The following are deemed not to be entitled services:
(a)
elective plastic surgery or other services for cosmetic purposes;
(a.01)
correction of inverted nipple;
(a.02)
breast augmentation;
(a.03)
otoplasty for persons over the age of eighteen;
(a.04)
removal of minor skin lesions, except where the lesions are or are suspected to be pre-cancerous;
(a.1)
abortion, unless the abortion is performed in a hospital facility approved by the jurisdiction in which the hospital facility is located;
(a.2)
surgical assistance for cataract surgery unless such assistance is required because of risk of procedural failure, other than the risk inherent in the removal of the cataract itself, due to the existence of an illness or other complication;
(b)
medicines, drugs, materials, surgical supplies or prosthetic devices;
(c)
Repealed: 2016-33
(d)
advice or prescription renewal by telephone which is not specifically provided for in the Schedule of Fees;
(e)
examinations of medical records or certificates at the request of a third party, or other services required by hospital regulations or medical by-laws, except examinations of medical records or certificates as part of a forensic psychiatric assessment ordered by a court;
(f)
dental services provided by a medical practitioner or an oral and maxillofacial surgeon;
(f.1)
services that are generally accepted within New Brunswick as experimental or that are provided as applied research;
(f.2)
services that are provided in conjunction with or in relation to the services referred to in paragraph (f.1);
(g)
Repealed: 96-111
(h)
testimony in a court or before any other tribunal, except with respect to a forensic psychiatric assessment ordered by a court;
(i)
immunization, examinations or certificates for purpose of travel, employment, emigration, insurance, or at the request of any third party;
(j)
services provided by medical practitioners or oral and maxillofacial surgeons to members of their immediate family;
(k)
psychoanalysis;
(l)
electrocardiogram (E.C.G.) where not performed by a specialist in internal medicine or paediatrics;
(m)
laboratory procedures not included as part of an examination or consultation fee;
(n)
refractions;
(n.1)
services provided within the Province by medical practitioners, oral and maxillofacial surgeons or dental practitioners for which the fee exceeds the amount payable under this Regulation;
(o)
the fitting and supplying of eye glasses or contact lenses;
(p)
Repealed: 2016-50
(p.1)
Repealed: 2022, c.43, s.4
(q)
acupuncture;
(r)
complete medical examinations when performed for the purposes of a periodic check-up and not for medically necessary purposes;
(s)
circumcision of the newborn;
(t)
reversal of vasectomies;
(u)
second and subsequent injections for impotence;
(v)
reversal of tubal ligations;
(w)
intrauterine insemination;
(x)
bariatric surgery unless the person has a body mass index
(i)
of 40 or greater, or
(ii)
of 35 or greater but less than 40, as well as obesity-related comorbid conditions;
(y)
venipuncture for the purposes of the taking of blood when performed as a stand-alone procedure in a facility that is not an approved hospital facility.
The following are deemed not to be entitled services:
(a)
elective plastic surgery or other services for cosmetic purposes;
(a.01)
correction of inverted nipple;
(a.02)
breast augmentation;
(a.03)
otoplasty for persons over the age of eighteen;
(a.04)
removal of minor skin lesions, except where the lesions are or are suspected to be pre-cancerous;
(a.1)
abortion, unless the abortion is performed in a hospital facility approved by the jurisdiction in which the hospital facility is located;
(a.2)
surgical assistance for cataract surgery unless such assistance is required because of risk of procedural failure, other than the risk inherent in the removal of the cataract itself, due to the existence of an illness or other complication;
(b)
medicines, drugs, materials, surgical supplies or prosthetic devices;
(c)
Repealed: 2016-33
(d)
advice or prescription renewal by telephone which is not specifically provided for in the Schedule of Fees;
(e)
examinations of medical records or certificates at the request of a third party, or other services required by hospital regulations or medical by-laws, except examinations of medical records or certificates as part of a forensic psychiatric assessment ordered by a court;
(f)
dental services provided by a medical practitioner or an oral and maxillofacial surgeon;
(f.1)
services that are generally accepted within New Brunswick as experimental or that are provided as applied research;
(f.2)
services that are provided in conjunction with or in relation to the services referred to in paragraph (f.1);
