Extended Health Care Benefits

Percentage Payable: 
80% for drug ingredient costs,
80% for all other health expenses, except where noted.

Drugs Deductible:                     
Nil

Other Deductible:                     
Nil

Calendar Year Maximum:            
$1,000,000 per individual

Lifetime Maximum Benefit:          
$1,000,000 per individual

Drugs:  
Covered by Reimbursement at 80% for drug ingredient costs.

Private/Semi-Private Hospital:     
None 

Convalescent/Rehabilitation Hospital (Within Home Province):
Excess of ward rate, but not to exceed actual charge.

Local Ambulance Benefit: 
Charges in excess of OHIP coverage.

Air Ambulance Benefit:  
Not covered

Out of Hospital Nursing:  
$5,000 Lifetime Maximum

Health Practitioners Benefit: 

Calendar Year Limits: 
$1000 per practitioner
Chiropractor, Osteopath, Naturopath, Chiropodist/Podiatrist, Christian Science Practitioner, includes $25 Calendar Year Maximum for X-Rays. And Speech Therapist, Licensed Clinical Psychologist, Physiotherapist.

Registered Massage Therapist: 
Not Covered

Accidental Dental:  
Covered within one year from the date of accident.

Durable Medical Equipment & Supplies: 

Breast Prosthesis  
$300 maximum every 5 years

Surgical Stockings  
2 pairs per Calendar Year Maximum

Surgical Brassieres    
2 per calendar year, $20 maximum each

Stump Stockings   
2 per calendar year

Wigs       
Once per lifetime

Glucometer     
Once per lifetime

Orthopedic Shoes:   
1 pair per Calendar Year payable at 50%, or at 80% if part of a brace.

Orthotics  
Once per lifetime

Hearing Care Benefit:    
$2,000 per person in any 60 month period, including repairs and replacement.