POOLED PLAN DESIGNS
1
ESSENTIALS
LIFE INSURANCE
BASIC LIFE INSURANCE - $25,000
ACCIDENTAL DEATH & DISMEMBERMENT - $25,000
DEPENDENT LIFE - $2,500 Spouse / $1,000 Child
EXTENDED HEALTH
DRUGS - 70%
DRUG ANNUAL MAXIMUM - $5,000 (Pay-Direct)
OVERALL MEDICAL COVERAGE - 70%
PARAMEDICAL PRACTITIONERS - 70%
PRACTITIONER COVERAGE - $350 Per Practitioner
(Physiotherapy, Chiropractic, Registered Massage, Naturopath, Psychology, Social Worker, Clinical Counselling, Acupuncture, Chiropody, Registered Dietician, Podiatry, Osteopath, Audiologist, Speech Therapy)
VISIONCARE - N/A
EYE EXAMS - N/A
HOSPITAL - Semi-Private
ORTHOTIC SHOES/INSERTS - $300 Calendar Year
BLOOD GLUCOSE MONITOR - $200/36 Months
DIABETIC PUMPS & EQUIPMENT - R&C up to $4,000 per Calendar Year
PRIVATE DUTY NURSING - $10,000/Calendar Year
MEDICAL SERVICES & SUPPLIES - R&C
HEARING AIDS - $700 - 1 Every 4 Years
PROSTHETICS - $5,000 Every 2 Years
OUT OF COUNTRY MEDICAL EMERGENCY - $5,000,000 Covered to Age 75
DENTALCARE
BASIC COVERAGE - 80%
(Annual check-up, cleanings, fillings, basic and major expenses combined scaling, polishing, root planning, diagnostic, select extractions, endodontics, periodontics)
ANNUAL MAXIMUM - $1,000
CLEANING SCHEDULE - Every 9 Months
SCALING - 10 Units
2
ENHANCED
LIFE INSURANCE
BASIC LIFE INSURANCE - $25,000
ACCIDENTAL DEATH & DISMEMBERMENT - $25,000
DEPENDENT LIFE - $2,500 Spouse / $1,000 Child
EXTENDED HEALTH
DRUGS - 80%
DRUG ANNUAL MAXIMUM - $50,000 (Pay-Direct)
OVERALL MEDICAL COVERAGE - 80%
PARAMEDICAL PRACTITIONERS - 80%
PRACTITIONER COVERAGE - $500 Per Practitioner
(Physiotherapy, Chiropractic, Registered Massage, Naturopath, Psychology, Social Worker, Clinical Counselling, Acupuncture, Chiropody, Registered Dietician, Podiatry, Osteopath, Audiologist, Speech Therapy)
VISIONCARE - $200 Every 24 Months
EYE EXAMS - $120 Per Exam
HOSPITAL - Semi-Private
ORTHOTIC SHOES/INSERTS - $300 Calendar Year
BLOOD GLUCOSE MONITOR - $200/36 Months
DIABETIC PUMPS & EQUIPMENT - R&C up to $4,000 per Calendar Year
PRIVATE DUTY NURSING - $10,000/Calendar Year
MEDICAL SERVICES & SUPPLIES - R&C
HEARING AIDS - $700 - 1 Every 4 Years
PROSTHETICS - $5,000 Every 2 Years
OUT OF COUNTRY MEDICAL EMERGENCY - $5,000,000 Covered to Age 75
DENTALCARE
BASIC COVERAGE - 80%
(Annual check-up, cleanings, fillings, basic and major expenses combined scaling, polishing, root planning, diagnostic, select extractions, endodontics, periodontics)
ANNUAL MAXIMUM - $1,500
CLEANING SCHEDULE - Every 6 Months
SCALING - 10 Units
3
ELITE
LIFE INSURANCE
BASIC LIFE INSURANCE - $25,000
ACCIDENTAL DEATH & DISMEMBERMENT - $25,000
DEPENDENT LIFE - $2,500 Spouse / $1,000 Child
EXTENDED HEALTH
DRUGS - 80%
DRUG ANNUAL MAXIMUM - $50,000 (Pay-Direct)
OVERALL MEDICAL COVERAGE - 100%
PARAMEDICAL PRACTITIONERS - 100%
PRACTITIONER COVERAGE - $500 Per Practitioner
(Physiotherapy, Chiropractic, Registered Massage, Naturopath, Psychology, Social Worker, Clinical Counselling, Acupuncture, Chiropody, Registered Dietician, Podiatry, Osteopath, Audiologist, Speech Therapy)
VISIONCARE - $300 Every 24 Months
EYE EXAMS - $120 Per Exam
HOSPITAL - Semi-Private
ORTHOTIC SHOES/INSERTS - $300 Calendar Year
BLOOD GLUCOSE MONITOR - $200/36 Months
DIABETIC PUMPS & EQUIPMENT - R&C up to $4,000 per Calendar Year
PRIVATE DUTY NURSING - $10,000/Calendar Year
MEDICAL SERVICES & SUPPLIES - R&C
HEARING AIDS - $700 - 1 Every 4 Years
PROSTHETICS - $5,000 Every 2 Years
OUT OF COUNTRY MEDICAL EMERGENCY - $5,000,000 Covered to Age 75
DENTALCARE
BASIC COVERAGE - 80%
(Annual check-up, cleanings, fillings, basic and major expenses combined scaling, polishing, root planning, diagnostic, select extractions, endodontics, periodontics)
ANNUAL MAXIMUM - $2,000 Combined with Major Dental Coverage
MAJOR DENTAL COVERAGE - 50%
MAJOR ANNUAL MAXIMUM - $2,000 Combined with Basic Dental Coverage
CLEANING SCHEDULE - Every 6 Months
SCALING - 10 Units