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The Edge

(underwritten by Green Shield)

 

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Health & Dental - SUMMARY OF BENEFITS

 

Guaranteed Issue Plans (no medical questionnaire required) 

Base Health Plan (includes Base Extended Health Plan + Base Drugs Plan)

Base Health Plan + Health Upgrade

Base Health Plan + Dental

Base Health Plan + Dental + Dental Upgrade

Base Health Plan + Health Upgrade + Dental

Base Health Plan + Health Upgrade + Dental + Dental Upgrade

 

Medically Underwritten Plan (medical questionnaire required) 

►  Prescription Drug Upgrade (can be added to all Guaranteed Issue Plans)

 

Extended Health Benefits
Benefits Base Extended Health Plan (can only be purchased with Base Drug plan) Extended Health Care Upgrade

Professional Services/Registered Therapists

$1,000 per year combined for all practitioners $1,500 per year combined for all practitioners

Acupuncturist

$20 per visit ; $400 per year

$40 per visit ; $500 per year

Chiropractor

$20 per visit ; $400 per year

$40 per visit ; $500 per year

Footcare Specialist (Podiatrist or Chiropodist

$20 per visit ; $400 per year

$40 per visit ; $500 per year

Naturopath

$20 per visit ; $400 per year

$40 per visit ; $500 per year

Osteopath

$20 per visit ; $400 per year

$40 per visit ; $500 per year

Physiotherapist

$20 per visit ; $400 per year

$40 per visit ; $500 per year

Registered Massage Therapist

$20 per visit ; $400 per year

$40 per visit ; $500 per year

Psychologist/Registered Social Worker

$400 per year combined

$500 per year combined

Speech Therapist

$400 per year

$500 per year

Accidental Dental

maximum $3,000 per year

maximum $10,000 per year

Ambulance Transportation

Included

 

Hearing Aids

Not Applicable

up to $500 per person every 3 years

Home Support Services
 In-Home Nursing

$1,500 in Year 1

$2,000 in Year 2

$3,000 in Year 3

$4,000 per year thereafter

$10,000 per year combined with Home Support Services

Medical Items

$1,500 in Year 1; $2,000 in Year 2;
$3,000 in Year 3; $4,000 per year thereafter

$10,000 per year combined with Home Support Services 

Compression stockings

2 pairs every 4 months

2 pairs every 4 months

Custom-made boots or shoes

$500 every 24 months

$500 every 24 months

Custom-made foot orthotics

$250 every 24 months

$250 every 24 months

Surgical Brassieres

2 every 12 months

2 every 12 months

Wigs

$400 per lifetime

$400 per lifetime

Medical Services 
Diagnostic tests and x-ray, dialysis equipment, laboratory tests

$2,000 per year 

$3,000 per year 

Emergency Medical Travel 

 

 

Number of day per trip limitation

First 15 days of trip  

First 15 days of trip  

Emergency Services 

$5,000,000 per year 

$5,000,000 per year 

Referral Services 

$50,000 per year 

$50,000 per year 

 Vision care

 Eye examination

Not Applicable 

$65 every 24 months

 Eyeglasses, Contact Lenses, Laser Eye Surgery

Not Applicable 

$250 every 24 months

 

   Prescription Drugs  
Benefits   Base Drug Plan (can only be purchased with Base Extended Health Plan)  Prescription Drug Upgrade

Prescription Drugs
Benefits do not include medication for the treatment of anti-obesity, smoking cessation products, erectile dysfunction and fertility. Vitamins are also ineligible unless injected and medically necessary.
 

Covered at 70% to a maximum of $400 per person, per benefit year 

Covered at 90% to the following maximums per person, per benefit year:

$1,000 - Year 1

$1,500 - Year 2

$2,000 - per year thereafter

 

Dental Benefits

(optional, can only be purchased in conjunction with the Basic Health Plan)

 Benefits  Base Dental Plan  Dental Upgrade

Dental Basic: Preventive and Restorative Services

Complete oral examinations 1 every 3 years 

Paid at 70% 
$450 per year
  
Maximum combined with Comprehensive Services
 

Paid at 80% 
$1,000 in Years 1, 2;
$1,250 per year thereafter
Maximum combined with Comprehensive Services
  

Emergency and specific oral examinations: 1 every 3 years 

Full-series x-rays and panoramic x-ray; 1 every 3 years 

Bitewing x-rays;
Basic Plan -1 every 12 months;
Dental Upgrade - 1 every 9 months

Recall Examinations: 1 every 9 months 

Preventive cleaning of teeth: 1 every 9 months 

Topical Application of Flouride: 1 every 9 months 

Comprehensive: Dental Endodontic/Periodontal  Treatment and Denture Services

Periodontal scaling and root planing: 8 units every 12 months 

Paid at 70% 
$450 per year
  
Maximum combined with
Basic Services
 
Paid at 70% 
$1,000 in Years 1, 2;
$1,250 per year thereafter
Maximum combined with
Basic Services
 

Occlusal  equilibration:8 units every 12 months

Denture cleaning : 1 every 12 months 

Standard relining and rebasing of dentures: 1 every 3 years 

Comprehensive oral surgery 

Not Applicable  Included 

 

NOTE: The product-related information is for illustration purposes only. For complete benefits, terms, conditions, limitations and exclusions, please refer to the Policy wording.

The Edge Health & Dental Benefits are provided by Green Shield of Canada

 Call 416-493-0101, 1-877-443-0101 for quotes and more information

 

Other insurance products from The Edge:

Critical Illness insurance (guaranteed issue)

Loss of Income insurance

Investments:    RESP     RRSP     Segregated Funds

                                                       April 03, 2018