Home   Contact us  Site Map

Insurance :  Visitors to Canada      Travel Insurance for Canadians      Life     Mortgage Protection  

Critical Illness    Disability Income      Health&Dental Benefits    Group Benefits for Small Business

tr

 

The Edge


 

Health & Dental - SUMMARY OF BENEFITS

 

Extended Health Benefits

Prescription Drugs Benefit

Dental Care Benefit

 

Benefits

Base Plan Deluxe Plan

Extended Health Services

Your overall health deductible is nill. Covered at 100% unless otherwise noted.

Emergency ambulance transportation to the nearest hospital.

Accidental Dental maximum $10,000. Hearing Aids up to $500 per person every 36 months.

In home private nursing up to $5,000  per person per benefit year.

Prosthetic appliances, braces, wheelchair&hospital bed rental.

Paramedical Services: up to $400 per person per calendar year, including Physiotherapists, Clinical Psychologists, Chiropractors, Osteopaths, Naturopaths, Homeopath, Speech Therapist. Coverage is provided after Provincial Health Plans are exhausted.

Acupuncturist & Registered Massage Therapist: $20.00 per visit to a maximum of 20 visits per person per benefit year.

Your overall health deductible is nill. Covered at 100% unless otherwise noted.

Emergency ambulance transportation to the nearest hospital.

Accidental Dental maximum $10,000. Hearing Aids up to $500 per person every 36 months.

In home private nursing up to $7,500 per person per benefit year. Prosthetic appliances, braces, wheelchair&hospital bed rental.

Paramedical Services: up to $400 per person per calendar year, including Physiotherapists, Clinical Psychologists, Chiropractors, Osteopaths, Naturopaths, Homeopath, Speech Therapist. Coverage is provided after Provincial Health Plans are exhausted.

Acupuncturist & Registered Massage Therapist: $20.00 per visit to a maximum of 20 visits per person per benefit year.

Vision care

Not Applicable

Eye exam $60.00 every 2 years, 33% discount off regular prices available at The Bay Optical and Zellers Vision Centres stores.

Emergency Out of Province

Up to $1,000,000 coverage per insured for up to 60 consecutive days, with unlimited trips per year. Coverage provided in excess of Provincial Plans and includes hospital, medical, accidental dental, prescription drugs and repatriation in the event of death. Special toll free numbers are provided for claims

Up to $1,000,000 coverage per insured for up to 60 consecutive days, with unlimited trips per year. Coverage provided in excess of Provincial Plans and includes hospital, medical, accidental dental, prescription drugs and repatriation in the event of death. Special toll free numbers are provided for claims

Prescription Drugs

No deductible, Pay Direct Card.

Includes prescription medication, vaccine and certain life sustaining non-prescription drugs approved by Green Shield Canada.

 

Covered at 80%, Maximum $1,000 per benefit year.

 

Benefits do not include medication for the treatment of anti-obesity, smoking cessation products, erectile dysfunction and fertility. Serums and vitamins are also ineligible unless injected and medically necessary.

No deductible, Pay Direct Card.

Includes prescription medication, vaccine and certain life sustaining non-prescription drugs approved by Green Shield Canada.

 

Covered at 90%, Maximums - first 12 months $1,000, next 12 months $1,500, each 12 months thereafter $2,000.

 

Benefits do not include medication for the treatment of anti-obesity, smoking cessation products, erectile dysfunction and fertility. Serums and vitamins are also ineligible unless injected and medically necessary.

Dental Benefits (optional, can only be purchased in conjunction with the Health Benefits)

Basic Dental Services covered at 80%

• Preventive services include recall examinations every 9 months; preventive cleaning of teeth; topical application of fluoride for persons age 19 or under; pit and fissure sealants on permanent molars, for children age 15 or under; space maintainers that replace prematurely lost teeth for persons age 18 or under.

• Periodontal scaling/cleaning the fees for periodontal treatment are based on units of time (15 minutes per unit) and/or number of teeth in a surgical site in accordance with the Fee Guide for General Practitioners: up to 6 units every 12 months.

• Diagnostic services including complete oral examinations once every 3 years; emergency and specific oral examinations once every 3 years; full series x-rays and panoramic x-rays once every 3 years; bitewing x-rays once every 9 months.

• Basic oral surgery including extractions of teeth and/or residual roots.

 

Comprehensive Services covered at 70%

• Endodontic treatment including root canal therapy; removal of the pulp from the crown and root portion of the tooth; assistance of root tip closure; root resections and retrograde fillings, root amputation; emergency procedures.

• Periodontal treatment including provisional splinting and certain periodontal appliances; displacement packing, management of infections and desensitization.

• Standard denture services including, denture cleaning once every 9 months; denture repairs and/or tooth/teeth additions; standard relining and rebasing of dentures;  denture adjustments, remount and equilibration procedures.

• Comprehensive oral surgery including, surgical exposure, repositioning, transplantation or enucleation of teeth; removal of cysts and tumours; incision, drainage and/or exploration of soft or hard tissue.

DENTAL BENEFIT MAXIMUMS

First 12 months - $750.00; every 12 months thereafter - $1,000

 

Basic Dental Services covered at 80%

• Preventive services include recall examinations every 9 months; preventive cleaning of teeth; topical application of fluoride for persons age 19 or under; pit and fissure sealants on permanent molars, for children age 15 or under; space maintainers that replace prematurely lost teeth for persons age 18 or under.

• Periodontal scaling/cleaning the fees for periodontal treatment are based on units of time (15 minutes per unit) and/or number of teeth in a surgical site in accordance with the Fee Guide for General Practitioners: up to 8 units every 12 months.

• Diagnostic services including complete oral examinations once every 3 years; emergency and specific oral examinations once every 3 years; full series x-rays and panoramic x-rays once every 3 years; bitewing x-rays once every 9 months.

• Basic oral surgery including extractions of teeth and/or residual roots.

 

Comprehensive Services covered at 70%

• Endodontic treatment including root canal therapy; removal of the pulp from the crown and root portion of the tooth; assistance of root tip closure; root resections and retrograde fillings, root amputation; emergency procedures.

• Periodontal treatment including provisional splinting and certain periodontal appliances; displacement packing, management of infections and desensitization.

• Standard denture services including, denture cleaning once every 9 months; denture repairs and/or tooth/teeth additions; standard relining and rebasing of dentures;  denture adjustments, remount and equilibration procedures.

• Comprehensive oral surgery including, surgical exposure, repositioning, transplantation or enucleation of teeth; removal of cysts and tumours; incision, drainage and/or exploration of soft or hard tissue.

DENTAL BENEFIT MAXIMUMS

$1,000 in the first 12 months,
$1,000 in the second 12 months and
$1,200 every 12 months thereafter

 

The Edge Health&Dental Benefits are provided by Green Shield of Canada

 Call 416-493-0101 for quotes and more information

 

fg

Investments:    RESP     RRSP     TFSA     Guaranteed Investments     Segregated Funds

                                                       July 21, 2010