(g)
Repealed: 96-111
(h)
testimony in a court or before any other tribunal, except with respect to a forensic psychiatric assessment ordered by a court;
(i)
immunization, examinations or certificates for purpose of travel, employment, emigration, insurance, or at the request of any third party;
(j)
services provided by medical practitioners or oral and maxillofacial surgeons to members of their immediate family;
(k)
psychoanalysis;
(l)
electrocardiogram (E.C.G.) where not performed by a specialist in internal medicine or paediatrics;
(m)
laboratory procedures not included as part of an examination or consultation fee;
(n)
refractions;
(n.1)
services provided within the Province by medical practitioners, oral and maxillofacial surgeons or dental practitioners for which the fee exceeds the amount payable under this Regulation;
(o)
the fitting and supplying of eye glasses or contact lenses;
(p)
Repealed: 2016-50
(p.1)
radiology services provided in the Province by a private radiology clinic;
(q)
acupuncture;
(r)
complete medical examinations when performed for the purposes of a periodic check-up and not for medically necessary purposes;
(s)
circumcision of the newborn;
(t)
reversal of vasectomies;
(u)
second and subsequent injections for impotence;
(v)
reversal of tubal ligations;
(w)
intrauterine insemination;
(x)
bariatric surgery unless the person has a body mass index
(i)
of 40 or greater, or
(ii)
of 35 or greater but less than 40, as well as obesity-related comorbid conditions;
(y)
venipuncture for the purposes of the taking of blood when performed as a stand-alone procedure in a facility that is not an approved hospital facility.
The following are deemed not to be entitled services:
(a)
elective plastic surgery or other services for cosmetic purposes;
(a.01)
correction of inverted nipple;
(a.02)
breast augmentation;
(a.03)
otoplasty for persons over the age of eighteen;
(a.04)
removal of minor skin lesions, except where the lesions are or are suspected to be pre-cancerous;
(a.1)
abortion, unless the abortion is performed in a hospital facility approved by the jurisdiction in which the hospital facility is located;
(a.2)
surgical assistance for cataract surgery unless such assistance is required because of risk of procedural failure, other than the risk inherent in the removal of the cataract itself, due to the existence of an illness or other complication;
(b)
medicines, drugs, materials, surgical supplies or prosthetic devices;
(c)
Repealed: 2016-33
(d)
advice or prescription renewal by telephone which is not specifically provided for in the Schedule of Fees;
(e)
examinations of medical records or certificates at the request of a third party, or other services required by hospital regulations or medical by-laws;
(f)
dental services provided by a medical practitioner or an oral and maxillofacial surgeon;
(f.1)
services that are generally accepted within New Brunswick as experimental or that are provided as applied research;
(f.2)
services that are provided in conjunction with or in relation to the services referred to in paragraph (f.1);
(g)
Repealed: 96-111
(h)
testimony in a court or before any other tribunal;
(i)
immunization, examinations or certificates for purpose of travel, employment, emigration, insurance, or at the request of any third party;
(j)
services provided by medical practitioners or oral and maxillofacial surgeons to members of their immediate family;
(k)
psychoanalysis;
(l)
electrocardiogram (E.C.G.) where not performed by a specialist in internal medicine or paediatrics;
(m)
laboratory procedures not included as part of an examination or consultation fee;
(n)
refractions;
(n.1)
services provided within the Province by medical practitioners, oral and maxillofacial surgeons or dental practitioners for which the fee exceeds the amount payable under this Regulation;
(o)
the fitting and supplying of eye glasses or contact lenses;
(p)
Repealed: 2016-50
(p.1)
radiology services provided in the Province by a private radiology clinic;
(q)
acupuncture;
(r)
complete medical examinations when performed for the purposes of a periodic check-up and not for medically necessary purposes;
(s)
circumcision of the newborn;
(t)
reversal of vasectomies;
(u)
second and subsequent injections for impotence;
(v)
reversal of tubal ligations;
(w)
intrauterine insemination;
(x)
bariatric surgery unless the person has a body mass index
(i)
of 40 or greater, or
(ii)
of 35 or greater but less than 40, as well as obesity-related comorbid conditions;
(y)
venipuncture for the purposes of the taking of blood when performed as a stand-alone procedure in a facility that is not an approved hospital facility.
