Regulation 552 of the Canadian Health Insurance Act
Although each Canadian province administers its own health insurance plan to residents, each one must follow coverage regulations established at the federal level. Canada's regions must follow the Health Insurance Act when administering health care. Regulation 552 is a portion of the Heath Insurance Act outlining specific heath insurance rules.
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International Adoptions
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Due to changes in Regulation 552, foreign children adopted by Canadian residents may be exempt from the three month citizenship establishment period for insurance coverage. In order to qualify for this exemption, the child must be under the age of 16 and have an eligible immigration status. Additionally, the adoption must be approved by the Ministry of Children and Youth Services.
Hospital Services
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When an insured Canadian is admitted to the hospital, Section 10 of Regulation 552 states that covered hospital services include nursing services, meals, drugs, testing procedures, operating room use, delivery room use and any other necessary supplies or equipment. Outpatient services are also well covered and include the use of lab facilities, therapy facilities, home dialysis equipment, diet counseling services and the use of hospital facilities when necessary.
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International Coverage
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Medical services received by insured persons traveling outside of Canada may still be covered by their health plan. To be covered, services must be received from a licensed medical facility and be medically necessary to treat a condition that developed after leaving Canada. Regulation 552 specifies the amounts that will be paid for international services, which may be different from the amount paid for services rendered in Canada.
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References
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