you are
travelling against the advice of a physician not to
travel;
you have been diagnosed with a terminal illness with
less than two (2) years to live;
you have been diagnosed with or received treatment
within the last two (2) years for pancreatic, lung,
brain, or liver cancer;
you have ever been diagnosed with any type of cancer
that has spread from one part or organ of the body to
another (metastatic cancer);
you have had or are waiting for an organ or bone
marrow transplant (excluding corneal transplant);
you have ever been diagnosed with Congestive Heart
Failure;
you require kidney dialysis;
you have been prescribed or used home oxygen in the
last the 12 months, and/or
you reside in a nursing home or long term care
facility .
Age.
Minimum age is 31 days. No maximum age
for Basic Plan. For Enhanced and Standard Plans, maximum
age is 85
on the policy effective date. .
Amount of coverage
Choose coverage of: $15,000, $25,000, $50,000, $100,000,
$150,000, $200,000 per person.
Minimum Policy premium is
$25.
Deductibles
A $0 deductible applies, unless you
chose the option of $100, $250, $1,000, $5,000, $10,000 in
your application for insurance, and paid the applicable
premium (5%-40% discount apply depending on the deductible
amount chosen).
A "$2,500 disappearing deductible" option
available for Enhanced and Standard plans (Save 25%-30%) :
A
deductible of $2,500 per claim applies only to
sickness-related events when eligible expenses are $2,500 or less.
When eligible expenses
for a sickness-related claim exceed $2,500, the deductible amount is waived
(disappears) and eligible expenses will be reimbursed from the first dollar. For
injury-related claims, the deductible is waived.
Waiting period
Means a period, starting from the effective date of this
policy, during which premiums are payable but claims
resulting from any sickness will be not eligible for
reimbursement. Any sickness that manifests itself during the
waiting period is not covered even if related expenses are
incurred after the waiting period. There is no waiting
period for injuries.
A waiting period will apply if you:
i) purchase this policy after your arrival in Canada; or
ii) you have already arrived in Canada before the policy
effective date and request a date change to the earlier
effective date; or
iii) upgrade your coverage when you purchase consecutive
policies with no gap between the expiry date of the previous
policy and the effective date of the subsequent policy.
For age 85 or under:
a) the waiting period is 72 hours if:
you purchased or activated this
policy, or
requested a date change after your
arrival in Canada
within the first 30 days after your
arrival date; or
b) the waiting period is 7 days if:
you purchased or activated this
policy, or
requested a date change after your
arrival in Canada
more than 30 days after your arrival
date.
For age 86 or older:
The waiting period is 15 days.
Waiting period is waived, if you purchase this policy before
your arrival in Canada, or before your existing policy with
the 21st Century expires.
Family rates
are available for Enhanced and Basic
Plans. All Applicants must select the same plan. The premium
for family coverage is calculated at two times the premium
for the eldest adult.
Traveling to Canada and
Worldwide
This plan provides coverage throughout Canada
and also covers side trips to any country in the
world except your country of origin to an
overall maximum of 30 days within a 365-day
period. These side trips can happen before or
after your visit to Canada, or in the middle of
your visit, as long as you spend at least 51 %
of your overall period of coverage in Canada and
you have no gaps in your coverage. This policy
also provides coverage during your uninterrupted
flights from your home country to and from
Canada at no additional charge.
Refunds
Full refund and partial refund are available.
Please contact us for consultation. All refunds
are subject to approval by 21st Century. In
addition, a $25 policy administration fee will
be applied to any refund.
SUMMARY OF BENEFITS
|
BENEFITS |
Enhanced & Standard Plan |
Basic Plan |
|
● Emergency Medical Attention - Reasonable and customary charges for:
medical care received from a physician in or out of a hospital (ER visit, clinic, doctor's office,
etc.);
the cost of a hospital room (semi-private room when available or an intensive care unit when medically necessary);
drugs that are prescribed for you and are available only by prescription from a physician.