The following are deemed not to be entitled services:
(a)
elective plastic surgery or other services for cosmetic purposes;
(a.01)
correction of inverted nipple;
(a.02)
breast augmentation;
(a.03)
otoplasty for persons over the age of eighteen;
(a.04)
removal of minor skin lesions, except where the lesions are or are suspected to be pre-cancerous;
(a.1)
abortion, unless the abortion is performed in a hospital facility approved by the jurisdiction in which the hospital facility is located;
(a.2)
surgical assistance for cataract surgery unless such assistance is required because of risk of procedural failure, other than the risk inherent in the removal of the cataract itself, due to the existence of an illness or other complication;
(b)
medicines, drugs, materials, surgical supplies or prosthetic devices;
(c)
Repealed: 2016-33
(d)
advice or prescription renewal by telephone which is not specifically provided for in the Schedule of Fees;
(e)
examinations of medical records or certificates at the request of a third party, or other services required by hospital regulations or medical by-laws;
(f)
dental services provided by a medical practitioner or an oral and maxillofacial surgeon;
(f.1)
services that are generally accepted within New Brunswick as experimental or that are provided as applied research;
(f.2)
services that are provided in conjunction with or in relation to the services referred to in paragraph (f.1);
(g)
Repealed: 96-111
(h)
testimony in a court or before any other tribunal;
(i)
immunization, examinations or certificates for purpose of travel, employment, emigration, insurance, or at the request of any third party;
(j)
services provided by medical practitioners or oral and maxillofacial surgeons to members of their immediate family;
(k)
psychoanalysis;
(l)
electrocardiogram (E.C.G.) where not performed by a specialist in internal medicine or paediatrics;
(m)
laboratory procedures not included as part of an examination or consultation fee;
(n)
refractions;
(n.1)
services provided within the Province by medical practitioners, oral and maxillofacial surgeons or dental practitioners for which the fee exceeds the amount payable under this Regulation;
(o)
the fitting and supplying of eye glasses or contact lenses;
(p)
Repealed: 2016-50
(p.1)
radiology services provided in the Province by a private radiology clinic;
(q)
acupuncture;
(r)
complete medical examinations when performed for the purposes of a periodic check-up and not for medically necessary purposes;
(s)
circumcision of the newborn;
(t)
reversal of vasectomies;
(u)
second and subsequent injections for impotence;
(v)
reversal of tubal ligations;
(w)
intrauterine insemination;
(x)
bariatric surgery unless the person has a body mass index
(i)
of 40 or greater, or
(ii)
of 35 or greater but less than 40, as well as obesity-related comorbid conditions;
(y)
venipuncture for the purposes of the taking of blood when performed as a stand-alone procedure in a facility that is not an approved hospital facility.
The following are deemed not to be entitled services:
(a)
elective plastic surgery or other services for cosmetic purposes;
(a.01)
correction of inverted nipple;
(a.02)
breast augmentation;
(a.03)
otoplasty for persons over the age of eighteen;
(a.04)
removal of minor skin lesions, except where the lesions are or are suspected to be pre-cancerous;
(a.1)
abortion, unless the abortion is performed in a hospital facility approved by the jurisdiction in which the hospital facility is located;
(a.2)
surgical assistance for cataract surgery unless such assistance is required because of risk of procedural failure, other than the risk inherent in the removal of the cataract itself, due to the existence of an illness or other complication;
(b)
medicines, drugs, materials, surgical supplies or prosthetic devices;
(c)
Repealed: 2016-33
(d)
advice or prescription renewal by telephone which is not specifically provided for in the Schedule of Fees;
(e)
examinations of medical records or certificates at the request of a third party, or other services required by hospital regulations or medical by-laws;
(f)
dental services provided by a medical practitioner or an oral and maxillofacial surgeon;
(f.1)
services that are generally accepted within New Brunswick as experimental or that are provided as applied research;
(f.2)
services that are provided in conjunction with or in relation to the services referred to in paragraph (f.1);
(g)
Repealed: 96-111
(h)
testimony in a court or before any other tribunal;
(i)
immunization, examinations or certificates for purpose of travel, employment, emigration, insurance, or at the request of any third party;
(j)
services provided by medical practitioners or oral and maxillofacial surgeons to members of their immediate family;
(k)
psychoanalysis;
(l)
electrocardiogram (E.C.G.) where not performed by a specialist in internal medicine or paediatrics;
(m)
laboratory procedures not included as part of an examination or consultation fee;
(n)
refractions;
(n.1)
services provided within the Province by medical practitioners, oral and maxillofacial surgeons or dental practitioners for which the fee exceeds the amount payable under this Regulation;
(o)
the fitting and supplying of eye glasses or contact lenses;
(p)
trans-sexual surgery;
(p.1)
radiology services provided in the Province by a private radiology clinic;
(q)
acupuncture;
(r)
complete medical examinations when performed for the purposes of a periodic check-up and not for medically necessary purposes;
(s)
circumcision of the newborn;
(t)
reversal of vasectomies;
(u)
second and subsequent injections for impotence;
(v)
reversal of tubal ligations;
(w)
intrauterine insemination;
(x)
bariatric surgery unless the person has a body mass index
(i)
of 40 or greater, or
(ii)
of 35 or greater but less than 40, as well as obesity-related comorbid conditions;
(y)
venipuncture for the purposes of the taking of blood when performed as a stand-alone procedure in a facility that is not an approved hospital facility.
