BU353 Chapter Notes - Chapter 14: Canada Health Act, Co-Insurance, Waiting Period
Document Summary
The canada health act sets out the criteria and conditions to be met by provincial programs in order to be eligible for the full federal contributions. The criteria are as follows: a) pubic administration. Administered on a non-profit basis by a public authority b) comprehensive. Cover all necessary hospital and medical services and surgical-dental services rendered in hospitals c) universal. 100% of the province"s residents must be entitled to insured health services d) portable. Coverage must be portable from one province to another e) accessible. Insured services must be provided on uniform terms and conditions for all residents. Excessive utilization occurring when a patient receives care for which the cost of providing the care exceeds the expected benefit to the patient. For example, the stop loss clause might limit the insured"s maximum out-of-pocket cost from the application of co-insurance to ,500 in a year.