Manitoba Health Services Insurance Plan (MHSIP)

Manitoba residents are covered for standard accommodations and meals during hospital stays, including ward rooms and necessary medical services. Private rooms are available at an additional cost.

The Manitoba Pharmacare program provides coverage for prescription drugs listed on the Manitoba drug formulary, with coverage based on household income. You pay an annual deductible that is determined by your income, along with a dispensing fee. Pharmacare covers the remaining cost once the deductible is met. Blood glucose test strip quantities are limited based on your diabetes treatment plan.

Manitoba covers one routine eye exam every two years for residents aged 18 and under, or 65 and older. Medically necessary eye exams are covered for all ages, but prescription glasses and contact lenses are not included in the plan.

Dental coverage under the Manitoba Health Plan includes in-hospital dental surgeries, but routine and major dental services, such as cleanings, fillings, extractions, and crowns, are not covered. Treatment for accidental injury to teeth is also not included in the coverage.

Manitoba covers a maximum of 7 chiropractor visits per resident per calendar year, limited to adjustments of the spinal column, pelvis, and extremities. Physiotherapy, occupational therapy, speech therapy, and dietetic counselling are covered when provided in a hospital setting. Outside of these situations, paramedical services are not covered.

The Children’s Hearing Aid Program provides coverage for children under 18 who require hearing aids, as prescribed by an otolaryngologist or audiologist. The program covers one hearing aid per ear every four years, with a $75 deductible per claim. No hearing aid coverage is available for residents over 18 years old. The Prosthetic and Orthotic Program provides coverage for one prosthetic or orthotic device every two years for eligible residents, and the Orthopaedic Shoes Program covers orthopedic shoes for residents under 18 when prescribed by a medical practitioner. Manitoba Health also covers Continuous Glucose Monitors for individuals aged 25 and under who meet specific eligibility criteria.

Ambulance coverage in Manitoba is limited to medically necessary hospital-to-hospital transfers. There is no general coverage for ground ambulance services, and residents may be responsible for the full cost unless they meet specific criteria for coverage. Air ambulance services are typically not covered. Certain exceptions apply, depending on the circumstances.

Home care coverage in Manitoba is need-based and includes a range of services such as personal care, home nursing, and therapeutic support. The Manitoba government provides coverage if you qualify, ensuring that care can be administered in your home or community.

The Manitoba Health Services Insurance Plan (MHSIP) pays for emergency hospital care outside Canada at an average daily rate set by Manitoba Health, Seniors and Long-Term Care. Hospitals may charge more than the amount paid, and residents are responsible for the difference, which may be substantial.

The Manitoba Health Services Insurance Plan (MHSIP) does not provide any coverage for accidental death and dismemberment. Residents should consider purchasing private insurance for this type of coverage.