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What options are available?

What are the personal health coverage options available?

Whether you’re retiring, changing jobs or moving to a career with no group benefits, Coverage2go® from Equitable Life® allows you to purchase health and dental coverage that is affordable and reliable. Coverage2go may not cover all the same benefits or have the same coverage maximum amounts as under your previous group benefits plan; please see below for details.

There are no medical questions if you apply within 60 days of losing health coverage under your group benefits plan. To apply for dental coverage, you will need to have had a dental benefit under your previous plan.

You automatically qualify for coverage if you:

  1. Had group health benefits within the last 60 days;
  2. Have registered provincial health coverage; and
  3. Are less than 75 years of age.

There are two levels of protection to select from, so you can choose the level of coverage and protection that suits the needs of you and your family.

Benefit

Coverage2go

Coverage2go+

Overall plan maximum (includes Private Duty Nursing, Medical supplies/equipment, Dental Accident, Paramedical practitioners and/or Ambulance)

$200,000

$300,000

Prescription drugs

80% coverage
up to $1,100/year

80% coverage
up to $2,000/year

Vision (includes eye glasses, contact lenses, surgery and eye examinations)

100% coverage
up to $150/two years

100% coverage
up to $200/two years

Paramedical practitioners (includes chiropractor, registered massage therapist, naturopath, osteopath, physiotherapist, podiatrist/chiropodist, psychologist, acupuncturist and/or speech therapist)

$500 combined maximum/year

$650 combined maximum/year

Hospital care (semi-private)

85%, $175/day
Up to $6,000/year, 180 days per stay

85%, $200/day
Up to $6,000/year, 180 days per stay

Private duty nursing

85% coverage
up to $5,000/year
$25,000 lifetime

90% coverage
up to $5,000/year

$25,000 lifetime

Medical supplies/equipment (includes prosthesis, orthotics/orthopaedic shoes, wheelchairs, wigs and hairpieces, glucometers, casts, crutches, hospital bed, hearing aids)

85% coverage
up to $3,000/year

90% coverage
up to $3,500/year

Dental accident

$5,000/lifetime

$5,000/lifetime

Ambulance

100% coverage for ground services only

100% coverage for ground services
Up to $5,000 for air services

Emergency Travel Assistance
(up to age 80)

$1 million/policy lifetime
60 day trip duration

$1 million/policy lifetime
60 day trip duration

Optional Dental

80% Basic Services (9 month recall exam)
50% coverage for Major Restorative Services**
Up to a combined maximum of $750/year

80% Basic Services (9 month recall exam)
50% Major Restorative Services**
Up to a combined maximum of $800/year

* Coverage information provided in this document is for descriptive purposes only. Certain definitions and exclusions apply which are set out in the policy contract at time of issue. Reimbursement is based on reasonable and customary costs where services are provided. Different maximums apply to each covered type of Medical Equipment and Supply.

**Major Restorative Services are only available after Dental benefits have been in place for one year.  Major Restorative Services include:  Endodontics and Periodontics (e.g. services associated with the restoration or reconstruction of teeth or missing teeth such as crowns, bridges and dentures)

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