|
Benefits |
DrugPlus Basic |
DrugPlus Enhanced |
||||
|
Prescription
Drug |
Generic |
|
|
Brand Name, Includes birth control |
||
|
|
|
|
|
|
|
|
|
|
70% on 1st $750, 90% on next $4,972 ($5000) |
90% on first $2,222, 100% on next $8000
($10,000) |
||||
|
Dental -
Basic Coverage |
No coverage |
|
No coverage |
|
||
|
|
|
|
|
|
|
|
|
Vision Care |
$250 per 2 benefit years |
|
$250 per 2 benefit years |
|
||
|
Eye
Examinations |
$30 per 2 benefit years |
|
$30 per 2 benefit years |
|
||
|
Travel
Coverage |
Unlimited trips up to 9 days - $5,000,000 |
Unlimited trips up to 9 days - $5,000,000 |
||||
|
Hospital
Coverage |
Optional coverage |
|
Optional Coverage |
|
||
|
Chiropractors,
Osteopaths, |
$15 maximum per visit, 20 visits per year
per |
$15 maximum per visit, 20 visits per year
per |
||||
|
Podiatrists,
Naturopaths, |
specialist and therapist |
|
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 |
||||
|
Psychologist |
$75 first visit, $60 subsequent, 10 visit
max |
$75 first visit, $60 subsequent, 10 visit
max |
||||
|
Physiotherapist |
$250 maximum per anniversary year |
$250 maximum per anniversary year |
||||
|
Homecare
and Nursing, |
$2,500 per anniversary year, for each of
these |
$2,500 per anniversary year, for each of
these |
||||
|
Medical
Equip & Appliances |
three categories of benefits separately |
three categories of benefits separately |
||||
|
Ambulance
Services |
Unlimited + $4000 air ambulance |
Unlimited + $4000 air ambulance |
||||
|
AD & D |
$25000 per adult, $10000 for senior and
child |
$25000 per adult, $10000 for senior and
child |
||||
|
Accidental
Dental |
$2000 per anniversary year |
$2000 per anniversary year |
||||
|
Hearing
Aids |
$400 every 4 consecutive benefit years |
$400 every 4 consecutive benefit years |
||||
|
Lifeline |
3 months |
|
|
3 months |
|
|
|
Best
Doctors |
|
|
|
|
|
|
|
Survivor
Benefit |
1 yr coverage following death of sub |
1 yr coverage following death of sub |
||||
|
Fracture
Benefit |
|
|
|
|
|
|