"Emergency" means an unexpected, unforeseen sickness or injury
which requires medical treatment for the immediate relief of acute pain and
suffering and which cannot be delayed until you can return to your country
of origin.
|
Up to policy limit |
Up to policy limit |
|
● Tests that are needed to diagnose or find out more about your condition
Note: This policy does not cover cardiac
catheterization, angioplasty, and/or cardiovascular surgery including any
associated test(s) or charges, magnetic resonance imaging (MRI),
computerized axial tomography (CAT) scans, sonograms, ultrasounds or
biopsies unless such services are approved in advance by the Assistance
Centre.
|
Included |
Included |
|
● Private duty registered nursing or licensed home care
providers and rental of crutches, hospital bed, splints, trusses, braces or
other prosthetic devices
|
Up to $10,000 |
Up to $5,000 |
|
● Treatment, provided by a health-care practitioner, provided such treatment
is prescribed by a physician.
|
Acupuncturist, chiropodist, chiropractor, osteopath, physiotherapist, podiatrist
up to $1,000 combined |
Acupuncturist, chiropractor, physiotherapist
up to $1,000 combined |
|
● Drugs or medications prescribed, in
writing, for you by a physician (if out-patient) |
Up to $1,500 and not exceeding a 30-day supply |
Up to $500 and not exceeding a 30-day supply |
|
● Follow-up visits are covered until the attending physician or the
company's medical advisors declare the end of the medical emergency.
|
Not limited until emergency ends
|
One follow-up visit per sickness or injury |
|
● The use of a local licensed ambulance service for emergency transportation
|
Included |
Included |
|
● Emergency Dental:
Treatment to natural teeth and repairs to
dentures or other dental devices if such treatment is necessitated by direct
unintended or unexpected blow to your face
|
Up to $4,000 |
Not included |
|
● Relief of Dental Pain
Immediate relief of acute dental pain, for which you have not previously
received treatment or advice.
|
Up to $500 |
Not included |
|
● Emergency return home
- The extra cost via the most cost-effective itinerary of an economy air
fare;
- If medically necessary, stretcher fare on a commercial flight
- The return economy fare and reasonable fees and expenses of a medical
attendant, if medically necessary or required by the airline
- The cost of air ambulance transportation, if medically necessary
|
Included |
Included |
|
● Death Benefits & Repatriation |
Preparation of body (up to $3,000), burial/cremation (up to $3,000) and/or repatriation of body (no limit)
|
Expenses for preparation and transportation up to $7,500
|
|
● Accidental Death & Dismemberment
|
Up to 50,000 |
Not included |
|
● Extra Injury Coverage
A policy with the aggregate policy limit of $100,000 includes an additional
$50,000 coverage for insured services that result from an injury.
|
Included |
Not included |
|
● 90-day Provision
If a claim is deemed to be payable under this policy, this condition may be
covered again in the event of a subsequent emergency, provided this
condition meets the 90-day stability requirements as stated in the policy.
|
Included
|
Not included |
|
● Disappearing Deductible
When the sickness-related eligible
expenses exceed $2,500 per claim, the deductible amount is waived, and
eligible expenses will be reimbursed back to the first dollar.
There
will be no deductible amount when a claim is a result of an injury.
|
A $2,500 per-claim deductible amount applies to each
sickness-related claim which is $2,500 or less.
|
Not included |
|
● Coverage for pre-existing medical conditions |
Click here |
No coverage |
Exclusions
and Limitations.
Visitors to Canada medical insurance does not cover
everything. This insurance has exclusions, conditions and limitations.
Pre-Existing Medical
Condition
Exclusion
Basic Plan (no age limit)
No coverage for pre-existing medical conditions. Only new conditions that
may arise during the period of coverage are covered.
Standard Plan (for ages up to 85 )
No coverage for pre-existing medical conditions that exist in the 180 days
prior to the policy effective date.
Enhanced Plan (for ages up to 85)
No coverage for any conditions that have not been stable within 180 dasy
before your coverage starts.
If you are age 55 to 85,
you have to complete the
Medical Declaration
to see if you are eligible for this coverage.
If you are ineligible, you can apply for Enhanced or
Basic plan and pay lower premium, but will NOT be
covered for any pre-existing conditions - stable or
unstable.
Please click on
Pre-existing Medical Condition for details on this
exclusion.
