Deductible: Nil
Coinsurance
Prescription Drugs: 80%
Other Eligible Expenses (except where noted): 100%
Vision Care: 100%
Lifetime Maximum: $1,000,000
Paramedical
Chiropractor, Osteopath, Naturopath or Chiropodist: $300 per specialist per calendar year
Licensed Clinical Psychologist: $200 per calendar year
Physiotherapist: $12.50 per visit, $250 per calendar year
Registered Massage Therapist: $250 per calendar year
Speech Therapist: $300 per calendar year
Major Medical
Rehabilitation Hospital: Semi-private, maximum 120 days provided disability commenced prior to age 65
Ambulance Benefit: $200 per disability
Out-of-Hospital Nursing Services: $10,000 every 3 years
Accidental Dental: Work must be completed within 12 months of accident to a maximum of $5,000 per accident
X-ray & Lab Tests: Covered
Blood & Blood Plasma: Covered
Durable Medical Equipment (purchase or rental): Covered
Surgical Brassieres: 2 per 12 consecutive months
Breast Prosthesis: Once every 5 years
Surgical Stockings: 2 pair every 12 consecutive months
Wigs & Glucometer: Once per lifetime
Hearing Aid (purchase or replacement): $2,000 per person in any 60 month period, including repairs and replacement.
Oxygen: Covered
Orthopaedic Shoes or Orthotics: 1 pair of either orthopaedic shoes or orthotics to a combined maximum of $500 every 3 years (based on reasonable and customary fees)
Vision Care
Lenses & Frames or Contact Lenses in lieu of glasses: $250 (lenses and frames combined) every 24 months, every 12 months for Dependents under age 18
Retinal Eye Exams
Covered for eligible members and their dependents, effective November 1, 2022
Laser Eye Surgery
50% up to $1,000.00 every 5 years, effective January 1, 2020