|
Health Benefits |
Silver (3+ employees) |
Gold (3+ employees) |
Platinum (6+ employees) |
| Extended Health (coverage per person) | |||
| Health Practitioners | n/a | $300 combined | $300 per specialist per year |
| Hospital (Preferred Wards) | Unlimited | Unlimited | Unlimited |
| Ambulance Services | $1,500 | Unlimited | Unlimited |
| Air Ambulance | Unlimited | Unlimited | Unlimited |
| Accidental Injury to Natural Teeth | $2,000 per injury | $2,000 per injury | $2,000 per injury |
| Private Duty Nursing | $2,500 | $2,500 | $5,000 |
| Breast Prosthesis | 1 for lateral / 2 for bilateral per 2 years, per person | 1 for lateral / 2 for bilateral per 2 years, per person | 1 for lateral / 2 for bilateral per 2 years, per person |
|
Wheelchairs, Scooters & Adjustable Beds |
$500 per 5 years | $500 per 5 years | $500 per 5 years |
| Patient Walkers | $200 per 3 years | $200 per 3 years | $200 per 3 years |
| Casts and Crutches | Unlimited | Unlimited | Unlimited |
|
Artificial Eyes,
Limbs & Larynx |
$10,000 lifetime max. | $10,000 lifetime max. | $10,000 lifetime max. |
|
Diabetic Supplies
& Equipment |
$300 | $300 | $500 |
| Ostomy Supplies | $300 | $300 | $300 |
| Oxygen Equipment | $500 | $500 | $500 |
|
Out-of-Province Referral (within Canada) |
n/a | $50,000 lifetime | $50,000 lifetime |
| Custom Foot Orthotics | 1 pair every 5 years (adult) /1 pair every year for children under 16 yrs. | 1 pair every 5 years(adult) /1 pair every year for children under 16 yrs. | 1 pair every 5 years (adult) /1 pair every year for children under 16 yrs. |
| Hearing Aids | n/a | $500 per 5 years | $500 per 3 years |
| Therapeutic Shoes | n/a | $200 | $200 |
| Blood Pressure Monitor | n/a | n/a | 1 per 5 years |
| Additional Expenses | $500 combined | $500 combined | $500 combined |
| Travel | |||
| 30 days (unlimited number of trips) | n/a | $2 million total coverage | $2 million total coverage |
| Prescription Drugs (coverage per person per policy year) | |||
| Coverage |
70% of cost up to $500 Formulary Drugs Only |
80% of cost up to $1,500 Formulary and Non-Formulary Drugs |
100% of cost to $5,000 Formulary and Non-Formulary Drugs |
| Pay-direct Card | Included | Included | Included |
|
Vision Care (coverage per person) |
|||
|
Eye Exams, Glasses & Contact Lenses |
$60 per 2 years (for eye exams only) |
$150 per 2 years | $300 per 2 years |
|
Dental Benefits |
Silver (3+ employees) |
Gold (3+ employees) |
Platinum (6+ employees) |
| Dental Services (coverage per person, per policy year) | |||
| Basic Services | 80% | 100% | 100% |
| Major Services | n/a | 50% | 80% |
|
Orthodontic Services (for Dependants under 18 yrs of age) |
n/a | n/a |
50% ($1,500 lifetime maximum) |
| * Dental Plans include employer choice of $500, $1,000 or $1,500 combined coverage maximums for basic and major services. | |||
