Extended Health Care Benefits

Drug & Expense Deductible:
$7.00 dispensing fee drug card.

Drug Coinsurance:
80% for drug ingredient costs,

Other Eligible Expenses Coinsurance:
80% except where noted.

Calendar/Lifetime Maximum:

Eligible Health Expenses:
$1,000,000.

Drugs Requiring a Script (Incl. Diabetic Supplies & Excl. Some Lifestyle Drugs) Includes Immunizations, Exclude Vaccines:

Semi Private Hospital:
$150 per day for up-to 120 days, must be admitted for a minimum of 3 nights.

Convalescent Hospital:
Semi-Private rate to maximum of 120 days of confinement.

Local Ambulance:
Charges in excess of Provincial Medical Plan.

Air Ambulance:
Not Covered.

Paramedical Practitioners Benefit:

Calendar Year Limits:
$1000 Calendar Year Each.
Chiropractor, Osteopath, Naturopath, Chiropodist/Podiatrist, Acupuncturist, Masseur. Chiropractor limit includes one X-ray at $25.00.

Registered Massage Therapist:
$500 per calendar year.

Physiotherapist:
$500 per calendar year.

Licensed Clinical Psychologist:
$500 max per calendar year.

Speech Therapist:
$500 max per calendar year.

Private Duty Nursing:
$5,000 per lifetime, prior approval.

Accidental Dental:
Must occur while insured.

Durable Medical Equipment & Supplies:

Rental of Durable Medical Equip, Brace, Splint, Crutch, Oxygen, Artificial Eye/Limb etc.:
Covered.

Surgical Brassieres:
2 per calendar year R/C

Orthopedic Shoes:
Included; combined with orthotics max: $400 every 3 years.

Orthotics:
Combined with Ortho shoes.

Breast Prosthesis:
$300 per 5 year period.

Wigs
Once per lifetime

Surgical Stockings:
2 pairs per Calendar Year.

Diabetic Supplies:
Covered under drug benefit.

Glucometers:
Once per lifetime.

X-Ray/Lab:
Not Covered.

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