Illness or injury can strike when you least expect it. When it does, you should be able to focus on getting better, not how to pay your bills. That’s why the plan offers you and your family health care coverage. It is designed to complement the provincial plan and help pay more major health expenses.
For a summary of your health coverage, refer to the Benefits At-a-Glance section. There you will find information on reimbursement levels and applicable maximums.
Eligible expenses must be reasonable and customary, medically necessary, and incurred while the individual was covered under the plan.
Payment will be based on reasonable and customary charges in the area in which the treatment is given as determined by the insurer adjudicating benefits. Limits may apply to specific servised and supplies.
Benefits at a glance
|Prescription drugs (mandatory generic substitution)||80% reimbursment of the first $150 per eligible drug expense and 100% thereafter|
|Hospital accomodations||100% reimbursment of the difference between a ward and semi-private room 80% between semi-private and private|
|Paramedical practitioners||80% reimbursment to specified annual maximums|
|Vision care||80% reimbursment to specified annual maximums|
|Medical services||80% reimbursment to specified annual maximums|