The following are deemed not to be entitled services:
(a)
elective plastic surgery or other services for cosmetic purposes;
(a.01)
correction of inverted nipple;
(a.02)
breast augmentation;
(a.03)
otoplasty for persons over the age of eighteen;
(a.04)
removal of minor skin lesions, except where the lesions are or are suspected to be pre-cancerous;
(a.1)
abortion, unless the abortion is performed in a hospital facility approved by the jurisdiction in which the hospital facility is located;
(a.2)
surgical assistance for cataract surgery unless such assistance is required because of risk of procedural failure, other than the risk inherent in the removal of the cataract itself, due to the existence of an illness or other complication;
(b)
medicines, drugs, materials, surgical supplies or prosthetic devices;
(c)
vaccines, serums, drugs and biological products listed in sections 106 and 108 of New Brunswick Regulation 88-200 under the Health Act;
(d)
advice or prescription renewal by telephone which is not specifically provided for in the Schedule of Fees;
(e)
examinations of medical records or certificates at the request of a third party, or other services required by hospital regulations or medical by-laws;
(f)
dental services provided by a medical practitioner or an oral and maxillofacial surgeon;
(f.1)
services that are generally accepted within New Brunswick as experimental or that are provided as applied research;
(f.2)
services that are provided in conjunction with or in relation to the services referred to in paragraph (f.1);
(g)
Repealed: 96-111
(h)
testimony in a court or before any other tribunal;
(i)
immunization, examinations or certificates for purpose of travel, employment, emigration, insurance, or at the request of any third party;
(j)
services provided by medical practitioners or oral and maxillofacial surgeons to members of their immediate family;
(k)
psychoanalysis;
(l)
electrocardiogram (E.C.G.) where not performed by a specialist in internal medicine or paediatrics;
(m)
laboratory procedures not included as part of an examination or consultation fee;
(n)
refractions;
(n.1)
services provided within the Province by medical practitioners, oral and maxillofacial surgeons or dental practitioners for which the fee exceeds the amount payable under this Regulation;
(o)
the fitting and supplying of eye glasses or contact lenses;
(p)
trans-sexual surgery;
(p.1)
radiology services provided in the Province by a private radiology clinic;
(q)
acupuncture;
(r)
complete medical examinations when performed for the purposes of a periodic check-up and not for medically necessary purposes;
(s)
circumcision of the newborn;
(t)
reversal of vasectomies;
(u)
second and subsequent injections for impotence;
(v)
reversal of tubal ligations;
(w)
intrauterine insemination;
(x)
bariatric surgery unless the person has a body mass index
(i)
of 40 or greater, or
(ii)
of 35 or greater but less than 40, as well as obesity-related comorbid conditions;
(y)
venipuncture for the purposes of the taking of blood when performed as a stand-alone procedure in a facility that is not an approved hospital facility.
