Hospitalization and Diagnostic Services (Plan A)
Hospitalization
100% reimbursement (no deductible) of expenses for semi-private room accommodation:
- In a hospital for short-term medical care, unlimited number of days
- In a public or private convalescent home, or in a rehabilitation centre, combined maximum of 90 days per year
- Compensation of $25 per day of hospitalization from the 4th to 18th day inclusive, if you have to stay in a ward due to the unavailability of a private or semi-private room.
Diagnostic Services
80% reimbursement, after the annual deductible of $50, of the following eligible expenses:
- laboratory tests : blood and urine tests, throat culture and cytology
- Scanner (CT scans), up to $250 per calendar year
- magnetic resonance imaging (MRI), up to $675 per calendar year
- ultrasound, up to $100 per calendar year
- polysomnography, up to $500 per period of 24 months
- home nursing care by a registered nurse, up to 20 8-hour periods, maximum 160 hours per calendar year
- purchase or rental of non-motorized wheelchair or manual hospital bed
- emergency ambulance transportation (for people under the age of 65)
Hospitalization and Extended Health Care (Plan B)
Hospitalization
100% reimbursement (no deductible) of expenses for semi-private room accommodation:
- In a hospital for short-term medical care, unlimited number of days
- In a public or private convalescent home, or in a rehabilitation centre, combined maximum of 90 days per year
- Compensation of $25 per day of hospitalization from the 4th to 18th day inclusive, if you have to stay in a ward due to the unavailability of a private or semi-private room.
Extended Health Care
Covers eligible expenses, subject to a lifetime maximum of $15,000 per insured person.
100% reimbursement (no deductible) of the following expenses due to illness or injury:
Professional health services
Medical recommendation not required for the following professional services:
- Acupuncturist, audiologist or audioprosthetist, naturopath, occupational therapist, osteopath, physiotherapist or rehabilitation therapist,
$25 per visit, maximum 20 visits per calendar year, per specialist - Chiropractor or podiatrist, $25 per visit, combined maximum of 20 visits per calendar year,
chiropractor’s X-rays, up to $25 per calendar year
Eye care
- Glasses or contact lenses or soft intraocular lenses following a cataract surgery, maximum $200 per period of 36 consecutive months
80% reimbursement (annual deductible of $50) of the following eligible medical and paramedical expenses:
Private clinic exams
- Scanner (CT scans), up to $250 per calendar year
- Magnetic resonance imaging (MRI), up to $675 per calendar year
- Ultrasound, up to $100 per calendar year.
- Polysomnography, up to $500 per period of 24 months.
Private accommodation in a hospital, for short-term medical care
Laboratory tests
- Blood and urine tests, throat culture and cytology
Registered nurse for in-home nursing care
- Maximum 20 8-hour periods, maximum 160 hours per calendar year
Various medical devices and accessories
- Devices and accessories for ostomy patients
- Syringes, needles, and reagent strips for diabetics
- Purchase or rental of a manual hospital bed, non-motorized wheelchair, and respiration therapy equipment
- Accessories such as walkers, canes, crutches, hernia straps, and oxygen supply, etc.
- Elastic stockings, up to $100 per calendar year
Prostheses and accessories
- Purchase and repair of auditory prostheses, up to $500 per period of 36 consecutive months
- Purchase of a mammary prosthesis, up to $150 per calendar year
- Purchase of a first capillary prosthesis following chemotherapy, up to $300 of eligible expenses
- Purchase and adjustment of orthopaedic shoes or podiatric ortheses, up to $200 per calendar year
Dental care following an accident, up to $1,000 per accident, per insured
Medical questionnaire filled by your physician to obtain Blue Cross travel insurance, up to $75 per calendar year
For people under 65:
- eye exam, up to $50 per period of 24 consecutive months
- emergency ambulance transportation
Home Health Care (optional)
This optional coverage reimburses eligible expenses incurred following hospitalization in an active care hospital, a day surgery or a medical consultation. There is no limit to the number of hospitalization or day surgery, but as for medical consultation the eligible expenses are limited to one consultation per calendar year.
The number of days covered varies according to the number of days of hospitalization. In the case of a fracture or cancer, prior hospitalization is not required.
You may choose our Regular Option or our Extended Option
| Regular Option | Extended Option | |
|---|---|---|
| Eligible expenses covered at 100%, no deductible |
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Daily compensation
Child care expenses
The combined lifetime maximum for the daily compensation and child care expenses is $9,125.
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| Eligible expenses covered at 80%, no deductible |
Transportation expenses
Medical supplies
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Transportation expenses
Medical supplies
Home conversion
Meals and accommodation
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Monthly benefit
The monthly benefit is subject to a 30-day waiting period. |
Monthly benefit
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*The daily activities are the following: eating, dressing, using the toilet, transferring from bed to chair and bathing/showering.
* * The number of days covered is determined according to the duration of hospital stay and expenses must be incurred within a maximum period following discharge from the hospital.
Le nombre de journées assurables est fonction de la durée du séjour à l'hôpital. Les frais doivent être engagés dans un certain laps de temps après la sortie de l'hôpital.
| Hospitalization duration | Number of days covered | Maximum period to incur eligible expenses |
|---|---|---|
| 0 to 3 days | 5 | 7 days |
| 4 to 7 days | 7 | 14 days |
| 8 to 14 days | 14 | 28 days |
| 15 days and over | 21 | 35 days |
