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5.0 Health Care Programs

Treatment Benefits and Services

In recognition of their service to the country, the Treatment Benefits and Services Program provides eligible Veterans, certain Reserve Force personnel, civilians, and their survivors and dependants and other individuals with access to appropriate treatment benefits for their health needs. Treatment benefits include medical, surgical or dental examinations or treatment; surgical or prosthetic devices and aids and their maintenance; home adaptations to accommodate the use of devices or aids; preventative health care; pharmaceuticals; and travel and other expenses incurred to access these benefits.

Table 5.1 Treatment Benefits Recipients

Treatment Benefits Recipients Actuals as of March 31, 2021
2016–17 2017–18 2018–19 2019–20 2020–21
War Service Veterans 28,266 23,330 18,548 14,565 10,790
Canadian Armed Forces (CAF) Veterans 51,698 55,422 60,141 63,655 63,940
Total: Recipients 79,964 78,752 78,689 78,220 74,730
Treatment Benefits Recipients ForecastFootnote 1
2021–22 2022–23 2023–24 2024–25 2025–26
War Service Veterans 8,000 6,300 4,800 3,600 2,600
Canadian Armed Forces (CAF) Veterans 76,000 82,400 87,000 89,400 91,700
Total: Recipients 84,000 88,700 91,800 93,000 94,300

Source: Chief Financial Officer and Corporate Services Branch

Table 5.2 Treatment Benefits and Other Health Purchased Services (OHPS) Expenditures

The tables below provide the actual and forecasted expenditure breakdown by Program of Choice (POC) and Other Health Purchased Services (OHPS).

Treatment Benefits (POC) and OHPS Expenditures (in $ millions) Actuals as of March 31, 2021
2016–17 2017–18 2018–19 2019–20 2020–21
POC 1 – Aids for Daily Living $1.7 $1.6 $1.7 $1.6 $1.4
POC 2 – Ambulance Services $1.3 $1.1 $0.8 $0.7 $0.5
POC 3 – Audio Program $44.6 $44.1 $45.7 $41.0 $37.9
POC 4 – Dental Services $11.4 $10.1 $9.1 $9.9 $4.9
POC 5 – Hospital Services $10.4 $10.7 $13.1 $12.5 $12.3
POC 6 – Medical Services $3.1 $4.2 $5.2 $6.1 $7.2
POC 7 – Medical Supplies $4.9 $4.5 $4.1 $3.9 $4.0
POC 8 – Nursing Services $7.6 $6.9 $6.8 $6.4 $4.7
POC 9 – Oxygen Therapy $2.0 $1.8 $2.1 $2.4 $2.4
POC 10 – Prescription DrugsFootnote 2 $70.9 $66.3 $66.2 $66.1 $71.8
POC 10 – Cannabis for Medical Purposes $63.7 $50.8 $74.6 $85.2 $119.0
POC 11 – Prosthetics & Orthotics $3.5 $3.4 $3.6 $4.2 $4.3
POC 12 – Related Health Services $58.8 $71.7 $86.7 $92.2 $91.3
POC 13 – Special Equipment $20.7 $19.4 $19.3 $18.0 $13.6
POC 14 – Vision Care $3.6 $3.2 $2.6 $2.4 $1.6
Subtotal: Treatment Benefits ExpendituresFootnote 3Footnote 4 $308.0 $299.6 $340.9 $352.7 $375.2
Remainder of OHPS
Non-Departmental Hospital Charges (Long Term Care) $203.4 $192.3 $184.1 $173.4 $157.2
Veterans Travel $18.2 $19.6 $22.6 $24.8 $15.2
Other Remainder of OHPSFootnote 5 $60.4 $71.7 $74.2 $79.3 $80.0
Subtotal: OHPS ExpendituresFootnote 3 $282.0 $283.7 $280.9 $277.5 $252.4
Total: Treatment Benefits and OHPS ExpendituresFootnote 3 $590.1 $583.3 $621.6 $630.2 $627.6
Treatment Benefits (POC) and OHPS Expenditures (in $ millions) ForecastFootnote 6
2021–22 2022–23 2023–24 2024–25 2025–26
POC 1 - Aids for Daily Living $1.6 $1.7 $1.7 $1.7 $1.7
POC 2 - Ambulance Services $0.6 $0.6 $0.6 $0.5 $0.5
POC 3 - Audio Program $44.3 $44.1 $42.2 $38.7 $34.4
POC 4 - Dental Services $6.9 $6.8 $6.6 $6.5 $6.4
POC 5 - Hospital Services $19.4 $21.4 $23.0 $24.1 $25.3
POC 6 - Medical Services $9.0 $10.0 $10.8 $11.3 $11.8
POC 7 - Medical Supplies $4.0 $4.3 $4.6 $4.8 $5.1
POC 8 - Nursing Services $6.4 $6.6 $6.7 $6.7 $6.8
POC 9 - Oxygen Therapy $2.8 $3.0 $3.2 $3.4 $3.5
POC 10 - Prescription DrugsFootnote 2 $83.8 $93.6 $102.8 $110.8 $119.7
POC 10 - Cannabis for Medical Purposes (CMP)Footnote 7 $156.0 $195.2 $233.9 $276.0 $321.5
POC 11 - Prosthetics & Orthotics $5.0 $5.5 $5.9 $6.2 $6.4
POC 12 - Related Health Services $136.9 $163.6 $190.6 $216.3 $244.7
POC 13 - Special Equipment $16.2 $16.3 $16.4 $16.3 $16.3
POC 14 - Vision Care $1.9 $1.9 $1.8 $1.8 $1.8
Subtotal: Treatment Benefits ExpendituresFootnote 3Footnote 4 $492.0 $571.4 $647.2 $721.0 $801.4
Remainder of OHPS
Non-Departmental Hospital Charges (Long Term Care) $156.0 $147.9 $145.1 $141.7 $139.0
Veterans Travel $22.2 $23.8 $24.9 $26.1 $27.3
Other Remainder of OHPSFootnote 5 $97.6 $98.3 $99.1 $100.7 $100.2
Subtotal: OHPS ExpendituresFootnote 3 $275.8 $270.0 $269.1 $268.5 $266.5
Total: Treatment Benefits and OHPS ExpendituresFootnote 3 $767.8 $841.4 $916.3 $989.5 $1,067.9

