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