Medical Services Received Outside of Canada
In the event that you require hospital or medical services for EMERGENCY or SUDDEN ILLNESS while absent from Canada, you may either pay the total cost yourself and then claim reimbursement for the INSURED AMOUNT from Health PEI or you can arrange to have the INSURED AMOUNT paid directly by Health PEI. Be sure to obtain a detailed invoice and proof of payment for the services you receive and submit your original claim to Health PEI within SIX MONTHS of the date of service.
Services for emergency or sudden illness obtained outside of Canada are paid at PEI rates, in Canadian currency. Residents are cautioned that charges for INSURED SERVICES may be considerably higher outside Canada. Payment for any difference between the fee charged and the Health PEI payment is the responsibility of the resident. PEI residents visiting other countries are advised to obtain private medical insurance for the period that they are absent from PEI.
If you are referred by a PEI physician to an out-of-country hospital or physician for a service not available in Canada, you must receive prior approval from the Medical Consultant/Executive Director of Medical Affairs of Health PEI. If prior approval is granted, all charges for insured medical and hospital services will be paid at PEI rates or Interprovincial rates in Canadian currency. If you do not obtain prior approval, Health PEI will take no responsibility for the costs incurred.
Your physician must obtain prior approval on your behalf.
Please call Health PEI before leaving the country for any hospital or medical services.
16 Garfield Street
Charlottetown, PE C1A 7N8
T: (902) 368-6516
F: (902) 620-3072