GMS Individual Health Insurance – ExtendaPlan Policy and Rates Expired

Click here to see current policy

PLAN HIGHLIGHTS:

Coverage for Extended Healthcare Benefits such as Casts and Crutches, Wheelchairs, Private Duty Nursing, Artificial Limbs, In-Hospital Drugs, Ambulances

Three Plan Options with Varying Coverage Levels:

  • OmniPlan
  • ExtendaPlan
  • BasicPlan

OmniPlan and ExtendaPlan offer additional Benefits such as Eye Exams/Eyeglasses, Hearing Aids, Oxygen Equipment, Health Practitioners, Health and Diabetic Supplies and Equipment, Orthotics and Therapeutic Shoes, Mobility Aids, Out of Province Referral and Funeral Expenses

Options to Add-On Coverage for Travel, Enhanced Prescription Drugs, Hospital Cash and Dental Coverage

BENEFIT HIGHLIGHTS:

Air and Land Ambulance:

Unlimited Air Ambulance Coverage

Goods and Services

Goods and Services may be purchased anywhere in Canada.  Services must be received in your province of residence.

Vision Care and Eye Exams:

$90 per 2 years for Eye Exams- Eyeglasses and contact lenses included in Eye Exam limit.

Health Practitioners

Maximum visit $35 per person. $250 per person maximum a year per practioner.

Hearing Aids:

$500 per 5 years

Health Supplies and Equipment

$500 per person per year

Diabetic Supplies and Equipment

$300 per person per year

Oxygen Equipment

$500 per person per year to a lifetime maximum of $1500

Blood Pressure Monitors

1 per policy per 5 years

Custom made Foot Orthotics

80% 1 per 5 years per Adult; 1per year for children under 16

Therapeutic Shoes

$225 per person per year

Mobility Aids

$300 per person per year

Ostomy Supplies

$300 per person per year

Funeral Expenses

N/A

Out-of-Province Referral

$50,000per person (lifetime Maximum)

Preferred Hospital Rooms

$1000 per person per year.

In Hospital Drugs

$1,000 per person per year

Accidental Injury to Natural Teeth:

$2,000 per injury

Wheelcharirs, Motorised Scooters & Adjustable Beds

100% of purcahse or rental to a maximum of $750/5years

Patient Walkers

80% of purchase or rentals to a maximum of $300/5years

Casts and Crutches

Unlimited

Breast Prosthesis

$325 per 2 years lateral or $650 per year per 2 years bilateral

Artificial Limbs, Eyes & Larynx

$5,000 per person per year

Private Duty Nursing:

80% of costs to $3,000 per person per year for in-hospital or in-home as palliative care

Options to Add-On Coverage for Travel, Enhanced Prescription Drugs, Hospital Cash and Dental Coverage

Prescription Drugs:

Available as an Add-On – $3,500 per person per year

Prescription Drug – Enhanced Option

Available for Pre-Existing Coverage of is available. $800 coverage for existing prescriptions with an overall policy maximum of $5000 per person

Dental Coverage:

Available as an Add-On to All Plans for up to $1,000 per person per year

Hospital Cash

$100 per day up to 30 consecutive days.

Emergency Travel:

Available as an Upgrade on All Plans – 15, 30 or 48 day Multi-Trip options to a maximum of $2 million.

 

Please note:  This is a Summary Only – please refer to Policy Wording for complete details

 

Underwritten by Group Medical Services