Some Other
Exclusions
Any sickness, disease,
symptom, or injury:
i) when you knew, prior to
your effective date, that you would need or be required
to seek treatment for that medical condition during your
trip; and/or during your trip; and/or
ii) for which, prior to your
effective date, it was reasonable to expect that you
would need treatment during your trip; and/or
iii) for which future
investigation or treatment was planned prior to your
effective date; and/or
iv) which produced symptoms
that would have caused an ordinarily prudent person to
seek treatment in the 180 days prior to the effective
date; and/or
v) that had caused your
physician to advise you not to travel; and/or
vi) that presented, recurred
or was treated during any temporary return to your
country of origin during the Coverage Period as is
permitted only if you are a holder of a multi-entry PG-1
VISA.
Any sickness, injury or death
related to the misuse, abuse, overdose,
or chemical dependence on medication,
drugs, alcohol, or other intoxicant,
whether sane or insane.
Any emergency resulting
from: hang-gliding, rock-climbing,
mountaineering, parachuting or
skydiving; participating in a motorized
speed contest; or your professional
participation in a sport, snorkeling or
scuba-diving when that sport, snorkeling
or scuba-diving, is your principal paid
occupation.
Any pregnancy that
commences prior to the effective date of
this policy; your routine pre-natal
care; your routine pregnancy or
childbirth; complications of your
pregnancy or childbirth when they happen
in the 9 weeks before or after the
expected date of delivery; medical
treatment or services provided to your
child born during your Coverage Period.
Any treatment that is
elective, cosmetic and not for an
emergency and/or general health
examinations or services.
Prescription drugs or
medicines, treatment, appliances or
devices provided to monitor or maintain
a Stable Chronic Condition.
Any medical treatment outside of Canada when the emergency occurred in Canada.
A mental or emotional
disorder (other than acute psychosis)
that does not require admission to a
hospital.
Any emergency that occurs
or recurs after our medical advisors
recommend that you return to your
country of origin and you choose not to.
The ongoing treatment,
recurrence or complication of a medical
condition when you have already received
emergency treatment for that condition
during your Coverage Period and our
Assistance Centre determines that your
medical emergency has ended.
Covered expenses that exceed 80%
of those we would normally pay, if you
do not contact the Assistance Centre
prior to receiving any medical treatment
unless your medical condition makes it
impossible for you to call. If your
medical condition makes it medically
impossible for you to call, please have
someone call on your behalf.
Your failure to follow a
recommended or prescribed therapy or
treatment.
Any insured service that must be
authorized by the Assistance Centre when
it has not given any such authorization
or made no arrangement for that insured
service.
Please refer to the policy wording
for a full list of exclusions and
limitations.
 |
What to do if you
need medical assistance
Have your policy confirmation with you at
all times. In the event of sickness or injury which may result
in claim,
please call the Assistance Centre
at the telephone numbers shown on your
policy confirmation, the
Policy Wording
or wallet cards. When contacting the Assistance Centre, please
provide your name, your policy number, your location and the
nature of your emergency.
CALL the ASSISTANCE CENTRE AT
1-877-882-2957 toll-free from the USA and Canada.
If unable to use the toll-free number, call collect to
Canada: +1 519-251-7856
The Assistance Centre can also be contacted through its ACM TravelAid
mobile application.
Visit
http://www.active-care.ca/en/travelaid/
to download the app.
You must contact the Assistance Centre prior to receiving any medical
treatment.
If you fail to call the Assistance Centre within 24 hours of
hospitalization, you may have to pay 20% of the medical expenses the insurer
would normally pay under this insurance.
Claims must be reported within 30 days of occurrence. Written proof of claim
must be submitted within 90 days of occurrence.
To apply for benefits under this policy, you
will need to send a completed claim form (with all original
bills attached) to 21st Century Insurance Ltd. Consult the claim
guideline in your Policy Wording.
|
Note: The product-related information is for illustration
purpose only. Please refer to the Policy wording before
purchasing the policy for a full explanation of benefits, terms
and conditions, limitations and exclusions.
For more information,
free consultation and to purchase a policy please call at
416-493-0101, 1- 877-443-0101 or
Ask your question online
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