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Individual Health & Dental Insurance

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If you are Self-employed, Contractor or business owner you may be eligible for Group Insurance.

Title

ENTRY PLAN

Reimbursement level 60%

We offer Blue Cross HealthTM individual health and dental plans. For information on the Complete Health Plan please see the details below or click on get a quote.

ESSENTIAL PLAN

Reimbursement level 70%

We offer Blue Cross HealthTM individual health and dental plans. For information on the Complete Health Plan please see the details below or click on get a quote.

ENHANCED PLAN

Reimbursement level 80%

We offer Blue Cross HealthTM individual health and dental plans. For information on the Complete Health Plan please see the details below or click on get a quote.

Health Coverage

  • AD&D – Not Covered
  • Accidental Dental $7,000 life time
  • Ambulance – Not Covered
  • Audiologist – $40 per visit- $250/ year
  • Managing Chronic Disease- $40 per visit- $250/ year
  • Diabetic supplies – Not Covered
  • Dietician – $40 per visit -$250/ year
  • Hearing Aids/Repairs – Not Covered
  • Medical Equipment – Not Covered
  • Mobility Aids -60%
  • Nursing Care – Not covered
  • Orthotics/Orthopedic (custom) $150 / year
  • Ostomy Supplies – Not covered
  • Oxygen – Not covered
  • Prosthetics – Not covered
  • Semi-Private Hospital – Not covered
  • Chiropodist/Podiatrist – $40 per visit – $250/ year
  • Occupational Therapist – $40 per visit -$250/ year
  • Psychologist/Social/Psychotherapists Worker -$40 per visit -$250/ year
  • Speech Therapist – $40 per visit -$250/ year
  • Osteopath -$40 per visit -$250/ year
  • Physiotherapist -$40 per visit -$250/ year
  • Acupuncturist – Not covered
  • Massage Therapist – Not covered
  • Naturopath – Not covered
  • Vision care – $100 every 2 years (6 month waiting period)
  • Travel Insurance – Not covered
  • AD&D $15,000 applicant or spouse /$5,000 each child
  • Accidental Dental $7,000 life time
  • Ambulance – $420
  • Audiologist -$55 per visit – $400/ year
  • Managing Chronic Disease -$55 per visit – $400/ year
  • Diabetic supplies – Covered
  • Dietician -$55 per visit -$400/ year
  • Hearing Aids/Repairs – $400 / Every 5 years (6 month waiting period)
  • Medical Equipment – Covered
  • Mobility Aids – 60%
  • Nursing Care – $3,500 / Every 2 years
  • Orthotics/Orthopedic (custom) $150 / year
  • Ostomy Supplies – Covered
  • Oxygen – Covered
  • Prosthetics – $10,000 life time
  • Semi-Private Hospital – Covered
  • Chiropodist/Podiatrist – $55 per visit -$400/ year
  • Occupational Therapist -$55 per visit -$400/year
  • Psychologist/Social/Psychotherapists Worker -$55 per visit -$400/ year
  • Speech Therapist -$55 per visit -$400/ year
  • Osteopath -$55 per visit -$400/year
  • Physiotherapist -$55 per visit -$400/ year
  • Acupuncturist -$55 per visit – $400/ year
  • Massage Therapist -$55 per visit -$400/ year
  • Naturopath -$55 per visit – $400/ year
  • Vision care – $150 every 2 years (6 month waiting period)
  • Travel Insurance – Not covered
  • AD&D $20,000 applicant or spouse /$5,000 each child
  • Accidental Dental $7,000 life time
  • Ambulance – $420
  • Audiologist $70 per visit -$500/ year
  • Managing Chronic Disease $70 per visit -$500/ year
  • Diabetic supplies – Covered
  • Dietician -$70 per visit $500/per calendar year
  • Hearing Aids/Repairs – $500 / Every 5 years (6 month waiting period)
  • Medical Equipment – Covered
  • Mobility Aids – 60%
  • Nursing Care – $5,600/ Every 2 years
  • Orthotics/Orthopedic (custom) $225/ year
  • Ostomy Supplies – Covered
  • Oxygen – Covered
  • Prosthetics – $10,000 life time
  • Semi-Private Hospital – 100% / 90 days
  • Chiropodist/Podiatrist -$70 per visit – $500/ year
  • Occupational Therapist -$70 per visit -$500/ year
  • Psychologist/Social/ Psychotherapists Worker -$70 per visit -$500/ year
  • Speech Therapist -$70 per visit -$500/ year
  • Osteopath -$70 per visit -$500/ year
  • Physiotherapist -$70 per visit -$500/ year
  • Acupuncturist – $70 per visit -$500/ year
  • Massage Therapist – $70 per visit -$500/ year
  • Naturopath – $70 per visit – $500/per calendar year
  • Vision care – $300 every 2 years (6 month waiting period)
  • Travel Insurance – 100% / 30 days

Drug Coverage

  • Not Covered under Entry plan
  • 70% first $4,500
  • 100% thereafter
  • Overall benefit max per year – None
  • Max co-pay per prescription – $100
  • Max out of pocket co-pay per year – $1,350
  • Birth control – Covered
  • Smoking cessation – $800 / 5 years
  • Fertility drugs – Not covered
  • Vaccines – Not covered
  • Allergy serums – Not covered
  • Erectile dysfunction – Not covered
  • 80% first $4,500
  • 100% thereafter
  • Overall benefit max per year – None
  • Max co-pay per prescription – $50
  • Max out of pocket co-pay per year – $900
  • Birth control – Covered
  • Smoking cessation – $800 / 5 years
  • Fertility drugs – $1,500 / year ($3,000 life time)
  • Vaccines – $250 / year
  • Allergy serums – $500 / year
  • Erectile dysfunction – $250 / year

Dental Coverage

  • Yearly Max – $500
  • Dental Exam & Cleaning
  • X-rays
  • Fillings (3 month waiting period)
  • Yearly max – Unlimited (Basic Services)
  • Dental Exam & Cleaning
  • X-rays
  • Fillings
  • Extractions
  • Root canals (6 month waiting period)
  • Yearly max – Unlimited (Basic Services)
  • Dental Exam & Cleaning
  • X-rays
  • Fillings
  • Extractions
  • Root canals (6 month waiting period)
  • Periodontics – 60% $1,200 / year (2 year waiting period)
  • Major dental – 60% $500 / year (2 year waiting period)
  • Orthodontics (Age 18 and under) – 60% $1,500 / year (2 year waiting period) Reimbursement limit $125/month

Important Notice:

 

The above plan designs is not a formal policy document. This summary is designed to offer a brief overview and does not encompass all details related to the insurance policy. Its purpose is to outline key benefits and provide a monthly cost that may vary depending on underwriting decisions.

 

Underwriting Requirements:

 

To process your application, the insurance carrier must ask for health questionnaires for underwriting purposes.

 

Exclusions and Pricing:

 

Exclusions may apply based on the policy terms and conditions.

Monthly prices are subject to variation and may be affected by various factors and underwriting decisions.