The overall maximum for all levels of extended health is $5,000 per year (excludes Accidental Death and Dismemberment, Travel and Term life)
Hospital
Coverage |
Level A |
Level B |
Level C |
Auxiliary care (per year) |
- |
- |
$1,000 |
Hospital beds (per lifetime) |
- |
$1,000 |
$1,500 |
Hospital cash (per day/per year) |
- |
$20/$400 |
$20/$600 |
Home nursing (per year) |
- |
- |
$2,500 |
Preferred hospital accommodations (per year; semi-private or private rooms) |
$1,000 |
$2,000 |
$3,000 |
Paramedical practitioners
Coverage |
Level A |
Level B |
Level C |
Ambulance services (ground and air) |
100% |
100% |
100% |
Acupuncturist, homeopath, osteopath and naturopath (per visit) |
- |
- |
$50 |
Combined maximum (per year; includes acupuncturist, homeopath, osteopath and naturopath) |
- |
- |
$350 |
Chiropractor (per visit) |
- |
$35 |
$35 |
Physiotherapist and massage therapist (per visit) |
- |
$50 |
$50 |
Combined maximum (per year; includes chiropractor, physiotherapist and massage therapist) |
- |
$350 |
$500 |
Podiatrist and chiropodist (per visit) |
- |
$25 |
$25 |
Combined maximum (per year; includes podiatrist and chiropodist) |
- |
$300 |
$300 |
Psychologist (including iCBT) (per visit/per year) |
$75/$150 |
$75/$450 |
$75/$750 |
Speech language pathologist (per visit/per year) |
- |
- |
$80/$500 |
Individual Assistance Program (IAP) (per calendar years) |
12 sessions |
12 sessions |
12 sessions |
Medical device supplies
Coverage |
Level A |
Level B |
Level C |
Accidental dental care (per incident) |
$2,000 |
$2,500 |
$3,000 |
CPAP sleep apnea appliance (per five years) |
- |
$500 |
$750 |
Custom braces (per two years) |
- |
70%/$750 |
70%/$750 |
Foot orthotics (per year) |
- |
$200 |
$200 |
Hearing aids (per four years) |
- |
$500 |
$750 |
Ileostomy/colostomy, urinary catheters and supplies (per year) |
- |
$1,200 |
$1,200 |
Mastectomy prosthesis (per two years) |
- |
$200 for single/$400 for double |
$200 for single/$400 for double |
Medical aids (per year; crutches, canes, casts, cervical collars, walkers, splints, trusses and traction kits) |
- |
$250 |
$250 |
Orthopedic shoes (per year) |
- |
$250 |
$250 |
Oxygen and equipment (per year) |
- |
- |
$1,000 |
Prosthetics (per year) |
- |
$300 |
$300 |
Surgical stockings (per year) |
- |
$200 |
$200 |
Wheelchair (per three years) |
- |
$1,500 |
$1,500 |
Vision care
Coverage |
Level A |
Level B |
Level C |
Vision care including eye exams (per two years) |
$100 |
$200 |
$300 |
Travel
Coverage |
Level A |
Level B |
Level C |
Maximum* (per trip) |
$5 million |
$5 million |
$5 million |
Travel days* (per trip) |
10 |
17 |
30 |
Travel plan discount (additional coverage) |
15% |
20% |
25% |
Stability clause* |
90 days |
90 days |
90 days |
**Terminates at age 65—‘Terminates at age’ references the age when a benefit is no longer available for that specific individual.
Life
Coverage |
Level A |
Level B |
Level C |
Accidental Death and Dismemberment (AD&D)** |
$15,000 |
$20,000 |
$25,000 |
Final Expenses**, terminates at age 65* (one year waiting period) |
- |
$4,000 |
$6,000 |
* "Terminates at age" references the age when a benefit is no longer available for that specific individual
**Underwritten by Blue Cross Life Insurance Company of Canada®.
Wellness
Coverage |
Level A |
Level B |
Level C |
Balance®—online program that promotes wellness and helps you live a healthier lifestyle. |
Included |
Included |
Included |
Blue Advantage®—discount program for health and wellness prodects. |
Included |
Included |
Included |
Care navigation—lifestyle and chronic disease management through our website. |
Included |
Included |
Included |