Accidental Medical Treatment Benefit

When by reason of injury, and within 30 days from the date of the accident, the insured person requires medical treatment or incurs expenses for any of the following services, while under the regular care and attendance of a legally- qualified physician or surgeon who is not a member of the immediate family of the insured person with respect to items 1 to 7:

1. Private duty nursing by a licensed graduate nurse (R.N.) who does not ordinarily reside in the insured person’s home or is not a member of their immediate family.
2. Ambulance transportation expenses, when such service is provided by a professional ambulance service of the nearest approved hospital which is equipped to provide the required and recommended necessary treatment, will be reimbursed at 100%.
3. Hospital services for which benefits are not provided by any federal or provincial government hospital insurance plan administered by the province or territory in which the insured person normally resides, whether paid or not.
4. Rental of a wheelchair, iron lung and other durable equipment for therapeutic treatment, not to exceed the purchase price prevailing at the time rental became necessary.
5. Fees of a licensed physiotherapist, athletic therapist, registered massage therapist, chiropractor or osteopath recommended by a legally-qualified physician or surgeon will be reimbursed up to $750 (as of Sept. 1, 2018) in any one hockey season. No payments will be made to any team personnel who refer players to their clinic for treatment. (Note that medical equipment related to therapy would be considered under the $750 per year maximum).
6. Drugs and medicines purchased by prescription made by a physician or surgeon.
7. Miscellaneous expenses such as hearing aids, crutches, splints, casts, trusses and braces, but excluding replacement there of.

Hockey Canada will pay the necessary expenses actually incurred, therefore, by or on behalf of an insured person within 52 weeks after the date of the accident, not to exceed the amount of $5,000 as a result of any one accident. Any sublimits or co-insurance indicated shall apply.

Hockey Canada shall not be liable for any expense incurred for treatment or services by a legally-qualified physician or surgeon.

This policy is subject to and shall not contravene any federal or provincial/territorial statutory requirement with respect to hospital and/or medical plans, nor shall it duplicate any benefits which are provided under any federal or provincial/territorial hospital or medical plans, or any other providing a reimbursement expense.