Source: Chief Financial Officer and Corporate Services Branch

Veterans Independence Program (VIP)

The Veterans Independence Program (VIP) provides funding to eligible Veterans, certain Reserve Force personnel, civilians, as well as survivors and primary caregivers so that they can access home and community care and support services to meet their physical, mental and social needs. This assistance allows them to remain healthy and independent in their own homes and communities. The services and benefits which may be funded include home care services and personal care (housekeeping, access to nutrition, grounds maintenance, ambulatory) home adaptations and transportation services. VIP housekeeping and/or grounds maintenance services are available to eligible survivors and primary caregivers.

Table 5.3 Veterans Independence Program Recipients

VIP Recipients Actuals as of March 31, 2021
2016–17 2017–18 2018–19 2019–20 2020–21
War Service Veterans 21,497 17,548 13,910 11,668 9,137
Canadian Armed Forces Veterans 32,912 35,807 38,822 42,022 44,399
Subtotal: Veterans 54,409 53,355 52,732 53,690 53,536
Survivors 36,445 34,931 33,094 30,165 28,173
Total: VIP RecipientsFootnote 8 90,854 88,286 85,826 83,855 81,709
VIP Recipients ForecastFootnote 9
2021–22 2022–23 2023–24 2024–25 2025–26
War Service Veterans 7,200 5,800 4,500 3,500 2,600
Canadian Armed Forces Veterans 53,400 59,200 63,300 65,900 68,400
Subtotal: Veterans 60,600 64,900 67,800 69,400 71,000
Survivors 27,400 26,600 26,000 25,500 25,100
Total: VIP Recipients Footnote 8 88,000 91,500 93,800 94,900 96,100

Source: Chief Financial Officer and Corporate Services Branch

Table 5.4 Veterans Independence Program Expenditures

The tables below provide the actual and forecasted expenditure breakdown by the services and benefits included in the Veterans Independence Program.

