Drug Coverage
Paramedical Practitioners
The following practitioners are covered at $400 per benefit year, per practitioner (unless otherwise indicated):
Vision Coverage
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1 eye exam, every 24 months, $50 maximum
Other Medical Coverage
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Orthotics/Orthopedic Shoes ($250/benefit year)
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Hearing Aids ($400/5 years)
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Cardiac Rehabilitation ($500/benefit year)
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Prosthetics ($10,000/lifetime)
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Medical Supplies (unlimited)
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Emergency Ambulance (unlimited)
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Accidental Dental Coverage ($2,000/lifetime)
Travel Coverage
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If the Insured or eligible dependent becomes ill or injured while traveling, emergency hospital and medical expenses will be paid at 100%, in excess of the amount paid by the Provincial Health Insurance Plan (or equivalent plan).
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This benefit is subject to a $2,000,000 maximum and does not include referral coverage. Eligible benefits are limited to a maximum of 30 days per trip, commencing with the date of departure from your province of residence. If you are hospitalized on the 30th day, benefits will extend until the date of discharge.
Benefits do not include:
This plan will pay 80% of basic covered expenses with no annual deductible.
Benefit payment is based on the current provincial fee schedule to a maximum of $1,000 per calendar year, per Insured.
Covered Dental Expenses
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Oral Examinations (including cleaning & polishing of teeth) - once every 9 months
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Fluoride
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X-Rays
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Fillings
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Space Maintainers
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Extractions
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Anesthesia
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Endodontics (root canal therapy)
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Periodontics (treatment of soft tissue (gums) and bone supporting the teeth)
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Repairs or relining and rebasing of dentures.
Rates are based on your province of residence and whether Single or Family coverage is required.
Please download the Brochure & Application for more information on the plan and rates.