Canada Health Act: A Case Study

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• According to the Canada Health Act (CHA), provinces and territories must provide health coverage for all health services, both in-patient and out-patient, if the service is deemed “medically necessary for the purpose of maintaining health, preventing disease, or diagnosing or treating an injury, illness, or disability; and medically required physician services rendered by medical practitioners” (Canada Health Act, 1985) • Medically necessary services are defined individually by each of the provinces and territories which results in insurance plans differing from province/territory to province/territory (Canada Health Act, 1985) • For example, Ontario covers routine eye examinations once every 12 months for individuals 65 years and older and

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