Benefits

Association Base Dental

DentalPlus Basic

DentalPlus Enhanced

Association Gold Dental

Prescription Drug

 

 

 

No coverage

 

No coverage

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Dental - Basic Coverage

-70% on $350 ($245)

 

-50% of first $1,150 (Year 1)

-70% of first $1200 (Year 1)

-80% co-payment

 

 

 

 

 

-80% of first $300, 50% of next $850 (Year 2+)

- 100% of first $500, %60 of next $700 (Year 2+)

-Year 1:  $500, Year 2: $750, Year 3 & 4: $1000

 

 

 

 

 

 

 

 

 

 

 

 

 

-Periodontics and

-No coverage

 

-No coverage

 

-1st and 2nd year at 60% to max of $1250

-Covered under above Basic Services

 Endodontics

 

 

 

 

 

 

every 3 years ($400 first year max)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

-Crowns, Bridges,

-No coverage

 

-No coverage

 

-1st and 2nd year at 0%, then 60% included

-Starting in year 3, 60% co-pay under the above

 Orthodontics, Dentures

 

 

 

 

 

 

with perio and endo in 3 year maximum

  same maximums

 

 

 

 

 

 

 

 

 

 

 

 

 

 

-Recall visits

-9 month recall

 

-9 month recall

 

-6 month recall

 

-6 month recall

 

Vision Care

$100 per 2 benefit years

 

$250 per 2 benefit years

 

$250 per 2 benefit years

 

$100 per 2 benefit years

 

Eye Examinations

$30 per 2 benefit years

 

$30 per 2 benefit years

 

$30 per 2 benefit years

 

$30 per 2 benefit years

 

Travel Coverage

No coverage

 

Unlimited trips up to 9 days - $5,000,000

Unlimited trips up to 9 days - $5,000,000

No coverage

 

Hospital Coverage

No coverage

 

Optional coverage

 

Optional Coverage

 

No coverage

 

Chiropractors, Osteopaths,

$15 maximum per visit,

 

$15 maximum per visit, 20 visits per year per

$15 maximum per visit, 20 visits per year per

$15 maximum per visit,

 

Podiatrists, Naturopaths,

$300 per specialist and therapist

specialist and therapist

 

specialist and therapist

 

$300 per specialist and therapist

Massage Therapists,

 

 

 

 

 

 

 

 

 

 

 

 

Chiropodists, Acupuncturist

 

 

 

 

 

 

 

 

 

 

 

 

Speech Pathologists/Therapist

$60 first visit, $40 subsequent, 10 visit max

$60 first visit, $40 subsequent, 10 visit max

$60 first visit, $40 subsequent, 10 visit max

$60 first visit, $40 subsequent, 10 visit max

Psychologist

$75 first visit, $60 subsequent, 10 visit max

$75 first visit, $60 subsequent, 10 visit max

$75 first visit, $60 subsequent, 10 visit max

$75 first visit, $60 subsequent, 10 visit max

Physiotherapist

$15 max per visit, $300 total

$250 maximum per anniversary year

$250 maximum per anniversary year

$15 max per visit, $300 total

Homecare and Nursing,

Year 1-$500, year 2-$800, year 3-$1000,

$2,500 per anniversary year, for each of these

$2,500 per anniversary year, for each of these

Year 1-$500, year 2-$800, year 3-$1000,

Medical Equip & Appliances

year 4-$1500, year 5-$2500, per category

three categories of benefits separately

three categories of benefits separately

year 4-$1500, year 5-$2500, per category

Ambulance Services

Unlimited + $4000 air ambulance

Unlimited + $4000 air ambulance

Unlimited + $4000 air ambulance

Unlimited + $4000 air ambulance

AD & D

$10000 per adult, $4000 for senior and child

$25000 per adult, $10000 for senior and child

$25000 per adult, $10000 for senior and child

$10000 per adult, $4000 for senior and child

Accidental Dental

$2000 per anniversary year

$2000 per anniversary year

$2000 per anniversary year

$2000 per anniversary year

Hearing Aids

$300 every 4 consecutive benefit years

$400 every 4 consecutive benefit years

$400 every 4 consecutive benefit years

$300 every 4 consecutive benefit years

Lifeline

3 months

 

 

3 months

 

 

3 months

 

 

3 months

 

 

Best Doctors

 

 

 

 

 

 

 

 

 

 

 

 

Survivor Benefit

In 2nd year, 1 yr coverage following death of sub

1 yr coverage following death of sub

1 yr coverage following death of sub

In 2nd year, 1 yr coverage following death of sub

Fracture Benefit

 

 

 

 

 

 

 

 

 

 

 

 

Other Benefits

Best Doctors Solutions Services

 

 

 

 

 

 

Best Doctors Solutions Services