Group Medical Services: health and dental group plans specifically designed for small businesses

Health Benefits	Silver	Gold	Platinum
Extended Health (coverage per person)
Health Practitioners	$250 combined	$350 combined	$400 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 per year for children under 17 yrs.	1 pair every 5 years(adult) /1 pair per year for children under 17 yrs.	1 pair every 5 years (adult) /1 pair per year for children under 17 yrs.
Therapeutic Shoes	n/a	$200	$200
Hearing Aids	n/a	$500 per 5 years	$500 per 3 years
Blood Pressure Monitor	n/a	n/a	1 per policy per 5 years
Additional Expenses	$500 combined	$500 combined	$500 combined
Survivor Benefit	12 month	12 months	12 months
Travel
30 days (unlimited number of trips)	n/a	$5 million total coverage	$5 million total coverage
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
Prescription Drugs (coverage per person per policy year)
Coverage Pay-direct Card included with all options	70% of cost up to $1,000 Formulary and Non-Formulary Drugs Includes Vaccines/ Immunizations	80% of cost up to $3,000 Formulary and Non-Formulary Drugs Includes Vaccines/ Immunizations	100% of cost to $5,000 Formulary and Non-Formulary Drugs Includes Vaccines/ Immunizations

GMS Group Advantage Dental Benefits at a Glance

Dental plans include employer choice of $500, $1,000, $1,500, or $2,000 combined annual coverage maximum

for basic and major services, per person, per year.

Dental Benefits	Silver (3+ employees)	Gold (3+ employees)	Platinum (6+ employees)
	Co-insurance	Co-insurance	Co-insurance
Preventive Services	80%	100%	100%
Basic Services	80%	100%	100%
Major Services	n/a	50%	80%
Orthodontic Services (for Dependants under 18 yrs old)	n/a	n/a	50% ($1,500 lifetime maximum)

Dental Services