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