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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

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