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Life Insurance

Details
Who is Covered ?
  • Members and eligible dependents
  • Coverage terminates at the attainment of age 75
What is Covered?
  • Member – $100,000*
  • Spouse – $20,000
  • Dependent Child – $20,000

Accidental Death

Details
Who is Covered ?
  • Members & eligible dependants
  • Coverage terminates at age 70
What is Covered?
  • Member – $100,000*
  • Spouse – $30,000
  • Dependant Child – $4,000

Accidental Dismemberment

Details
Who is Covered ?
  • Members & eligible dependants
  • Coverage terminates at age 70
What is Covered?
  • Please refer to the benefit booklet on specific coverage amounts
What is Covered?
  • Member – $200,000*
What is Covered?
  • Please refer to the benefits booklet for specific coverage amounts

Prescription Drugs – Extended Health Care

Details
Who is Covered ?
  • Members and eligible dependents
  • Unlimited lifetime maximum

For more information contact Member Services at: 416-506-8841

What is Covered?
  • Member Advantage Card
  • 100% Reimbursement
  • Opioids – Lifetime maximum of
    $5,000 for eligible opioids.
  • Smoking Cessation – One (1)
    course treatment up to a maximum
    of $350 per lifetime.
  • Medical Cannabis – $1,000 per
    calendar year, $500 Dried Cannabis Maximum
  • Vaccinations / Immunizations
    coverage up to a maximum of
    $250 per calendar year.
  • Semi-Private Hospital Coverage
    up to a maximum of 120
    consecutive days.

Ambulance / Nursing – Extended Health Care

Details
Who is Covered ?
  • Nursing Services: $5,000 lifetime maximum.
  • Members and eligible dependents
What is Covered?

Ambulance:

  • Outpatient services.

Nursing:

  • Limb braces, crutches, prosthesis services, wheelchair, hospital bed or oxygen equipment.
What is Covered?
  • Maximum combined benefit of $400 per calendar year for eyeglasses (lenses/frames combined) or Contact Lenses.
  • One (1) eye exam within the same calendar year up to a maximum of $100. Eye exam prescriptions will be valid for 24 months from the date of exam.
  • Corrective Laser Eye Surgery: $1,500 / once per lifetime.
  • Cataract Surgery: Intra-ocular lens
    (IOL) single focal to a maximum of $250 per eye per lifetime; multi-
    focal to a maximum of $600 per eye per lifetime.
  • Prior to Cataract Surgery, an Intra-Ocular Lens (IOL) preparation exam reimbursement benefit to be added at $450 per eye, per lifetime
What is Covered?
  • $1,500 benefit maximum every 36 months for one set of hearing aids when provided by a certified clinical audiologist in Canada including any replacement, repair
    charges and batteries.
What is Covered?
  • Medical Braces for Wrist, Elbow, Finger, and Ankle to a maximum of $250 per limb once every 3 years

Orthotics – Extended Health Care

Details
Who is Covered ?
  • Members and eligible dependents
  • $1,000,000 lifetime maximum
What is Covered?

1 pair reimbursed at 50% up to a maximum of $400 every 24 months (must be custom made by a Foot Care Specialist and prescribed by licensed physician (M.D.) or specialist).


For more information contact Member Services at: 416-506-8841

What is Covered?
  • 1 pair every 24 months to an overall maximum of $250.
  • Custom made Orthopedic shoes (including repairs) must be prescribed by licensed physician (M.D.) or specialist).
What is Covered?
  • $200 per visit for eligible services up to a lifetime maximum of $10,000 for dependent children only.
  • Treatments by a Speech Therapist must be prescribed by a licensed physician (M.D).
What is Covered?
  • $100 per visit for eligible services up to the overall combined practitioner maximum of $1,500 per calendar year.
  • Treatments by a Physiotherapist must be prescribed by a licensed physician (M.D).

 

What is Covered?
  • $90 per visit for eligible services up to the overall combined practitioner maximum of $1,500 per calendar year
What is Covered?
  • $90 per visit for eligible services up to the overall combined practitioner maximum of $1,500 per calendar year
What is Covered?
  • $90 per visit for eligible services up to the overall combined practitioner maximum of $1,500 per calendar year
What is Covered?
  • $90 per visit for eligible services up to the overall combined practitioner maximum of $1,500 per calendar year.
  • Treatments by a Massage Therapist must be prescribed by a licensed physician (M.D).
What is Covered?
  • $90 per visit for eligible services up to the overall combined practitioner maximum of $1,500 per calendar year
What is Covered?
  • $90 per visit for eligible services up to the overall combined practitioner maximum of $1,500 per calendar year
What is Covered?
  • $90 per visit for eligible services up to the overall combined practitioner maximum of $1,500 per calendar year
What is Covered?
  • $100 per visit for eligible services up to an overall combined maximum of $1,500 per calendar year.
  • Includes treatments by a Clinical Psychologist, Psychoanalyst, Psychotherapist, or Social Worker.
What is Covered?
  • $3,000 per Calendar Year
    • Diagnostics: exams, x-rays – 100%
    • Endodontics: root canals – 100%
    • Periodontics: root planing and surgery – 100%
    • Preventative: polishing, scaling, fluoride – 100%
    • Dentures: Partial / Complete – 100%
    • Crowns / Bridgework / Implants – 100%
    • Restorative: fillings, crowns – 100%
    • Surgical: extractions, oral surgery – 100%
    • Orthodontics – 60 %
  • Orthodontics – $3,000 Lifetime
    Maximum

 

 

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