Benefit Type | SILVER PLAN | GOLD PLAN | PLATINUM PLAN* Minimum 6 employees |
SELECT PLAN TO QUOTE | SELECT SILVER | SELECT GOLD | SELECT PLATINUM |
Prescription Drugs - Pay Direct Drug Card: | Formulary Drugs covered by the Ontario Health Plan @ 70% of the cost to $500 per year | Formulary & Non-Formulary Drugs covered by the Ontario Health Plan @ 80% of the cost to $500 per year | Formulary & Non-Formulary Drugs covered by the Ontario Health Plan @ Unlimited |
Eye Exams | $50 per 2 years | Includes Glasses & Contact Lenses to $100 per 2 years | Includes Glasses & Contact Lenses to $300 per 2 years |
Travel Emergency Coverage | - | 30 Days (Unlimited number of trips). $1million coverage | 30 Days (Unlimited number of trips). $1million coverage |
Ambulance Services | $1,500 | Unlimited | Unlimited |
Air Ambulance Services | Unlimited | Unlimited | Unlimited |
Preferred Ward | Unlimited | Unlimited | Unlimited |
Private Duty Nursing | $2,500 | $2,500 | $5,000 |
Breast Prothesis | $325/$650 per 2 years. | $325/$650 per 2 years | $325/$650 per 2 years |
Wheelchairs, Scooters & Adjustible Beds | $500 per policy per 5 years. | $500 per policy per 5 years. | $500 per policy per 5 years. |
Patient Walkers | $200 per policy per 3 years. | $200 per policy per 3 years. | $200 per policy per 3 years. |
Casts & Crutches | Unlimited | Unlimited | Unlimited |
Artificial Eyes, Limbs & Larynx | Unlimited | Unlimited | Unlimited |
Diabetic Supplies & Equipment | $300 | $300 | $500 |
Ostomy Supplies | $300 | $300 | $300 |
Oxygen Equipment | $500 | $500 | $500 |
Accidental Injury to Natural Teeth | $2,000 per injury | $2,000 per injury | $2,000 per injury |
Health Practitioners | - | $300 combined | $300 per specialty per year |
Hearing Aids | - | - | $500 per 3 years |
Therapeutic Shoes | - | $200 | $200 |
Out-of-Province Referral (Treatment in Canada, pre-approved) | - | $50,000 Lifetime | $50,000 Lifetime |
Custom Foot Orthotics | one/5 years; children under 16 one/year | one/5 years; children under 16 one/year | one/5 years; children under 16 one/year |
Additional Expenses:such as wigs, splints, compressors, knee braces with metal parts, trusses,rib belts,sacroiliac corsets, embolic stockings, aero chambers, and more | $500 per year combined | $500 per year combined | $500 per year combined |