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Prescription Drugs
Paid at 70% of first $750
to $525 maximum per year
Dental Care- Basic and Supplementary
$400 per year maximum
Major Services are not covered
Vision Care
$100 plus $60 for eye exam per 2 benefit years
Paramedical services (or Registered specialists and therapists)
$500 combined per year, $25 per visit
Prescription Drugs
80% co-insurance, plan max $2,500/year, including $500 per year for Lifestyle drugs.
Dental Care - Basic and Supplementary
80% co-insurance, $450 max/year.
Oral surgery, endodontics (root canal), periodontics and denture services included.
Vision Care
$200 every 2 benefit years, eye exams $60 every 2 benefit years.
Registered specialists and therapists
80% co-insurance, combined max $500/year.
Travel Insurance
10 days pet trip (ends at age 70).
Prescription Drugs
Paid at 70% of first $750
to $525 maximum per year
Dental Care - Basic
$400 per year maximum
Supplementary and Major Services are not covered
Vision Care
$150 plus $70 for eye exam per 2 benefit years
Registered specialists and therapists
Dollar maximum - $25/visit,
Maximum visits - 20/specialist per year
Dental Care - Basic and Supplementary
BASE plan - $400/year
Major Services are not covered
BRONZE Dental - $500/Year
Major Services are not covered
SILVER Dental - Year 1: $600/year
Year 2+: $900/year
Major Services are not covered
GOLD Dental - Year 1: $750; Year 2: $1,000;
Year 3&4: $1,200; Year 5+: $1,500
Major Services included from Year 3 & beyond
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Vision Care (for all plans)
$100 plus $60 for eye exam per 2 benefit years
Registered specialists and therapists (for all plans)
$300 combined per year,
Per visit maximum - $20
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Dental Care – Ongoing care:
(fillings, cleanings, scaling, examinations, polishing and select extractions)
Supplementary and Major Services are not covered
Year 1 : 50% of the first $1,150
(maximum of $575/year)
Year 2 + : 80% of the first $400 and 50% of the next $860 (maximum of $750/year)
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DentalPlus BASIC Plan
Dental Care – Ongoing care
Dental Care - Supplementary and Major Services
Major Services (Orthodontics, crowns, bridges, dentures)
Supplementary Services (Oral surgery, periodontics, endodontics)
Year 1: 0% ; Year 2: 60% ; Year 3+: 80%
Year 1: 0%, Year 2+: 60%
Year 1: 70% of the first $1,200
(maximum of $840/year)
Year 2+: 100% of the first $500 and 60% of the next $700 (maximum of $920/year)
Combined maximum of $1,250 per person per 3-year period
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DentalPlus ENHANCED Plan
Vision Care
Registered specialists and therapists
Travel Medical
$5,000,000 per person per trip, 9 days per trip
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$250 plus $70 for eye exam per two
benefit years
Both BASIC & ENHANCED Plans
Dollar maximum - $25/visit,
Maximum visits - 20/specialist per year
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Dental Care
Prescription Drugs
Paid at 80%
Basic - $500 per year
Enhanced - $1250 per year
Enhanced Plus - $1250 per year
Premiere – $2,500 per year
Basic - Not covered
Enhanced - Not covered
Enhanced Plus –
80% - Ongoing & Supplementary Services
Year 1: $700
Year 2: $850
Year 3+: $1,000
Premiere –
80% - Ongoing & Supplementary Services
60% - Major Services
Year 1: $800
Year 2: $1,000
Year 3+: $1,500
Basic - $150 + $60 eye exam
Enhanced - $200 + $60 eye exam
Enhanced Plus - $200 + $60 eye exam
Premiere – $300 + $60 eye exam
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Vision Care
(per 2 benefit years)
Registered Specialists and Therapists
Basic - 20 visits per specialist per year, $15 per visit
Enhanced - $600 combined per year
Enhanced Plus - $$600 combined per year
Premiere – $600 combined per year
Hospital
Basic - Semi-Private room
Enhanced - Semi-Private room
Enhanced Plus - Semi-Private room
Premiere – Private & Semi-Private room
Travel Medical
