Extended Health Care

Medical coverage and benefits

Prescription drug coverage

The prescription drugs benefit covers drugs, sera, injectables, and compounds/mixtures with a Drug Identification Number (DIN) that require a prescription from a physician, dentist or practitioner and are dispensed by a licensed pharmacist.

  • $0 annual deductible
  • 85% reimbursement of ingredient costs
  • $3,400 annual maximum per person—we set the amount based on what members have needed
  • Reimbursement of Government Health Insurance Plan deductibles for prescription medications (e.g. ODB, RAMQ, and Fair Pharmacare)
  • Sexual dysfunction treatments and diabetic supplies for glucometers and insulin pumps are included
  • Option to arrange for a 212-day drug supply if you’re taking an extended vacation
  • Optional online pharmacy with 24/7 pharmacist access and free home delivery

Paramedical practitioner coverage

Paramedical coverage includes non-surgical and surgical services. You don’t need a physician referral for services to be covered.

  • 80% reimbursement
  • $1,300 annual maximum per person for all practitioners combined
  • Covers 18 practitioners: acupuncturist, chiropodist, chiropractor, Dietician, herbalist, homeopath, naturopath, nutritionist, occupational therapist, osteopath, physiotherapist, podiatrist, psychotherapist, registered clinical psychologist, registered massage therapist, shiatsu therapist, social worker, speech therapist
  • Reflexology services are eligible when performed by one of the covered paramedical practitioners within their scope of practice

Vision coverage

The plan includes prescription glasses and contact lenses, laser eye surgery and corneal incision. Plus, support is available for vision training or remedial exercises not covered by government plans.

  • 80% reimbursement
  • $400 per person for prescription eyewear and laser surgery in any two consecutive years
  • $150 per person for eye exams in any two consecutive years, and per calendar year for dependent children
  • Cataract surgery expenses – eye measurement testing (IOL master) up to lifetime maximum of $200 per eye, and cataract lens and other eligible surgery expenses up to lifetime maximum of $400 per eye
  •  New eyewear required within 12 months of eye surgery to an additional lifetime limit of $400 per insured person

Aids and appliances coverage

The plan covers the costs of aids and appliances prescribed by a physician. Government plans can help offset costs. Our claims team will review your quote to help you determine what will be covered so you understand expenses before making a purchase.

  • 80% reimbursement
  • Includes trusses, splints, braces, casts, crutches, canes, walkers, wheelchairs and hospital beds
  • Covers artificial limbs or eyes and breast prosthesis, including three mastectomy bras per year
  • $640 per year for wigs
  • Medical supplies including $400 per person, per year for surgical stockings, $750 per person, per year for incontinence supplies and up to $200 per person every two consecutive calendar years for post-surgical comfort and convenience items
  • $500 per person for custom-made orthopedic shoes every two consecutive calendar years
  • $1,100 per person for purchase or repair of hearing aids every three successive calendar years

Travel Plan coverage

Included at no extra cost with the extended health care plan, the Entente Plus Travel Plan covers certain medical expenses incurred as a result of an emergency that occurs while travelling outside your province or territory of residence. In addition, this plan provides reimbursement for eligible expenses when you must cancel, interrupt, or delay your trip due to one of the covered reasons.

Plan details

  • Up to $10 million per insured, per trip, for eligible medical emergency expenses1
  • Unlimited number of trips outside of your province or territory of residence of up to 93 days per trip
  • Up to $6,000 per insured, per trip for eligible expenses in the event of a cancellation, interruption or delay of your trip due to one of the covered reasons
  • Coverage may be available for an emergency caused by pre-existing medical condition, provided the medical condition was stable during the 90 days prior to departure date or prior to the purchase of travel arrangements

Download complete coverage details

As of Jan. 1, 2026, the insurer for the Entente Plus Travel Plan and Supplemental Travel plans changes from belairdirect and RSA Canada to Canadian Premier Life Insurance Company and Canadian Premier General Insurance Company, operating collectively as Securian Canada. Securian Canada underwrites all Entente Plus plans.

