Medical and Dental Plan Comparison Chart

Download comparison chart and brochure Download application form Download enrollment form
CAUS Canadian Benefits

If you are converting from a previous group plan within 60 days of its’ termination, pre-existing conditions ARE covered subject to policy wordings and exclusions for all plans

VALUE PLAN
Guaranteed Issue
(pre-existing conditions are covered)
VALUE PLUS PLAN
Medically Underwritten Individual
GOLD VALUE PLAN
Medically Underwritten
One or more individuals
DRUGS: Pay Direct Card Included
Prescription Drugs to age 79
Prescription Drugs 80% to a max. of $600 per year
Generic Drugs only, unless otherwise specified by physician
No Lifestyle
DRUGS: Pay Direct Card Included
Prescription Drugs to age 79
Prescription Drugs 80% to a max. of $800 per year
Generic Drugs only, unless otherwise specified by physician
Includes Oral Contraceptives. No Lifestyle
DRUGS: Pay Direct Card Included
Prescription Drugs to age 79
Prescription Drugs 80% to a max. of $1,200 per year
Generic Drugs only, unless otherwise specified by physician
Includes Oral Contraceptives. No Lifestyle
VISION CARE:
$125 every 24 months
VISION CARE:
$125 every 24 months
Eye exams up to $50 every 24 months
VISION CARE:
$250 every 24 months
Eye exams up to $70 every 24 months
PROFESSIONAL SERVICES:
All paid from first dollar max. $300 per year
Chiropractor
Physiotherapist
Foot Care Professionals
Speech Therapist
Psychologist

PROFESSIONAL SERVICES:
90% max. to $400 per year

Chiropractor
Physiotherapist
Foot Care Professionals
Speech Therapist
Psychologist

Massage Therapist
Acupuncturist
Osteopath
Naturopath

PROFESSIONAL SERVICES:
90% max. to $400 per year

Chiropractor
Physiotherapist
Foot Care Professionals
Speech Therapist
Psychologist

Massage Therapist
Acupuncturist
Osteopath
Naturopath

MEDICAL TRANSPORT : Air & Land included MEDICAL TRANSPORT : Air & Land included MEDICAL TRANSPORT : Air & Land included
AUDIO
Hearing Aids plus repairs or replacement of parts
$300 maximum every 4 years
AUDIO
Hearing Aids plus repairs or replacement of parts
$400 max. every 4 years
AUDIO
Hearing Aids plus repairs or replacement of parts
$400 max. every 4 years
PRIVATE DUTY NURSING:
$1,000 max. per year
PRIVATE DUTY NURSING:
$3,000 max. per year
PRIVATE DUTY NURSING:
$3,000 max. per year
MEDICAL ITEMS: $750 max. per year MEDICAL ITEMS: $1,500 max. per year MEDICAL ITEMS: $3,000 max. per year
ACCIDENTAL DENTAL:
$2,500 maximum per year
ACCIDENTAL DENTAL:
$2,500 maximum per year
ACCIDENTAL DENTAL:
$5,000 maximum per year
SEMI-PRIVATE HOSPITAL:
$200 per day; max. 25 days per year
SEMI-PRIVATE HOSPITAL:
$200 per day; max. 25 days per year
OUT OF PROVINCE/COUNTRY TRAVEL MEDICAL:
$500,000 per lifetime; 30 day emergency only
No pre-existing exclusions
Age limit 79 years old
OUT OF PROVINCE/COUNTRY TRAVEL MEDICAL:
$1,000,000 per lifetime; 30 day emergency only; no pre-existing exclusions
Age limit 79 years old
DENTAL:
Combined max. per person, per year
$500 first 12 months; $750 next 12 months
$1,000 every 12 months thereafter
Basic coverages 80% up to the limits above
Basic Comprehensive coverages 80% up to the limits above
DENTAL:
Combined max. per person, per year
$750 first 12 months; $1,000 next 12 months
$1,200 every 12 months thereafter
Basic coverages 80% up to the limits above
Basic Comprehensive coverages 80% up to the limits above

Questions? Email:dave@weconsultants.ca or phone 1.855.863.9991 for the product or service you are interested in.
(The plan overviews on this page are intended for descriptive use only. See policy wordings for coverages, liabilities and exclusions.)

Comments on this entry are closed.