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Prescription Plan
CORE BENEFITS
A health plan that
provides coverage for brand name and generic prescription drugs. You
can choose between Basic or Enhanced Coverage.
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Basic |
Enhanced |
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Generic drug plan
(name brand allowed, but price paid will be deemed to be the
generic equivalent price)
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Name brand or
generic drugs, including birth control and fertility drugs. |
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Full coverage of
reasonable and customary dispensing fees.
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Full coverage of
reasonable and customary dispensing fees. |
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Medical
questionnaire required
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Medical
questionnaire required |
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Covers 70% on your
first $750 of eligible prescription costs to a
maximum of $525 per anniversary year.
Covers 90% on your
next $4,972 of eligible prescription costs to a
maximum $4,475 per anniversary year.
Total benefits
payable per anniversary year is $5,000 |
Covers 90% on your
first $2,222 of eligible prescription costs to a
maximum of $2,000 per anniversary year.
Covers 100% on
your next $8,000 of eligible prescription costs to a
maximum $8,000 per anniversary year.
Total benefits
payable per anniversary year is $10,000.
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Exclusions –
smoking cessation drugs, over the counter drugs, fertility
drugs, birth control drugs, and drugs not requiring a
prescription.
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Exclusions –
smoking cessation drugs, over the counter drugs, and drugs
not requiring a prescription. |
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Plus,
Core Benefits:
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Plus,
Core Benefits:
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CORE
BENEFITS:
Vision
- $100 maximum
per 2 consecutive benefit years to cover costs towards
prescription lenses, frames, contact lenses and laser eye surgery.
- $30 maximum
per 2 consecutive benefit years (payable only after Government
Health Insurance Plan maximum has been reached, if applicable).
- Eyeglasses are
covered against breakage and scratches by a repair guarantee for a
period of 2 benefit years. This warranty applies to lenses and
frames purchased with the Flexcare Vision benefit.
- No deductible
is charged to you if your eyeglasses will be replaced and a $50
deductible charged for the eyeglasses originally purchased for up
to $250; a $75 deductible, if the original purchase price was $251
to $300; and a $100 deductible, if you eyeglasses originally cost
$301, or more.
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Extended Health Care (Basic)
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Under 65 years: $250,000 |
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Age 65 or
better: $260,000 |
- Best Doctors
Solutions Services – upon diagnosis of a serious illness r injury,
you can receive an evaluation of your medical records by
world-class specialists who confirm the initial diagnosis and
recommend appropriate treatment options. This fast, yet in depth
review can reduce potentially serious complications from a
misdiagnosis and help your local physician determine the proper
course of action. In addition to medical services: treatment
planning, identification of the most appropriate care provider and
care management.
- Chiropodist,
Chiropractor, Osteopath, Naturopath, Podiatrist, Registered
Massage Therapist, Acupuncturist - $20 maximum per visit, 20 visit
maximum per discipline per anniversary year. (payable only after
Government Health Insurance Plan maximums have been reached, if
applicable)
- Chiropractic
X-ray - $35 maximum per anniversary year
- Psychologist -
$80 maximum first visit, $65 maximum subsequent visits, 10 visit
maximum per anniversary year
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Physiotherapist - $250 maximum per anniversary year
- Homecare and
Nursing, Prosthetic Appliances, Durable Medical Equipment - $3,000
maximum per anniversary year, for each of these 3 categories of
benefits separately. Note: $225 maximum per anniversary year for
custom-made Orthotics, which are included as part of Durable
Medical Equipment.
- Speech
Pathologist / Therapist - $65 maximum first visit, $45 maximum
subsequent visits, 10 visit maximum per anniversary year.
- Lifeline
Personal Response Service – lifetime maximum of 3 months of
service, not including installation fee.
- Accidental
Dental - $2,000 maximum per anniversary year
- Ambulance –
unlimited ground transportation to hospital and $4,000 maximum for
air ambulance transportation per anniversary year (payable only
after Government Health Insurance Plan maximums have been reached,
if applicable)
- Hearing Aid -
$400 maximum per 4 consecutive benefit year
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Travel
- $5 million
emergency health coverage for trips lasting a maximum of 9 days.
Additional coverage for either 8 or 21 days can be purchased as an
Add-on.
- A 9-month
pre-existing condition clause applies to Travel. Not available to
persons age 65 and over.
Accidental Death and Dismemberment
- Up to $25,000
upon the Accidental Death and Dismemberment of an adult over 65 or
a child. Additional coverage can be purchased as an Add-on.
Survivor Benefit
- Provides for
coverage to be continued for 1 year, following the death of an
adult policy holder.
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Download application forms
and once completed, you can email, fax or mail directly to:
Email :
application@goinsure.ca
Fax : 416-265-0777
| Mail : |
Goinsure.ca |
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300-1200 Lawrence Ave East |
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Toronto, ON |
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M3A 1C1 |
If you want a
direct link to Manulife Financial, please click
here.
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