What Your Provincial Health Plan Covers: Prince Edward Island

The provincial health insurance plan in Prince Edward Island is known as Health PEI and it covers a variety of health services for PEI residents.

What Does Health PEI Cover?

    • Most services administered by a physician in a hospital, doctor’s office or patient’s home.
    • Medically necessary services
    • Obstetrical services, including newborn, pre- and post-natal care
    • Medically required oral surgery that is performed by a physician in a hospital
    • Male and female sterilization
    • Certain insured specialist services when referred to by an attending physician
    • Standard meals and accommodations in hospital
    • Necessary nursing services
    • Labs, X-rays, and diagnostic procedures
    • Radiotherapy and physiotherapy
    • Operating room, routine surgical supplies, and anesthetic facilities

What Doesn’t Health PEI Cover? 

  • Medical exams that are conducted by a third party
  • Immunizations
  • Artificial limbs, hearing aids, glasses, and other supplementary devices
  • Audiologist, chiropodist, chiropractor, dietician, acupuncture, homeopath, naturopath, optometrist, physiotherapist, podiatrist, osteopath, psychologist, and dentist services
  • Some prosthetic devices and crutches
  • Dental extractions, unless the patient is medically required to be in hospital or unless there is prior approval
  • Ambulance services

If you’re interested in purchasing supplementary health insurance to cover what Health PEI does not, please call us at 1-866-899-4849. For more information on Health PEI, please visit its website.

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