VIP Expenditures (in $ millions) Actuals as of March 31, 2021
2016–17 2017–18 2018–19 2019–20 2020–21
Ambulatory Care $0.4 $0.3 $0.3 $0.3 $0.1
Health and Support Services $0.9 $1.1 $1.6 $2.1 $1.4
Access to Nutrition $6.0 $5.2 $4.8 $4.5 $4.6
Personal Care $25.0 $25.6 $27.4 $26.9 $29.1
HousekeepingFootnote 10 $0.0 $0.0 $0.0 $0.0 $0.0
Grounds MaintenanceFootnote 10 $0.0 $0.0 $0.0 $0.0 $0.0
Transportation Services $0.7 $0.5 $0.4 $0.3 $0.2
Home Adaptations $1.5 $1.7 $2.3 $2.8 $2.8
Adult Residential CareFootnote 10 $0.0 $0.0 $0.0 $0.0 $0.0
Intermediate Care $46.7 $44.6 $38.4 $34.6 $33.7
Subtotal: ContributionsFootnote 11 $81.3 $79.1 $75.3 $71.5 $71.9
Housekeeping and Grounds Maintenance (Grants)Footnote 11 $268.8 $265.5 $266.9 $267.6 $267.1
Total: VIP ExpendituresFootnote 11 $350.2 $344.6 $342.2 $399.2 $339.1
VIP Expenditures (in $ millions) ForecastFootnote 12
2021–22 2022–23 2023–24 2024–25 2025–26
Ambulatory Care $0.3 $0.3 $0.3 $0.3 $0.3
Health and Support Services $2.2 $2.5 $2.7 $2.9 $3.1
Access to Nutrition $4.7 $4.9 $5.1 $5.2 $5.4
Personal Care $29.2 $31.3 $33.5 $35.6 $38.0
Transportation Services $0.2 $0.2 $0.2 $0.1 $0.1
Home Adaptations $3.4 $3.8 $4.2 $4.4 $4.7
Adult Residential CareFootnote 10 $0.0 $0.0 $0.0 $0.0 $0.0
Intermediate Care $33.0 $34.8 $36.8 $38.8 $41.2
Subtotal: ContributionsFootnote 11 $73.0 $77.7 $82.7 $87.5 $92.8
Housekeeping (Grants) $199.7 $213.6 $225.9 $236.2 $247.6
Grounds Maintenance (Grants) $77.6 $86.1 $93.5 $99.8 $106.4
Subtotal: Grants $277.3 $299.7 $319.4 $336.0 $354.0
Total: VIP ExpendituresFootnote 11 $350.3 $377.4 $402.1 $423.5 $446.8

Source: Chief Financial Officer and Corporate Services Branch

Long Term Care (LTC)

Through the Long Term Care Program and the Intermediate Care component of the Veterans Independence Program, the Department provides financial support to eligible war Veterans and Canadian Armed Forces Veterans who need long term/nursing home care, or short term (respite) care.

These programs work in collaboration with provincial, regional or local health authorities and long-term care facilities to ensure Veterans are supported in an appropriate long term care setting that meets their individual needs.

To be eligible for financial support, Veterans must be assessed as needing long-term care by a health care professional as well as meet service eligibility requirements.

Eligible Veterans may qualify for financial support in two types of long term care settings:

Community beds located in nursing homes and other residential/long term care facilities found in many communities across Canada. Depending on Veteran eligibility, these beds can be funded through either OHPS or VIP.

Contract beds, also referred to as priority access beds, which are allocated to more than 160 health care facilities where the Department has a contractual arrangement with the province, health authority, and/or facility to provide priority access to a designated number of beds for war Veterans. These beds are funded exclusively through the OHPS allotment.

The type of setting in which Veterans can receive departmental support varies depending on type and location of military service, income, health care need, and whether their need for long term care is linked to a service related disability/illness.

Some nursing homes and other residential/long-term care facilities provide care to Veterans in contract as well as community beds within the same facility.

