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Are paramedical claims fully covered under the OSSTF Benefits Plan?

May 1, 2024

For a list of types of eligible paramedical practitioners, please refer to your benefits booklet on the OTIP secure member site. Eligible expenses are for the actual services of an eligible licensed paramedical practitioner and not for items dispensed and/or additional testing completed.

Paramedical claims for the eligible practitioners are covered up to reasonable and customary (R&C) limits and up to the specified maximums indicated in the benefit booklet per benefit year (September 1st to August 31st). R&C refers to the maximum allowable amount that an insurer will reimburse on a particular service or item. This is an approach by insurers to limit allowable costs for some services within a plan without providing a fixed hard cap.

For example, if the reasonable and customary cost for a service is $100 per visit and the provider bills $120 per visit, only $100 will be reimbursed. For more information, read our newsletter on Understanding Reasonable and Customary limits.


The information in this document is provided by OSSTF Benefits for general information only. OSSTF Benefits endeavours to have all information current and accurate. We make no representations or warranties of any kind, express or implied, about the completeness, accuracy, reliability, or suitability of the information included. All information is subject to change without notice.


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