The following are deemed not to be entitled services:
(a)
elective plastic surgery or other services for cosmetic purposes;
(a.01)
correction of inverted nipple;
(a.02)
breast augmentation;
(a.03)
otoplasty for persons over the age of eighteen;
(a.04)
removal of minor skin lesions, except where the lesions are or are suspected to be pre-cancerous;
(a.1)
abortion, unless the abortion is performed by a specialist in the field of obstetrics and gynaecology in a hospital facility approved by the jurisdiction in which the hospital facility is located and two medical practitioners certify in writing that the abortion was medically required;
(a.2)
surgical assistance for cataract surgery unless such assistance is required because of risk of procedural failure, other than the risk inherent in the removal of the cataract itself, due to the existence of an illness or other complication;
(b)
medicines, drugs, materials, surgical supplies or prosthetic devices;
(c)
vaccines, serums, drugs and biological products listed in sections 106 and 108 of New Brunswick Regulation 88-200 under the Health Act;
(d)
advice or prescription renewal by telephone which is not specifically provided for in the Schedule of Fees;
(e)
examinations of medical records or certificates at the request of a third party, or other services required by hospital regulations or medical by-laws;
(f)
dental services provided by a medical practitioner or an oral and maxillofacial surgeon;
(f.1)
services that are generally accepted within New Brunswick as experimental or that are provided as applied research;
(f.2)
services that are provided in conjunction with or in relation to the services referred to in paragraph (f.1);
(g)
Repealed: 96-111
(h)
testimony in a court or before any other tribunal;
(i)
immunization, examinations or certificates for purpose of travel, employment, emigration, insurance, or at the request of any third party;
(j)
services provided by medical practitioners or oral and maxillofacial surgeons to members of their immediate family;
(k)
psychoanalysis;
(l)
electrocardiogram (E.C.G.) where not performed by a specialist in internal medicine or paediatrics;
(m)
laboratory procedures not included as part of an examination or consultation fee;
(n)
refractions;
(n.1)
services provided within the Province by medical practitioners, oral and maxillofacial surgeons or dental practitioners for which the fee exceeds the amount payable under this Regulation;
(o)
the fitting and supplying of eye glasses or contact lenses;
(p)
trans-sexual surgery;
(p.1)
radiology services provided in the Province by a private radiology clinic;
(q)
acupuncture;
(r)
complete medical examinations when performed for the purposes of a periodic check-up and not for medically necessary purposes;
(s)
circumcision of the newborn;
(t)
reversal of vasectomies;
(u)
second and subsequent injections for impotence;
(v)
reversal of tubal ligations;
(w)
intrauterine insemination;
(x)
bariatric surgery unless the person has a body mass index
(i)
of 40 or greater, or
(ii)
of 35 or greater but less than 40, as well as obesity-related comorbid conditions;
(y)
venipuncture for the purposes of the taking of blood when performed as a stand-alone procedure in a facility that is not an approved hospital facility.
The following are deemed not to be entitled services:
(a)
elective plastic surgery or other services for cosmetic purposes;
(a.01)
correction of inverted nipple;
(a.02)
breast augmentation;
(a.03)
otoplasty for persons over the age of eighteen;
(a.04)
removal of minor skin lesions, except where the lesions are or are suspected to be pre-cancerous;
(a.1)
abortion, unless the abortion is performed by a specialist in the field of obstetrics and gynaecology in a hospital facility approved by the jurisdiction in which the hospital facility is located and two medical practitioners certify in writing that the abortion was medically required;
(a.2)
surgical assistance for cataract surgery unless such assistance is required because of risk of procedural failure, other than the risk inherent in the removal of the cataract itself, due to the existence of an illness or other complication;
(b)
medicines, drugs, materials, surgical supplies or prosthetic devices;
(c)
vaccines, serums, drugs and biological products listed in sections 106 and 108 of New Brunswick Regulation 88-200 under the Health Act;
(d)
advice or prescription renewal by telephone which is not specifically provided for in the Schedule of Fees;
(e)
examinations of medical records or certificates at the request of a third party, or other services required by hospital regulations or medical by-laws;
(f)
dental services provided by a medical practitioner or an oral and maxillofacial surgeon;
(f.1)
services that are generally accepted within New Brunswick as experimental or that are provided as applied research;
(f.2)
services that are provided in conjunction with or in relation to the services referred to in paragraph (f.1);
(g)
Repealed: 96-111
(h)
testimony in a court or before any other tribunal;
(i)
immunization, examinations or certificates for purpose of travel, employment, emigration, insurance, or at the request of any third party;
(j)
services provided by medical practitioners or oral and maxillofacial surgeons to members of their immediate family;
(k)
psychoanalysis;
(l)
electrocardiogram (E.C.G.) where not performed by a specialist in internal medicine or paediatrics;
(m)
laboratory procedures not included as part of an examination or consultation fee;
(n)
refractions;
(n.1)
services provided within the Province by medical practitioners, oral and maxillofacial surgeons or dental practitioners for which the fee exceeds the amount payable under this Regulation;
(o)
the fitting and supplying of eye glasses or contact lenses;
(p)
trans-sexual surgery;
(p.1)
radiology services provided in the Province by a private radiology clinic;
(q)
acupuncture;
(r)
complete medical examinations when performed for the purposes of a periodic check-up and not for medically necessary purposes;
(s)
circumcision of the newborn;
(t)
reversal of vasectomies;
(u)
second and subsequent injections for impotence;
(v)
reversal of tubal ligations;
(w)
intrauterine insemination;
(x)
bariatric surgery unless the person has a body mass index
(i)
of 40 or greater, or
(ii)
of 35 or greater but less than 40, as well as obesity-related comorbid conditions;
(y)
venipuncture for the purposes of the taking of blood when performed as a stand-alone procedure in a facility that is not an approved hospital facility.
