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myBenefits at a Glance

The highlights below are provided as general information. Coverage for eligible costs are based on the contract detail. Reasonable and customary rates will be applied. Select the benefit for additional coverage details.

Ambulance:
Reimbursed at 100% of reasonable and customary charges.

Prescription Drugs:
Reimbursed at 80% to a maximum of $3,000 per benefit year.
Based on the National Formulary with a generic rider.

Vision:
Reimbursed at 100%, $100 for one eye exam, glasses or contact lenses every 24 months.

Health Practitioners:
The services of paramedical practitioners are reimbursed at 100% to a maximum of $25 per visit. The services of a psychologist or social worker are covered at 100% to an overall maximum of $300, per benefit year. Each service has an overall plan maximum of $300 per benefit year. Practitioners must be registered and licensed in their field of practice.

Hospital:
Reimbursed at 100% for the cost of a semi private room.

Medical Equipment & Supplies:
Reimbursed at 100%. A physician's prescription is required. Pre-authorization is suggested.

Dental Coverage:
Exams covered at 80% once per benefit year. Overall plan maximum of $750 per benefit year. 

Dental Accident:
Reimbursed at 100% of eligible expenses and reasonable and customary charges (services must be performed within 12 months of accident; authorization required).

Travel Insurance:
$2 million of coverage for emergencies and illnesses while travelling.

Tutorial:
After 15 days of confinement due to illness or injury.

Accidental Death & Dismemberment:
$5,000 loss of life benefit.

NOTE: In the event of any discrepancy between the information herein and our contract with the insurer, the terms of the contract will apply.

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