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Health Insurance Comparison: Public Versus Private Health Insurance in Alberta

Canada has a wonderful healthcare system. In fact, Canada’s universal health care system is considered to be one of the best in the world. Anyone, including citizens and permanent residents, can access the public healthcare for free. But the public health care is not really free, it is funded by Canadian taxpayers. As wonderful as public healthcare is, most Canadians still prefer to sign up for private health insurance in Alberta. If you are wondering what makes private health insurance better than public healthcare, read on to learn more. Canada’s Public Health Care The government-funded healthcare in Canada is administered by each province and territory. Healthcare in Canada is available to everyone irrespective of their income. However, it does not offer comprehensive coverage. In fact, only “medically necessary” conditions are covered by government-funded healthcare in Canada. Furthermore, conditions that are considered to be medically necessary may vary from province to province. For instance, health insurance Alberta known as Alberta Health Care Insurance Plan (AHCIP) may cover some optometry services provided they are administered in the province. AHCIP also covers hospital visits and stays, psychiatrist visits, oral and maxillofacial surgery services, etc. However, it does not cover routine dental care services, prescription drug services provided in non-hospital settings, non-medically required surgery, vision care, etc. Visit Insurdinary to learn more. Private Health Insurance in Canada Since the public healthcare plan only covers medically necessary conditions, you may need to take out private health insurance if you need additional coverage. Private health insurance Alberta is provided by several insurance companies in the province, you can shop around and compare policy options before choosing an insurer. The major difference between public and private health insurance is the conditions they cover. Private health insurance is simply an extension of the public plan. For instance, you can access coverage for non-medically required surgery, vision care, dental care, prescription drugs, etc. Furthermore, you may also be able to access better and faster services with private health insurance. For example, the waiting period for diagnostic tests takes up to 47 days for public health care but you only have to wait for about 8 days if you have private health insurance. Rather than paying a lot of money out of pocket, you can save costs by taking out private health insurance in Alberta. Although you still have to pay premiums in private health insurance, the amount you will pay in premium is usually less compared to the cost of treating serious medical conditions. Click here to learn more.

Services Covered In OHIP Coverage For Seniors

Ontario government spends billions of dollars on OHIP coverage. Although OHIP is not comprehensive, it covers a lot of medical services with seniors receiving more coverage than most other Ontarians. While you may still need private health insurance, public health insurance can cover a lot of services. Read on to learn more about these services.

Coverage For Ambulance Services

Ambulance services are one of the medically necessary services covered by the Ontario Health Insurance Plan. However, this service is not covered completely; you are required to make a contribution or a co-pay for the service.

For instance, if the hospital considers the ambulance service as medically-necessary, you will have to make a co-payment of $45, but if not, a co-pay of $240 will be required.

On the other hand, seniors can get ambulance services free of charge, provided they live in a long-term care home licensed by OHIP. Furthermore, people who live in psychiatric homes, special care homes, and those receiving provincial social assistance do not have to pay for ambulance services.

Coverage For Optometry Services

Only seniors 65 years and above and young people below 20 years can assess coverage for optometry services in OHIP. They can also assess coverage for a major eye exam every year. Optometry services under OHIP include the following conditions glaucoma, cataract, visual field defects, corneal disease, amblyopia, diabetes mellitus, optic pathway disease, recurrent uveitis, corneal disease, etc. Visit Insurdinary to find out more.

Coverage For Prescription Medications

OHIP coverage includes prescription drugs but this is accessible only to seniors 65 years and above and younger people below 25 years.

Seniors can assess prescription drug coverage through the Ontario Drug Benefit (ODB) program. You are required to apply to the program in order to assess the coverage, however, only 4,400 prescription drugs are covered under ODB. If you are an ODB enrollee but could not find your required drug under the list of prescription drugs covered by ODB, you can apply for the Exceptional Access Program.

Your application for the Exceptional Access Program will be approved depending on the severity or rarity of your medical situation and the type of drug you wish to get.

Prepare for Your Retirement

With OHIP coverage, you can confidently prepare for your retirement and be sure that you are covered. However, you might still need additional life and health insurance coverage. For instance, most seniors prefer to get life insurance coverage with long-term care riders. These policies will properly supplement your public insurance as the coverage starts where your provincial plan stops. Click here to learn more.