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Paramedical Care

Paramedical care involves the treatments received by certain health and alternative-medicine professionals.

Important: Some insurance plans do not offer this coverage; others offer coverage to the insured only (not to dependents).

Health professionals

The health professional must be a member of a professional order recognized by the government of Québec. Treatments by the following health professionals may be reimbursed:

  • acupuncturists;
  • audiologists;
  • chiropractors (including x-rays);
  • speech therapist;
  • physiotherapists and Physical Rehabilitation Therapists;
  • podiatrists;
  • psychologists;
  • social workers.

It should be noted that remedial treatments are covered by assistance to workers services in the CONSTRUIRE en santé program of MÉDIC Construction.

The supplementary plan for pipe fitters covers treatments received from an occupational therapist.

The professional orders recognized by MÉDIC Construction are:

In certain cases, foot care provided by a member of one of the following associations may be recognized.

The Bulletin MÉDIC Construction for each plan indicates the reimbursable amounts.

Limitations to reimbursement for professional care

  • Only one treatment per day per category of professional may be reimbursed. For example, an insured who receives two physiotherapy treatments in a single day will be reimbursed for only one.
  • Psychologist, social worker: Only one treatment is reimbursable for all treatments received in the same day from these professionals.
  • Costs incurred for any sort of assessment (neuropsychological, cognitive, learning or intellectual capacities, educational assessment or exemption test) are not reimbursable by the Construire en santé program or by MÉDIC Construction. When the assessment is performed by a psychologist or a neuropsychologist who is a member of the Ordre des psychologues, it is reimbursable. However, the reimbursement is limited to the amount allocated by the worker’s plan for one session with a psychologist. Exclusion: A psychosocial assessment made to obtain a report for adoption of a child is not reimbursable, regardless of the practitioner who performs the assessment..

Alternative-medicine professionals

Alternative-medicine professionals must be members of an organization recognized by MÉDIC Construction. Treatments by the following health professionals may be reimbursed:

  • naturopaths;
  • osteopaths;
  • massage therapists;
  • kinesiologists;
  • kinotherapists;
  • orthotherapists.

The organizations recognized by MÉDIC Construction are listed on the back of the Health and Professional Care Claim Form . The Bulletin MÉDIC Construction indicates the amounts reimbursable for each plan.

Limitations of reimbursement for alternative medicine treatments

  • Massage therapist, kinesiologist, kinotherapist, orthotherapist, osteopath, naturopath:
    • One treatment per day per category of professional is reimbursable. For example, if an insured person receives two osteopathy treatments in one day, only one is reimbursed;
    • A limit of 10 treatments per person per insurance period is applied for all treatments given by these 6 types of professionals. For example, during a single insurance period an insured person may have 4 treatments with a massage therapist, 2 with a naturopath, and 4 with an osteopath; the maximum number of 10 reimbursable treatments has now been reached. The other limitations and conditions regarding reimbursement of these treatments continue to apply;
  • Massage therapist, kinesiologist, kinotherapist, and orthotherapist:
    • a medical referral from the attending physician must be supplied for treatments received from these professionals. This referral is valid for twelve months starting from the date of the physician’s signature. If treatments continue beyond these twelve months, a new referral must be supplied.

Exclusions

Treatments received from the following professionals are not reimbursable: dermatologist, dietician, homeopath, respiratory therapist, general practitioner, medical specialist, pediatrician, physiatrist, phytotherapist, posturologist, psychoanalyst, psychotherapist, somatotherapist, sports therapist. Other exclusions may apply.

Reimbursement of costs

A claim for paramedical care must be made using the Health and Professional Care Claim Form.

Specific conditions, limitations, and exclusions other than those mentioned above may apply; only the Règlement sur les régimes complémentaires d'avantages sociaux dans l'industrie de la construction has legal value.

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