The following are deemed not to be entitled services:
(a)
elective plastic surgery or other services for cosmetic purposes;
(a.01)
correction of inverted nipple;
(a.02)
breast augmentation;
(a.03)
otoplasty for persons over the age of eighteen;
(a.04)
removal of minor skin lesions, except where the lesions are or are suspected to be pre-cancerous;
(a.1)
abortion, unless the abortion is performed by a specialist in the field of obstetrics and gynaecology in a hospital facility approved by the jurisdiction in which the hospital facility is located and two medical practitioners certify in writing that the abortion was medically required;
(a.2)
surgical assistance for cataract surgery unless such assistance is required because of risk of procedural failure, other than the risk inherent in the removal of the cataract itself, due to the existence of an illness or other complication;
(b)
medicines, drugs, materials, surgical supplies or prosthetic devices;
(c)
vaccines, serums, drugs and biological products listed in sections 106 and 108 of New Brunswick Regulation 88-200 under the Health Act;
(d)
advice or prescription renewal by telephone which is not specifically provided for in the Schedule of Fees;
(e)
examinations of medical records or certificates at the request of a third party, or other services required by hospital regulations or medical by-laws;
(f)
dental services provided by a medical practitioner or an oral and maxillofacial surgeon;
(f.1)
services that are generally accepted within New Brunswick as experimental or that are provided as applied research;
(f.2)
services that are provided in conjunction with or in relation to the services referred to in paragraph (f.1);
(g)
Repealed: 96-111
(h)
testimony in a court or before any other tribunal;
(i)
immunization, examinations or certificates for purpose of travel, employment, emigration, insurance, or at the request of any third party;
(j)
services provided by medical practitioners or oral and maxillofacial surgeons to members of their immediate family;
(k)
psychoanalysis;
(l)
electrocardiogram (E.C.G.) where not performed by a specialist in internal medicine or paediatrics;
(m)
laboratory procedures not included as part of an examination or consultation fee;
(n)
refractions;
(n.1)
services provided within the Province by medical practitioners, oral and maxillofacial surgeons or dental practitioners for which the fee exceeds the amount payable under this Regulation;
(o)
the fitting and supplying of eye glasses or contact lenses;
(p)
trans-sexual surgery;
(p.1)
radiology services provided in the Province by a private radiology clinic;
(q)
acupuncture;
(r)
complete medical examinations when performed for the purposes of a periodic check-up and not for medically necessary purposes;
(s)
circumcision of the newborn;
(t)
reversal of vasectomies;
(u)
second and subsequent injections for impotence;
(v)
reversal of tubal ligations;
(w)
intrauterine insemination;
(x)
bariatric surgery unless the person
(i)
has a body mass index of 40 or greater,
(ii)
has obesity-related comorbid conditions, and
(iii)
has, under the supervision of a medical practitioner, commenced and failed an exercise and diet program to reduce the person’s weight to a more acceptable level;
(y)
venipuncture for the purposes of the taking of blood when performed as a stand-alone procedure in a facility that is not an approved hospital facility.