| Eye Exams, Glasses,
Contact Lenses
& Surgery |
$60 per 2 years
(eye exams only) |
$150 per 2 years |
$300 per 2 years |
| Health Practitioners
|
n/a |
$300 combined
|
$300 per specialist
per year |
| Hearing Aids |
n/a |
$500 per 5 years |
$500 per 3 years |
| Diabetic Supplies
& Equipment |
$300 |
$300 |
$500 |
| Oxygen Equipment |
$500 |
$500 |
$500 |
| Blood Pressure Monitor |
n/a |
n/a |
1 per policy per 5 years |
| Custom made Foot Orthotics |
1 pair every 5 years
for adults
1 pair every year
for children under 16
years of age |
1 pair every 5 years
for adults
1 pair every year
for children under 16
years of age |
1 pair every 5 years
for adults
1 pair every year
for children under 16
years of age |
| Therapeutic Shoes |
n/a |
$200 |
$200 |
| Ostomy Supplies |
$300 |
$300 |
$300 |
| Out-of-Province Referral
(within Canada) |
n/a |
$50,000 lifetime |
$50,000 lifetime |
| Ambulance |
$1,500 |
Unlimited |
Unlimited |
| Air Ambulance |
Unlimited |
Unlimited |
Unlimited |
| Casts & Crutches |
Unlimited |
Unlimited |
Unlimited |
| Preferred Hospital Rooms |
Unlimited |
Unlimited |
Unlimited |
| Private Duty Nursing |
$2,500 |
$2,500 |
$5,000 |
| Accidental Injury to Natural Teeth |
$2,000 per injury |
$2,000 per injury |
$2,000 per injury |
| Wheelchairs, Motorized Scooters & Adjustable Beds |
$500 per policy per 5 years |
$500 per policy per 5 years |
$500 per policy per 5 years |
| Artificial Limbs, Eyes, & Larynx |
$10,000 lifetime |
$10,000 lifetime |
$10,000 lifetime |
| Patient Walkers |
$200 per policy per 3 years |
$200 per policy per 3 years |
$200 per policy per 3 years |
| Breast Prosthesis |
1 if lateral / 2 if bilateral per 2 years |
1 if lateral / 2 if bilateral per 2 years |
1 if lateral / 2 if bilateral per 2 years |
| Health Supplies & Equipment (wigs, splints, compressors,
braces with metal parts, trusses, rib belts, sacroiliac corsets, embolic stockings, aero chambers and more) |
$500 combined |
$500 combined |
$500 combined |
| Travel Coverage (30 days, unlimited number of trips) |
n/a |
$5 million total coverage |
$5 million total coverage |
| Prescription Drug Coverage (coverage per person, per year) |
70% of cost up to $500 Formulary Drugs Only Vaccines/Immunizations |
80% of cost up to $1,500 Formulary
& Non-Formulary Drugs Vaccines/Immunizations |
100% of cost up to $5,000 Formulary
& Non-Formulary Drugs Vaccines/Immunizations |
| Pay-direct Card |
Included |
Included |
Included |