Accountable Value Financial Services: What is Covered?

What is Covered

Simply put, any medical expense or device that you purchase for a medical condition OR that you have a prescription or Doctor’s note for, is covered. Common expenses such as (for over-the-counter medication, please skip to below the table):

A | B | C | D | E | F | G | H | I | J | K | L | M | N | O | P | Q | R | S | T | U | V | W | X | Y | Z

Medical expense	Eligible expense?	Prescription needed?	Certification in writing needed?
A			TOP
Acoustic coupler	Eligible	Yes	No
Air conditioner	Eligible	Yes	No
Air filter, cleaner, or purifier	Eligible	Yes	No
Altered auditory feedback devices	Eligible	Yes	No
Ambulance service	Eligible	No	No
Animals	Eligible	No	No
Artificial eye or limb	Eligible	No	No
Assisted breathing devices	Eligible	No	No
Athletic or fitness club fees	Not eligible	N/A	N/A
Attendant care expenses	See details	See details	See details
Audible signal devices	Eligible	Yes	No
B			TOP
Baby breathing monitor	Eligible	Yes	No
Bathroom aids	Eligible	Yes	No
Birth control devices (non-prescription)	Not eligible	N/A	N/A
Bliss symbol boards	Eligible	Yes	No
Blood coagulation monitors	Eligible	Yes	No
Blood pressure monitors	Not eligible	N/A	N/A
Bone conduction receiver	Eligible	No	No
Bone marrow transplant	Eligible	No	No
Braces for a limb	Eligible	No	No
Braille note-taker devices	Eligible	Yes	No
Braille printers, synthetic speech systems, large print-on-screen devices	Eligible	Yes	No
Breast prosthesis	Eligible	Yes	No
C			TOP
Cancer treatment	Eligible	No	No
Catheters, catheter trays, tubing or other products	Eligible	No	No
Certificates	Eligible	No	No
Chair	Eligible	Yes	No
Cochlear implant	Eligible	No	No
Computer peripherals	Eligible	Yes	No
Cosmetic surgery before March 5, 2010	Eligible	No	No
Cosmetic surgery after March 4, 2010	See details	See details	See details
Crutches	Eligible	No	No
D			TOP
Deaf-blind intervening services	Eligible	No	No
Dental services	Eligible	No	No
Dentures and dental implants	Eligible	No	No
Devices or software	Eligible	Yes	No
Diapers or disposable briefs	Eligible	No	No
Diaper services	Not eligible	N/A	N/A
Doctor – see Medical services provides by qualified medical practitioners	Eligible	No	No
Driveway access	Eligible	No	No
Drugs and medical devices bought under Health Canada’s Special Access Program	Eligible	No	No
E			TOP
Elastic support hose	Eligible	Yes	No
Electrolysis	Eligible	No	No
Electronic bone healing devices	Eligible	Yes	No
Electronic speech synthesizers	Eligible	Yes	No
Electrotherapy devices	Eligible	Yes	No
Environment control system (computerized or electronic)	Eligible	Yes	No
Extremity pump	Eligible	Yes	No
F			TOP
Fertility-related procedures	See details	See details	See details
Furnace	Eligible	Yes	No
G			TOP
Gluten-free products	See details	See details	See details
Group home – see Attendant care or care in a facility	See details	See details	See details
H			TOP
Health plan premiums paid by an employer and not included in your income	Not eligible	N/A	N/A
Hearing aids	Eligible	No	No
Heart monitoring devices	Eligible	Yes	No
Hospital bed	Eligible	Yes	No
Hospital services	Eligible	No	No
I			TOP
Ileostomy and colostomy pads	Eligible	No	No
Infusion pump	Eligible	Yes	No
Injection pen (such as an insulin pen)	Eligible	Yes	No
Insulin or substitutes	Eligible	Yes	No
In vitro fertility program	Eligible	No	No
K			TOP
Kidney machine	Eligible	No	No
L			TOP
Laboratory procedures or services	Eligible	Yes	No
Large print-on-screen devices	Eligible	Yes	No
Laryngeal speaking aids	Eligible	No	No
Laser eye surgery	Eligible	No	No
Lift or transportation equipment (power-operated)	Eligible	Yes	No
Liver extract injections	Eligible	Yes	No
M			TOP
Medical marihuana	Eligible	No	No
Medical services provided by qualified medical practitioners	Eligible	No	No
Medical services provided outside Canada	Eligible	No	No
Moving expenses	Eligible	No	No
N			TOP
Needles and syringes	Eligible	Yes	No
Note-taking services	Eligible	No	Yes
Nurse	Eligible	No	No
Nursing home – see Attendant care or care in a facility	See details	See details	See details
O			TOP
Optical scanners	Eligible	Yes	No
Organic food	Not eligible	N/A	N/A
Organ transplant	Eligible	No	No
Orthodontic work	Eligible	No	No
Orthopedic shoes, boots, and inserts	Eligible	Yes	No
Osteogenesis stimulator (inductive coupling)	Eligible	Yes	No
Oxygen and oxygen tent	Eligible	Yes	No
Oxygen concentrator	Eligible	No	No
P			TOP
Pacemakers	Eligible	Yes	No
Page-turner devices	Eligible	Yes	No
Personalized therapy plan	Eligible	Yes	No
Personal response systems such as Lifeline an Health Line Services	Not eligible	N/A	N/A
Phototherapy equipment	Eligible	No	No
Premiums paid to private health services plans	Eligible	No	No
Pre-natal and post-natal treatments	Eligible	No	No
Prescription drugs and medications	Eligible	Yes	No
Pressure pulse therapy devices	Eligible	Yes	No
Provincial and territorial plans	Not eligible	N/A	N/A
R			TOP
Reading services	Eligible	No	Yes
Real-time captioning	Eligible	No	No
Rehabilitative therapy	Eligible	No	No
Renovation or construction expenses	Eligible	No	No
Respite care expenses – see Attendant care or care in a facility	See details	See details	See details
S			TOP
School for persons with an impairment in physical or mental functions	Eligible	No	Yes
Scooter	Eligible	No	No
Sign-language interpretation services	Eligible	No	No
Spinal brace	Eligible	No	No
Standing devices	Eligible	Yes	No
Supplements and vitamins	Not eligible	N/A	N/A
T			TOP
Talking textbooks	Eligible	Yes	No
Teletypewriters	Eligible	Yes	No
Television closed caption decoders	Eligible	Yes	No
Tests	Eligible	Yes	No
Therapy	Eligible	Yes	No
Training	Eligible	No	No
Travel expenses (less than 40km)	Not eligible	N/A	N/A
Travel expenses (at least 40 km)	See details	See details	See details
Travel expenses (at least 80 km)	See details	See details	See details
Travel expenses (outside of Canada)	See details	See details	See details
Treatment centre	Eligible	No	Yes
Truss for hernia	Eligible	No	No
Tutoring services	Eligible	No	Yes
V			TOP
Vaccines	Eligible	Yes	No
Van	Eligible	No	No
Vehicle modification	Eligible	Yes	No
Vision devices	Eligible	Yes	No
Visual or vibratory signaling device	Eligible	Yes	No
Vitamin B12	Eligible	Yes	No
Vitamins – see Supplements and vitamins	Not eligible	N/A	N/A
Voice recognition software	Eligible	No	Yes
Volume control feature (additional)	Eligible	Yes	No
W			TOP
Walking aids	Eligible	Yes	No
Water filter, cleaner, or purifier	Eligible	Yes	No
Wheelchairs and wheelchair carriers	Eligible	No	No
Whirlpool bath treatments	Eligible	No	No
Wigs	Eligible	Yes	No

