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Laboratory Fees

Diagnostic imaging tests (X-ray, scan, ultrasound) are included among the reimbursable laboratory fees. Reimbursable laboratory and medical imaging costs are those incurred for tests made under medical recommendation by laboratory or radiology professionals and used for the purpose of diagnosis. 

Exclusions

The following items are among those not reimbursed by MÉDIC Construction:

  • Medical check-ups, membership fees, and consultations inprivate clinics
  • “Scope”-type tests or exams (gastroscopy, colonoscopy, arthroscopy, etc.)
  • Costs of materials used for biopsies
  • Ovulation or pregnancy tests purchased in the pharmacy
  • Test requested by a third party (examples: an employer, SAAQ, CNESST, another insurance company)
  • Holo-energetic test
  • Test done in sexo-physiological analysis laboratories (DNA test, LAPS, etc.)
  • Infertility and impotence treatments

Professional fees charged for blood sample collection are not reimbursable.

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

Limitations to reimbursement

The insured must supply a receipt mentioning the lab tests done and the reason for these tests.
For laboratory tests, the maximum amount reimbursable is calculated over a period of 12 consecutive months. The period considered corresponds to the 12 months preceding the date of purchase. The date of purchase is the date of the invoice indicating that the final payment has been made – that is, that the balance to pay is $0. The example given for the limitation of reimbursement for eye care illustrates, adjusting the period to 12 months and to the maximum reimbursable, how the reimbursement is calculated.

Reimbursement of costs

A claim for laboratory fees 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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