Saskatchewan provincial health plan fact sheet

Your Saskatchewan Health Insurance Plan provides:

Prescription drugs

  • The Saskatchewan Special Support Program (SSP) is available to all Saskatchewan residents. Eligibility for coverage under the SSP is based both on family income and family prescription drug costs.
  • Coverage is available to residents on Family Health Benefits, seniors on Seniors' Income Plan (SIP) and Guaranteed Income Supplement Program (GIS) with semi-annual deductibles. GIS and SIP recipients will pay a co-payment of the prescription price once the semi-annual deductible has been reached.

Click hereOpens a new website in a new window to learn more

  • Seniors are also covered under the Seniors' Drug Plan, with a cap maximum copayment per prescription for drugs listed on the Saskatchewan formulary and drugs approved under Exception Drug Status.

Click hereOpens a new website in a new window to learn more

  • Coverage is automatic for children 14 years of age and younger under the Children's Drug Plan, with a maximum copayment per prescription for drugs listed on the Saskatchewan formulary and drugs approved under Exception Drug Status.

Click hereOpens a new website in a new window to learn more

 

Ambulance

  • No ambulance coverage, however the costs are subsidized by the province
  • Residents age 65 and over’s ambulance trips are capped per trip by the Senior Citizens' Ambulance Assistance Program

Click hereOpens a new website in a new window to learn more

 

Dental benefits

  • No coverage for routine dental procedures.
  • Coverage for certain oral surgery procedures required to treat specific conditions caused by accidents, infection, congenital problems or other factors.
  • Coverage for orthodontic services for cleft palate when referred by a physician or dentist.
  • Coverage for extracting teeth when medically required before undertaking surgical procedures related to: 
    • Heart health
    • Chronic renal disease
    • Total joint replacement by prosthesis 

Click hereOpens a new website in a new window to learn more

 

Vision care

  • No coverage for glasses or contact lenses.
  • Coverage available for individuals under age 18 for an annual eye exam

Click hereOpens a new website in a new window to learn more

 

Hospital

  • Coverage may be available; however, no information is available on the Saskatchewan website

Paramedicals

  • No coverage for massage therapy, psychologist, naturopath and all other paramedical services
  • Coverage for a portion of chiropodist and podiatrist services
  • Coverage for physiotherapy or occupational therapy services only when provided through hospital, special care homes, community agencies or in certain private clinics

Click hereOpens a new website in a new window to learn more

 

Hearing aids

  • No coverage for hearing aids
  • Coverage may be provided for audiology services to eligible residents.

Click hereOpens a new website in a new window to learn more

 

Nursing benefits and home care

  • Coverage for delivering home care services includes:
    • Case management and assessment
    • Home nursing
    • Physical and occupational therapy service 
  • Some coverage offered based on your income and the volume of services delivered to you for the following:
    • Homemaking (including personal care, respite, and home management services)
    • Meals
    • Home maintenance 

Click hereOpens a new website in a new window to learn more

 

Medical supplies

  • Some coverage, through Saskatchewan Aids for Independent Living, to residents with physical handicaps and certain chronic illnesses for oxygen, prosthetics, ostomy supplies and other medical supplies
  • Some coverage available through the Sakatchewan Insulin Pump Program for residents age 25 years or under
  • Coverage for residents with moderate to severe sleep apnea for a CPAP breathing machine.
    • Residents must meet eligible requirements for the program they require

Click hereOpens a new website in a new window to learn more

 

Accidental death and dismemberment

  • No coverage.

Out of country

  • Coverage for emergency in-patient services and out-patient services, subject to daily maximum
    • Saskatchewan Health will not pay for more than two visits in any one day.

Click hereOpens a new website in a new window to learn more

 

These highlights from the Saskatchewan Health 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 the Saskatchewan Health Plan.

Medical Services Brand

2nd Floor, 3475 Albert Street

Regina, SK S4S 6X6

Phone: 306-787-3475

Phone: 800-667-7523

https://www.saskatchewan.ca/residents/healthOpens a new website in a new window

 

Updated: January 2020