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What Does Insurance Really Cover

What Does Insurance Really Cover? The Beginner’s Guide to Paramedical

Introduction: Why Most Canadians Are Leaving Money on the Table

If you’ve ever wondered, “What does my extended health insurance actually cover?” — you’re not alone.

Every year, millions of Canadians pay for Extended Health Benefits (EHB) through their employer-sponsored insurance plans. These benefits often include access to services like Registered Massage Therapy (RMT), Chiropractic, Physiotherapy, and Acupuncture — yet a huge percentage of this coverage goes unused.

Why? The biggest reason is confusion. Patients don’t know:

  • What services are covered
  • How much they’re entitled to
  • Whether they need a referral
  • Or how to even find a clinic that accepts their plan

This article is your easy-to-follow guide to understanding paramedical coverage in Canada — and how to make the most of your plan before it resets.

✅ What Are Paramedical Services?

Paramedical services are health-related services provided by regulated professionals, but outside of traditional hospitals or physician offices.

They include:

  • Registered Massage Therapy (RMT)
  • Chiropractic care
  • Physiotherapy
  • Acupuncture & Traditional Chinese Medicine
  • Naturopathy
  • Mental health counselling (with registered providers)

These services are considered preventative and rehabilitative. They\’re aimed at helping you manage pain, recover from injury, reduce stress, or improve mobility — and they’re frequently covered by extended health plans.

🧾 What Does Your Plan Typically Cover?

Most insurance plans in Canada (Sun Life, Manulife, Canada Life, Greenshield, Blue Cross, etc.) offer between $300 to $1200 per year per service.

For example:

  • Massage Therapy: ✅ $500/year
  • Chiropractic Care: ✅ $500/year
  • Physiotherapy: ✅ $700/year
  • Acupuncture: ✅ $300–$500/year

Important: Some plans reset every December 31st, and any unused benefits are forfeited.

🧠 3 Things Most Patients Don’t Know

  1. Each service is billed separately.
    Your massage coverage isn’t the same as your chiropractic or physio coverage. You might have $500 for each, not a combined pool.
  2. Direct billing saves you time.
    Many clinics use Telus eClaims or ProviderConnect to bill insurers directly — no receipts or paperwork needed on your end.
  3. A doctor\’s referral might be required.
    Some insurance plans require a prescription or referral before they approve your first claim — especially for massage therapy or acupuncture. Always check your plan.

📍 How to Check Your Benefits in 3 Steps

  1. Log into your insurance portal (e.g., Sun Life, Manulife, etc.)
    Look for your “paramedical” or “extended healthcare” section.
  2. Check your remaining balance
    Look for per-service annual limits and per-visit maximums.

Search for a provider near you
👉 Find a local clinic → RMTClinic.net
👉 Explore insurance benefits → insurance.rmtclinic.net

🔍 Real-Life Scenario: Don’t Let Your $500 Go to Waste

Let’s say you’re covered for $500 in massage therapy this year. If each visit is $100, that’s 5 fully covered treatments.

But if you don’t use them? That’s like leaving $500 in wellness benefits unused. Come December, your plan resets — and your opportunity vanishes.

🗂️ What Insurance Providers Are We Talking About?

This guide applies to most major Canadian plans:

  • ✅ Sun Life Financial
  • ✅ Canada Life
  • ✅ Manulife
  • ✅ Green Shield Canada
  • ✅ Blue Cross / Medavie
  • ✅ Desjardins
  • ✅ Empire Life
  • ✅ RBC Insurance
  • ✅ Group Health / Chamber of Commerce

Each provider has slight variations in coverage caps, referral requirements, and billing systems. Our site breaks it down for you.

💬 Still Confused? Ask Ruby

Don’t worry if you’re still unsure about your eligibility or what your plan includes.

At RMTClinic.net, our virtual assistant Ruby is trained to help you:

  • Understand what’s covered
  • Locate a nearby clinic that accepts your insurance
  • Walk you through what to expect at your first visit

Try it at 👉 insurance.rmtclinic.net

Get the Most From Your Plan Before It Expires

Your benefits are there for a reason — to help you stay healthy, reduce stress, and feel better. Don’t wait until you’re in pain or it’s too late to use them.

🔗 Start here to find a provider → RMTClinic.net
🔗 Learn how your coverage works → insurance.rmtclinic.net

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