Extended Health Care

Percentage Payable: 

80%, except where noted

Deductible: 

Nil

Lifetime Maximum Benefit: 

Only as noted for specific benefits

Drugs:

Prescriptive Only

100% payable with a $6.50 Dispensing Fee Maximum and a Calendar Year Maximum of $500,000

Lifetime Maximums: 

$500 lifetime maximum for Smoking Cessation drugs

Private/Semi-Private Hospital: 

None  

Ambulance Benefit: 

Local Ambulance and Air Ambulance, limited to economy airfare

Out of Hospital Nursing: 

$10,000 maximum for Registered Nurse, every 3 calendar years (prior approval required)

Accidental Dental: 

Considered as an Extended Health Care Benefit, Unlimited if treated one year from accident

Health Practitioners Benefit: 

Physiotherapist, Registered Massage Therapist, Chiropractor, Naturopath, Osteopath, Acupuncturist, Dieticians, Nutritionists, Chiropodist/Podiatrist, Speech Therapist: $500 calendar year maximum per practitioner (X-rays where applicable)

Licensed Clinical Psychologist, Psychotherapist and Social Worker: Combined $500 calendar year maximum

Orthopedic Shoes or Orthotics, Combined:

100% for one pair every calendar year to a maximum of $500 (effective March 1, 2024)

Hearing Care Benefit:

$500 maximum every 3 years, excludes repairs or batteries

Durable Medical Equipment & Supplies:

Breast Prosthesis:

Every 2 calendar years

Surgical Brassieres:

2 per calendar year

Surgical Stockings:

2 pairs per calendar year

Wigs:

$700 lifetime maximum

Glucometer:

50% to a maximum of $350 lifetime maximum

FreeStyle Libre Flash & Dexcom G6 and G7 Glucose Monitor and Sensors:

Combined calendar year maximum of $4,000 for all insulin-dependent insured individuals (effective March 1, 2024).