type 1 diabetes through the Insulin Pump Program.

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  • Coverage may be available for ostomy supplies through the Ostomy Supplies Program.

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Accidental death and dismemberment

  • No coverage.

Out of country

  • Coverage may be available for emergency medical services outside Canada at P.E.I.’s rates in Canadian funds.

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These highlights from the Prince Edward Island Insurance 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: 

Health PEI
16 Garfield Street
P.O. Box 2000
Charlottetown, PE C1A 7N8

https://www.princeedwardisland.ca/en
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Updated: January 2020