| Benefits | Value | Value Plus |
|---|---|---|
| Prescription Drug | Generic Dispensing fee cap of $8.50 80% coverage; $2000 yearly maximum $30,000 lifetime maximum | Brand Name No Dispensing fee cap 80% coverage; $6000 yearly maximum $50,000 lifetime maximum |
| Dental - Basic Coverage -Oral Surgery, Periodontics & Endodontics -Crowns, Bridges, Orthodontics, Dentures -Recall visits | -90% on 1st $250 ($225) -50% on next $750 ($375) combined 1st year maximum of $250 combined $750 any 3 consecutive years Year 1&2 50%, Year 3+ 70% -No coverage -9 month recall | -90% on 1st $250 ($225) -50% on next $750 ($375) combined 1st year maximum of $250combined $750 any 3 consecutive years Year 1&2 50%, Year 3+ 70% -No coverage-9 month recall |
| Vision Care | $150 / 2 years | $100 per 2 benefit years |
| Eye Examinations | No coverage | $30 per 2 benefit years |
| Travel Coverage | Unlimited trips up to 15 days - $1,000,000 | Unlimited trips up to 15 days - $1,000,000 |
| Hospital Coverage | No coverage | $175 daily maximum 100% 1st 60 days, 50% next 90 days |
| Chiropractors, Osteopaths, Podiatrists, Naturopaths, Chiropodists, Acupuncturist | Combined annual maximum of $600 | Combined annual maximum of $600 |
| Massage Therapists, | $15 first visit, $15 subsequent, 15 visit max | $15 first visit, $15 subsequent, 15 visit max |
| 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, | Upto $2500 per anniversary year | Upto $2500 per anniversary year |
| Medical Equip & Appliances | Upto $2500 per anniversary year | Upto $2500 per anniversary year |
| Ambulance Services | Unlimited + $4000 air ambulance | Unlimited + $4000 air ambulance |
| AD & D | $25000 per adult, $10000 for senior and child | $25,000 per adult, $10,000 for senior and child |
| Accidental Dental | $2500 per anniversary year | $2500 per anniversary year |
| Hearing Aids | $300 every 5 consecutive benefit years | $300 every 5 consecutive benefit years |
| Lifeline | 6 months lifetime maximum rental | 6 months lifetime maximum rental |