#You Asked: “What Medical Services are Covered by the Québec Health Insurance Plan?”

The Medical Services Program is a universal program, which means that anyone insured by the Health Insurance Plan is eligible. To benefit from this program, just present your valid Health Insurance Card.

The medical services covered by the Health Insurance Plan are those that are medically necessary and rendered by a general practitioner (also called a “family doctor”) or a medical specialist. These services include:

  • Examinations (Usually consists of a questionnaire and a physical examination designed to enable the doctor to evaluate a person’s state of health).
  • Consultations (An examination of a patient carried out at the request of another doctor).
  • Diagnostic procedures (Procedures used by a doctor to evaluate a person’s state of health and to determine the health problem in question).
  • Therapeutic procedures (Procedures used by a doctor to treat a disease).
  • Psychiatric treatments
  • Surgery
  • Anesthesia
  • Certain radiology services provided by a doctor

Barring rare exceptions, the above services are covered regardless of where they are rendered, for instance in:

  • medical clinics
  • hospitals
  • local community service centres (CLSCs)
  • residential and long-term care centres (CHSLDs)
  • rehabilitation centres
  • the patient’s home

For more detailed information, visit the RAMQ website.

Other Services Covered by the Québec Health Insurance Plan

In addition to medical, dental, optometric and pharmaceutical services, the Health Insurance Plan covers a range of other services designed to meet special needs. Persons insured under the Public Prescription Drug Insurance Plan are also covered for prescription drugs.

For information about the various healthcare services covered by the Health Insurance Plan, refer to the following sections:

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