Your Group Benefits / City of Regina / Manulife

Some members have inquired about certain benefits, so we took the liberty to post some of those questions and concerns for your information. For future inquires please contact the City of Regina or Manulife.

City of Regina Medical Services and Supplies

Note: For all medical equipment and supplies covered under this provision, Covered Expenses will be limited to the cost of the device or item that adequately meets the patient’s fundamental medical needs.

* Private Duty Nursing:

Services which are deemed to be within the practice of nursing and which are provided in the patient’s home by:

  1. a) a registered nurse; or
  2. b) a registered nursing assistant (or equivalent designation) who has completed an approved medications training program.

Covered Expenses are subject to a maximum of $10,000 per calendar year.

Charges for the following services are not covered:

  1. a) service provided primarily for custodial care, homemaking duties, or supervision;
  2. b) service performed by a nursing practitioner who is an Immediate Family Member or who lives with the patient;
  3. c) service performed while the patient is confined in a hospital, nursing home, or similar institution; or
  4. d) service which can be performed by a person of lesser qualification, a relative, friend, or a member of the patient’s household.

Pre-Determination of Benefits:

Before the services begin, it is advisable that you submit a detailed treatment plan with cost estimates. You will then be advised of any benefit that will be provided.

Ambulance

Charges for a licensed ambulance service provided in the patient’s province of residence, including air ambulance, to transfer the patient to the nearest hospital where adequate treatment is available.

Medical Equipment

Rental or, when approved by Manulife or your employer, purchase of:

  1. a) Mobility Equipment: crutches, canes, walkers, and wheelchairs; and
  2. b) Durable Medical Equipment: manual hospital beds, respiratory and oxygen equipment, and other durable equipment usually found only in hospitals.

Non-Dental Prostheses, Supports and Hearing Aids

  1. a) external prostheses; breast prostheses are limited to one per breast per 2 calendar years.
  2. b) surgical stockings, up to a maximum of 6 pairs per calendar year;
  3. c) surgical brassieres, up to a maximum of 2 calendar year;
  4. d) braces (other than foot braces), trusses, collars, leg orthosis, casts and splints;
  5. e) custom-made shoes which are required because of a medical abnormality that, based on medical evidence, cannot be accommodated in a stock-item orthopaedic shoe or a modified stock-item orthopaedic shoe, up to a maximum of 1 pair per calendar year (must be constructed by a certified orthopaedic footwear specialist and recommendation of either a physician, podiatrist, orthopaedic surgeon, physiatrist or rheumatologist is required);
  6. f) casted, custom-made orthotics, up to a maximum of $300 per calendar year (recommendation of either a physician, podiatrist, orthopaedic surgeon, physiatrist or rheumatologist is required). Orthotics include scaphoid pads, torque heels, insoles, metatarsal pads, and molded arch supports; and
  7. g) cost, installation, repair and maintenance of hearing aids, (including charges for batteries) to a maximum of $500 per 5 calendar years. However, for Dependent Children under age 21 requiring a hearing aid for each ear, the maximum will be $500 per Child for each hearing aid per 3 calendar years.

Other Supplies and Services

  1. a) ileostomy, colostomy and incontinence supplies;
  2. b) medicated dressings and burn garments;
  3. c) wigs and hairpieces for patients with temporary hair loss as a result of medical treatment, up to a maximum of $500 per calendar year;
  4. d) oxygen;
  5. e) microscopic and other similar diagnostic tests and services rendered in a licensed laboratory in the province of Quebec; and
  6. f) charges for the treatment of accidental injuries to natural teeth or jaw, provided the treatment is rendered within 12 months of the accident, excluding injuries due to biting or chewing;
  7. g) blood pressure monitor, to a maximum of 1 monitor per 5 calendar years;
  8. h) preci-jet auto-jet insulin injectors;
  9. i) continuous positive airway pressure (CPAP) machine, once every 3 years, up to a maximum of $2,500. CPAP supplies are not subject to Reasonable and Customary limitations;
  10. j) treatment rendered to cardiac patients under a recognized cardiac rehabilitation program where such treatments have been prescribed by the attending Physician for rehabilitation, limited to a $300 lifetime maximum per person; and
  11. k) viscosupplementation.