You can supplement your existing Entente Plus Travel Plan coverage by purchasing additional days of coverage for trips exceeding 93 days or by purchasing extra trip cancellation/interruption coverage for a specific trip that exceeds $6,000 per insured. For more information, call 1-877-406-9007 to speak with a licensed service agent.

Learn more

Coverage for trip cancellation and trip interruption is also available for members who are not in the Extended Health Care plan.

 

Additional coverage

Diagnostic services coverage

The plan covers diagnostic lab tests, including screening tests. The coverage helps offset the costs of tests not covered by government plans.

  • 80% reimbursement
  • $250 annual maximum per person

Download complete coverage details

Private duty nursing coverage

The plan covers medically necessary out-of-hospital nursing services. Additional related coverage is available through our Hospital and Convalescent Care plan.

  • 80% reimbursement
  • $2000 per person every two consecutive calendar years

Download complete coverage details

Transportation/ambulance coverage

The plan covers medically necessary ground and air transportation to a hospital.

  • 80% reimbursement
  • Includes one round trip per person per year for air transportation from your hospital to the nearest hospital able to provide treatment

Download complete coverage details

Education program coverage
  • 80% reimbursement
  • Includes medically-related program(s) recommended by a physician to an annual maximum of $200 per person

Download complete coverage details

Accidental dental coverage

The plan covers dental treatment required as a result of an accidental blow to natural or artificial teeth. For additional dental coverage, see our Dental Plan.

  • 80% reimbursement
  • Up to $1000 per person per calendar year

Download complete coverage details

More value added benefits

Medical second opinion, health navigation and coaching services

As part of the Extended Health Care plan, you and your dependents have free access to Novus Health’s thorough resources and a team of health information specialists and nurse case managers who provide trusted guidance so you can make informed decisions about your care and the care of your loved ones. All services are confidential, bilingual (English and French), and delivered entirely within Canada.

Who can benefit

This service is designed for plan members and dependents who:

  • Want a second opinion on a medical diagnosis or treatment plan
  • Need help finding a family doctor, nurse practitioner or specialist
  • Would benefit from health coaching to support a new or existing complex health condition
  • Would like support understanding test results, treatment options or next steps

Services are available online 24/7 or you can reach a health information specialist by phone Monday to Friday from 8 a.m. – 8 p.m. ET.

Online pharmacy

GreenShield Pharmacy™ is a convenient, integrated online pharmacy that lets you manage your prescriptions from home or anywhere in Canada.* This voluntary service is available to Extended Health Care plan participants and dependents under the Entente Plus Group Insurance Program.

Member benefits

  • Higher reimbursements of the drug ingredient cost — 100% for generic drugs or 90% for eligible brand-name drugs**
  • Free delivery of your prescriptions to anywhere you are in Canada*
  • Personalized care from the privacy and comfort of your home — GreenShield pharmacists are available to discuss your medications or a dependent’s medications
  • Pharmacists are available by phone or video chat Monday to Friday, 9 a.m. to 5 p.m. ET.

* Available through GreenShield Pharmacy™ partner Pharmacie Sonia Boutin inc., Medzy in Quebec.
**Not available in Quebec.

Convenience services
  • Claims can be submitted directly by the practitioner
  • Claim payments are deposited directly to your bank account
  • Email notification of your claim payments
  • Annual benefit statement and tax letter
  • 24/7, secure, online access to claims and benefit information

Download plan and premium information

Plan and premium information
Estimated retirement date*
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Ready to apply? Here’s what you need

  • Your health card number and the health card number for your spouse and any dependents,  if applicable
  • Current insurance information
  • A cheque for reference for bank deductions, or if you’re an Ontario Teachers’ Pension Plan (OTPP) member, you have the option to deduct premiums from your pension

Need help?

We’re here to assist.

Questions about membership or insurance?

Email
membership@entente.ca

Call
(Monday-Friday 8:30 a.m. to 4:30 p.m. ET)
1-800-361-9888