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Requires an additional premium
15-day or 30-day trip length,
Maximum of $5,000,000 per trip,
$200 deductible
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Dental Care
Prescription Drugs
EssentialPlan - n/a
ChoicePlan - 80% to $1,000 maximum per year
PremierPlan - 80% to $1,750 maximum per year
80% preventative & basic, 50% major (for all plans)
EssentialPlan - $1,000 combined maximum
ChoicePlan - $1,250 combined maximum
PremierPlan - $1,500 combined maximum
Vision Care
(eye wear and eye exams)
EssentialPlan - $100/2 years combined maximum
ChoicePlan - $150/2 years combined maximum
PremierPlan - $300/2 years combined maximum
$600 combined maximum (for all plans)
EssentialPlan - paid at 50%
ChoicePlan - paid at 80%
PremierPlan - paid at 100%
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Hospital
(Priviae & Semi-Private room
Paid at 80% (for all plans)
EssentialPlan - $2,000 combined maximum
ChoicePlan - $5,000 combined maximum
PremierPlan - $10,000 combined maximum
Travel medical
($1,000,000 lifetime maximum)
EssentialPlan - n/a
ChoicePlan – 7 days per trip out of Canada
PremierPlan – 15 days per trip out of Canada
Health Practitioners
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Registered Specialists
Prescription Drugs
Paid at 80%
Maximum reimbursement
First calendar year - $500
Subsequent calendar years - $750
20-25 visits per specialist per calendar year, $15 per visit
Hospitalization
(private or semi-private rooms)
Up to a maximum of $200 per day,
A maximum duration of 90 days per calendar year.
Travel medical
15-day trip length
Maximum of $5,000,000 per trip.
Preventive and Basic Care
Paid at 70%
Max reimbursement - $750 per calendar year
Major Services are covered.
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Basic Dental Coverage
(optional)
Enhanced Dental Coverage
(optional)
Preventive and Basic Care
Paid at
- 70% in first calendar year ;
- 75% in second calendar year ;
- 80% thereafter
Major Services
Paid at 50% up to a max of $500 per calendar year.
Maximum overall reimbursement:
First calendar year - $750
Second year - S1,000
Subsequent calendar years - $1,250
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Prescription Drugs:
Link 1 plan: $150 + $50 eye exam
Link 2 plan: $200 + $50 eye exam
Link 3 plan: $250 + $65 eye exam
Link 4 plan: $300 + $80 eye exam
Vision care (for 2 benefit years)
Link 1 plan:
Year 1 : $550
Year 2: $650
Year 3+: $800 per year
Link 2 plan:
Year 1 : $750
Year 2: $900
Year 3+: $1,100 per year
Link 3 plan:
Year 1 : $1,200
Year 2: $1,350
Year 3+: $1,500 per year
Link 4 plan:
Year 1 : $2,300
Year 2: $2,400
Year 3: $2,500
Year 4+: $2,700 per year
Paid at 80%
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Dental Care
Link 1 Plan: Not covered
Link 2 Plan:
Year 1: $600
Year 2: $800
Year 3+: $1,000 per year
Ongoing and Supplementary Services - Paid at 80%
Link 3 Plan:
Year 1: $750
Year 2: $1,000
Year 3+: $1,250 per year
Ongoing and Supplementary Services - Paid at 80%
Major services - Available in Year 3, Paid at 50%
Link 4 Plan:
Year 1: $1,000
Year 2: $1,250
Year 3+: $1,750 per year
Ongoing and Supplementary Services - Paid at 80%.
Major services - Available in Year 3, Paid at 60%.
Orthodontic services - Available in year 3, Paid at 60%, $2,000 life time maximum.
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Hospital
(Private and/or Semi-private)
Link 1 plan: $200 per day, 30 days per year
Link 2 plan: $200 per day, 30 days per year
Link 3 plan: $200 per day, 30 days per year
Link 4 plan: $250 per day, 30 days per year
(Maximum per practitioner)
Registered specialists and therapists
Travel Medical
(Maximum of $5,000,000 per trip)
Link 1 plan: 10 days per trip
Link 2 plan: 10 days per trip
Link 3 plan: 15 days per trip
Link 4 plan: 15 days per trip
Link 1 plan: 20 visits per specialist per year, $15 per visit
Link 2 plan: 20 visits per specialist per year, $15 per visit
Link 3 plan: 20 visits per specialist per year, $20 per visit
Link 4 plan: 30 visits per specialist per year, $20 per visit