Appendix B: Detailed program eligibility
- The following individuals may be eligible for VIP services that are not available to them as an insured service under a provincial health care system:
- Pensioners (Veteran, civilian, and special duty service) receiving disability benefits who require VIP in respect of the illness or injury for which they are entitled to disability benefits which include disability pension, disability award and/or pain and suffering compensation, subject to conditions;
- Military service pensioners and former members or reserve force members entitled to a disability award or entitled to pain and suffering compensation, subject to conditions;
- Seriously disabled Veteran pensioners and seriously disabled civilian pensioners;
- War service pensioners (both Veteran and Civilian) whose extent of disability is assessed at 48% or higher under the Pension Act and the Veterans Well-being Act who require VIP services for any health need;
- Disability benefit recipients who have multiple health conditions, which when combined with the condition for which they are entitled to disability benefits, places them at risk due to frailty, may be provided VIP services for any health need;
- War service Veterans and overseas service civilians, who are over age 65, who qualify because of low income―the income levels are established under the War Veterans Allowance Act, subject to conditions;
- Prisoners of war who are entitled to basic compensation under subsection 71.2(1) of the Pension Act and former members and reserve force members who have received a detention benefit under Part 3 of the Veterans Well-being Act, if they are totally disabled, whether by reason of military service or not;
- Overseas Service Veterans eligible for intermediate care or chronic care who are at home awaiting admission to a contract bed, subject to conditions;
- Canada Service Veterans (Veterans who served in Canada only during World War I or World War II for a minimum of 365 days, who are over age 65, and who are income-qualified), subject to conditions;
- A primary caregiver, as defined in s.16(3) of the Veterans Health Care Regulations and for the purposes of s. 16 of the Regulations, means, in relation to a client, the adult who immediately before the client died or was admitted into a health care facility: (a) primarily responsible, without remuneration, for that ensuring care was provided to the client; and (b) for a continuous period of at least one year, resided in the principal residence of the client and maintained the client or was maintained by the client; and
- A survivor, as defined in s. 16.1(2) of the Veterans Health Care Regulations and for the purposes of s. 16 of the Regulations, means, in relation to the person, an adult individual who immediately before the person died or, if the person died in a health care facility, immediately before the person was admitted into the health care facility: (a) was primarily responsible, without remuneration, for ensuring that care was provided to the person; and (b) for a continuous period of at least one year, resided in the principal residence of the person and maintained the person or was maintained by the person.