Over the Counter Medication:

Generally speaking, over-the-counter medication (or OTC), is covered; however, there are caveats on these expenses. At least 90% of more of your claim must be made up of an eligible expense as outlined above. The remaining 10% of the claim can be OTC medication:

All or substantially all generally means 90% or more. Therefore, in most cases, 90% or more of the premiums paid under a plan have to be for coverage of medical expenses that are eligible for the METC. For example, Company ABC pays $100 a month for its group employee insurance plan. This $100 premium is based on the following:

$70 relates to coverage for prescription drugs that an employee lawfully buys, as prescribed by a medical practitioner and recorded by a pharmacist;

$20 relates to coverage for dental services paid to a dentist;

$8 relates to coverage for medical tests such as electrocardiograms, urine analysis, and x-rays; and

$2 relates to coverage for non-prescription vitamins.

Since the first three items are eligible for the METC and total more than 90% of the entire premium, the CRA would consider the plan to be a PHSP (assuming that all other conditions have been met).

How do I register?

Registration is simple. Click on the button below.

Registration Form

Please fill out all the fields to register for a PHSP with Accountable Value Financial Services. Your information will be securely transmitted but not stored on our servers.

Step 1 of 7

Company Information
Please fill out the information about your company.
Company Name*
Company Status*
Are you incorporated/limited/corporation or a sole proprietorship
- Incorporated / Limited / Corporation
- Sole Proprietorship
Address*
Street Address Address Line 2 City Province Postal Code
Phone*
Email*
Effective Date*
This is when you would like the plan to be effective. It can be any date, we suggest the beginning of your current fiscal year or the beginning of the calendar year.
MM slash DD slash YYYY
Business Number
Please supply your business number.

