Prince Edward Island provincial health care plan (PEI Health)

Residents of Prince Edward Island are required to pay a flat fee for land ambulance services. The fee applies regardless of the medical necessity or urgency of the situation. Air ambulance services are generally not covered under the provincial plan. Learn more about ambulance billing and coverage on the island.

Routine dental services are not covered for individuals aged 18 and over. However, limited coverage is available for residents between the ages of 3 and 17 who do not have private dental insurance. Long-term care residents may also be eligible for certain dental benefits under provincial programs.

There is no coverage for eye exams, glasses, or contact lenses under the PEI Health Plan. However, children in Kindergarten are eligible for a free eye exam and free glasses if needed. Learn more about eye exam coverage.

PEI residents with a valid health card are covered for standard ward room accommodations and medically necessary hospital services. If a ward room is unavailable, private or semi-private rooms may be covered, though they are not covered by default. Learn more about hospital stays.

There is no coverage available for paramedical services under the Prince Edward Island health plan. Residents are responsible for covering the costs of services like chiropractic care, acupuncture, or physiotherapy through private insurance or out-of-pocket payments.

Some coverage for hearing aids is available through Audiology Services for residents up to the age of 21. Residents over the age of 21 will need to explore private insurance options or government assistance programs for hearing aid coverage.

The Insulin Pump Program in Prince Edward Island provides coverage for insulin pumps and associated supplies for residents under 25 with type 1 diabetes. Additionally, residents may qualify for coverage of ostomy supplies through the Ostomy Supplies Program, depending on medical need and eligibility.

There is no coverage available for paramedical services under the Prince Edward Island health plan. Residents are responsible for covering the costs of services like chiropractic care, acupuncture, or physiotherapy through private insurance or out-of-pocket payments.

The Home Care Program in PEI provides access to various health and support services, including nursing care, personal support, and rehabilitation. Coverage is available for those who qualify, allowing residents to receive necessary medical care in their homes or communities.

There is no coverage for accidental death and dismemberment under the PEI health plan. Residents will need to look into private insurance for such coverage.

PEI residents may be eligible for limited coverage for emergency medical services received outside of the country. The level of coverage is determined on a case-by-case basis, and residents may be responsible for costs beyond what is covered by the province.