This Core benefit includes the following coverage:
| |
Chiropractor, Chiropodist, Osteopath, Naturopath, Podiatrist, Registered Massage Therapist, Acupuncturist: $15 max. each visit for up to 20 visits per specialist type every anniversary year.This benefit is payable only after your Provincial Health Insurance Plan maximums have beenreached, if applicable.
Chiropractic X-ray: $35 max. each anniversary year.
Psychologist: $75 max. for your first visit and $60 max. each subsequent visit, for up to 10 visits per anniversary year.
Physiotherapist: $250 max. each anniversary year.
HomeCare and Nursing, Prosthetic Appliances, Durable Medical Equipment: $2,500 max. each anniversary year for each of the 3 benefit categories. Note: $225 max. each anniversary year for Orthotics, which is part of Durable Medical Equipment.
Speech Pathologist/Therapist: $60 max. for your first visit and $40 max. each subsequentvisit for up to 10 visits each anniversary year.
Lifeline Personal Response Service: lifetime max. of 3 months of service, not includinginstallation fee. A simple press of a button, worn in the home, alerts our 24-hour monitoringservice that help is needed.
Accidental Dental: $2,000 max. each anniversary year.
Ambulance: unlimited ground transportation to hospital and $4,000 max. for air ambulance transportation each anniversary year. This benefit is payable only after your Provincial Health Insurance Plan maximums have been reached, if applicable.
Hearing Aid: $400 max. every 4 benefit years.
CA 125 Test - $75 maximum per person, per anniversary year (Quebec only)
Prostate Specific Antigen (PSA) - $75 maximum per person, per anniversary year (Quebec only)
$100,000 lifetime maximum. |
You can purchase additional health care benefits with the Extended Health Care (Enhanced) option.
Seniors' Adjustment
If you are 65 or older, your Extended Health Care (Basic) benefits have the following changes:
| |
Speech Pathologist/Therapist visits increase from 10 to 15 visits per anniversary year.
Lifeline benefit increases to a lifetime maximum of 6 months, not including the installation fee.
Homecare and Nursing, Durable Medical Equipment and Prosthetic Appliances maximum increase per anniversary year to:
| |
Year 1 |
Year 2 |
Year 3 |
Year 4 |
Year 5+ |
|
$3,000 |
$3,000 |
$3,000 |
$3,000 |
$3,000 |
|
$600 |
$1,000 |
$1,200 |
$1,500 |
$3,000 |
|
$3,000 |
$3,000 |
$3,000 |
$3,000 |
$3,000 |
Hearing Aid maximum increases to $500 every 4 benefit years.
Lifetime maximum increased to $110,000. |
|