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Coverage Information
This section deals with coverage for yourself and your employees.
Class Coverage*
A Class is what we call the limits you can impose on your employees. You can have an unlimited number of classes.
Class Name Class Amount
Class Coverage*
As a Sole Proprietorship, you are limited to $1500.00 per adult in the household and $750.00 per minor in the household. Anyone can claim from this "household total". If you have other employees, and want to create limits, you may do so, but the first 2 classes are reserved for the $1500.00 and $750.00 limits respectively. A Class is what we call the limits you can impose on your employees. You can have an unlimited number of classes.
Class Name Class Amount
Fiscal Year End*
Your fiscal year end is when you close your financial records for one year and file your taxes.
Fiscal Year End*
Your fiscal year end is when you close your financial records for one year and file your taxes.
Benefit Year Start*
Your benefit year usually starts on the first day after your fiscal year end OR the beginning of the year. You can set this to be any day you wish. If you have employees, we recommend a calendar year (Jan 01) because employees are used to that with benefits.
Benefit Year Start*
Your benefit year usually starts on the first day after your fiscal year end OR the beginning of the year. You can set this to be any day you wish. If you have employees, we recommend a calendar year (Jan 01) because employees are used to that with benefits.
Coverage Allotment*
You can set up the employees starting year whether you want to give them full benefits regardless of when they start; pro-rated amount to the day they start; or a specified amount (you will provide the amount).
Regular Benefit Year*
Here you can specify the employees typical benefit year and how you want their benefits calculated. You can specify: Annual Amount (they receive their benefits on Day 1); Monthly Accrual (they will receive 1/12 of their benefits at the start of every month); Quarterly Accrual (they will receive 1/3 of their benefits at the start of every benefit quarter); Semi-Annual Accrual (they will receive 1/2 of their benefits every 6 months).
Plan Style
We currently have 2 styles of plans Standard - We issue an invoice after each claim is submitted. : Pre-Payment - We will invoice you for 1/12 of your total coverage limits and hold at least 50% of this amount on account from month to month.

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Terms of Service
1. In accordance with Subsection 248(1) of the Income Tax Act, Accountable Value Financial Services Ltd. (hereafter known as AVFS) by this document establishes a “cost plus” Private Health Services Plan with the Company named in Part A. AVFS indemnifies the Covered Claimants of the Company for all Eligible Expenses for the agreed upon cost plus fee to be paid by the Company upon remittance of claim by the Covered Claimant.
2. The AVFS PHSP applies to all Eligible Expenses. For this agreement Eligible Expenses are those defined in Subsection 118.2(2) of the Income Tax Act. These are outlined in Canada Revenue Agency Interpretation Bulletin IT-519R2 - Medical Expense Tax Credit Folio.
3. The AVFS PHSP covers all employees as defined by the Company in Appendix A. The term Covered Claimant includes the employee, the employee’s spouse or any member of the employee's household with whom the employee is connected by blood relationship, marriage or adoption. There is no limitation by age. The Covered Claimant will be eligible for coverage from the effective dates established in Appendix A.
4. The Company will establish an effective date after which coverage is provided by the plan. This date can be as early as the beginning of the current fiscal year of the Company.
5. The Company may choose to offer this benefit plan to Covered Claimants in differing levels of sponsorship based on the position or critical importance of the employee within the firm. The Company may not limit participation in the AVFS PHSP based solely on position as a shareholder. The AVFS PHSP cannot be offered to one employee of a class while excluding an employee of the same class. For this plan the Company has established the following classes of sponsorship. The members of these classes are established in Appendix A.
6. AVFS will adjudicate each claim submitted to ensure the following:
  1. The expenses are Eligible Expenses as per section 2
  2. The claimant is a Covered Claimant as per section 3
  3. The maximum coverage limits and dates as authorized by the Company have not been exceeded
  4. The claim form has been properly completed, authorized and the corresponding payment has been received
7. Upon completion of the claim adjudication, AVFS will issue an Interac eTransfer re-imbursement for the total cost of the eligible expenses to the claimant.
8. AVFS will issue an Annual Client Statement to the Company to reconcile all claims for tax reporting at the end of the fiscal year.
*
- I have read and accept the above
Signature*
By typing your name, you are registering with Accountable Value Financial Services for a PHSP plan
Phone
This field is for validation purposes and should be left unchanged.

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What is Covered

A | B | C | D | E | F | G | H | I | J | K | L | M | N | O | P | Q | R | S | T | U | V | W | X | Y | Z

Over the Counter Medication:

How do I register?

Registration Form

Registration Form

Step 1 of 7

Company Information

Contact Information

Coverage Information

Employee Information

Referral

Registration Fee

Interac eTransfer

Cheque

Credit Card / Invoice

Waived by Referrer

How did you hear about us?

Terms of Service

Class Name	Class Amount

Class Name	Class Amount

First Name & Last Name	Street Address	City	Province	Postal Code	Phone Number	Email	Effective Date	Class Coverage	Employee or Spouse	Reimbursement Method (eTransfer / Cheque)