Table 5.5 Long Term Care Recipients and Expenditures

Care Settings Actuals as of March 31, 2021 YTD
Dec 2021
2016–17 2017–18 2018–19 2019–20 2020–21
Veterans in Departmental Beds n/aFootnote 13 n/aFootnote 13 n/aFootnote 13 n/aFootnote 13 n/aFootnote 13 n/aFootnote 13
Veterans in Contract Beds (LTC funded) 2,157 1,810 1,525 1,285 946 808
Veterans in Community Beds (LTC funded) 1,247 1,288 1,027 928 718 611
Veterans in Community Beds (VIP funded) 2,326 2,012 1,969 1,776 1,470 1,419
Total: Veterans in LTC Beds 5,730 5,110 4,521 3,989 3,134 2,838
Veterans in Departmental Beds n/aFootnote 13 n/aFootnote 13 n/aFootnote 13 n/aFootnote 13 n/aFootnote 13 n/aFootnote 13
Veterans in Contract Beds (LTC funded) $183.1 $175.6 $169.0 $160.4 $147.0 n/aFootnote 15
Veterans in Community Beds (LTC funded) $20.3 $16.8 $15.1 $13.0 $10.2 n/aFootnote 15
Veterans in Community Beds (VIP funded) $46.7 $44.6 $38.4 $34.6 $33.7 n/aFootnote 15
Subtotal: LTC Facility Funding $250.1 $237.0 $222.5 $208.0 $190.9 n/aFootnote 15
Additional Funding: Ste. Anne's Hospital LTC BedsFootnote 14 $55.7 $4.9 $0.0 $0.0 $0.0 n/aFootnote 15
Total: LTC Expenditures $305.8 $241.9 $222.5 $208.0 $190.9 n/aFootnote 15
Care Setting ForecastFootnote 16
2021–22 2022–23 2023–24 2024–25 2025–26
Veterans in Contract Beds (LTC funded) 780 600 450 340 250
Veterans in Community Beds (LTC funded) 590 480 390 320 270
Veterans in Community Beds (VIP funded) 1,520 1,490 1,470 1,470 1,480
Total: Forecasted Veterans in LTC Beds 2,890 2,570 2,310 2,130 2,000
Veterans in Contract Beds (LTC funded) $147.5 $140.8 $139.2 $136.7 $134.8
Veterans in Community Beds (LTC funded) $8.4 $7.1 $5.9 $5.0 $4.2
Veterans in Community Beds (VIP funded) $33.0 $34.8 $36.8 $38.8 $41.2
Total: Forecasted LTC FundingFootnote 17 $189.0 $182.7 $181.9 $180.5 $180.2

Note: Contract Beds are funded through OHPS, while Community Beds are funded through OHPS and VIP.

Source: Chief Financial Officer and Corporate Services Branch

Rehabilitation and New Veterans Charter (NVC) Support Services

The Rehabilitation Program provides needs-based access to medical, psychosocial and vocational rehabilitation and assistance services to eligible Canadian Armed Forces Veterans who have been medically released, or have rehabilitation needs primarily related to service, to assist them and their families to re-establish in post-service life. Under certain circumstances, survivors and spouses of eligible Veterans may be eligible to receive vocational assistance services and rehabilitation services.

Table 5.6 Rehabilitation Program: Eligible RecipientsFootnote 18 and Expenditures

Rehabilitation Actuals as of March 31, 2021 YTD
Dec 2021
2016–17 2017–18 2018–19 2019–20 2020–21
Veterans 11,600 13,058 13,570 13,987 14,208 13,667
Survivors/Spouses 187 175 179 212 169 143
Total: Rehabilitation Recipients 11,787 13,233 13,749 14,199 14,377 13,810
Rehabilitation Expenditures (in $ millions)Footnote 19Footnote 21 $33.5 $43.6 $53.2 $62.1 $65.5 $54.4
Rehabilitation ForecastFootnote 20
2021–22 2022–23 2023–24 2024–25 2025–26
Veterans 14,300 14,600 15,000 15,400 15,800
Survivors/Spouses 170 200 210 220 230
Total: Rehabilitation Recipients 14,470 14,800 15,210 15,620 16,030
Rehabilitation Expenditures (in $ millions)Footnote 19Footnote 21 $92.5 $97.6 $99.0 $103.6 $108.2

Source: Chief Financial Officer and Corporate Services Branch

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