Dental (51057)

Deductible: $50 per Person; $80 per Family per calendar year(s)

Fee Guide: What is this?

The 2020 Dental Association Fee Guide is in effect for the province in which treatment is rendered.

The following is payable at: Routine, Major and Orthodontics (Contact a Canada Life customer service representative)

*Plan Maximum & Frequency

Routine - $1,000 per person per calendar year(s) - Your maximum may be reduced during the first year of coverage if you become effective after June 30.

Major, Bridges and Dentures - $2,000 per person per calendar year(s) - Your maximum may be reduced during the first year of coverage if you become effective after June 30.

Orthodontics (age restrictions may apply)

$2,000 per person per lifetime

*Benefits may be subject to customary charges

Health & Vision (51392)

Deductible: N/A - The following is payable at: 100% *Plan Maximum & Frequency

- Each claim is paid back at 100% with maximum(s) and frequency(s) listed below.

- keep in mind the length of coverage(s) is 4 year(s)

Eye Exam - Reasonable and Customary

Visual Training & Remedial Therapy - Reasonable and Customary

Bifocal Lenses

Contact Lenses

Contact Lenses for Special Conditions

Frames

Laser Eye Surgery - There is an additional lifetime maximum of $300 for laser eye surgery

Single Vision Lenses

Tints

Trifocal Lenses

$300 per 4 calendar year(s) - (above eight coverages combined)

*Benefits may be subject to customary charges

Health & Vision (51392)

Deductible: N/A

The following is payable at: 100%

*Plan Maximum & Frequency

- Each claim is paid back at 100% with maximum(s) and frequency(s) listed below.

(Keep in mind the length of this coverage is 60 months)

Hearing Aids

- Batteries covered only when purchased on the same day as the hearing aid.

- Replacement batteries are not covered

- Requires a medical recommendation by an Otolaryngologist or Audiologist

$750 per 60 month(s)

*Benefits may be subject to customary charges

Health, Drugs, Vision (51391)

Deductible: N/A

The following is payable at: 80%

Coverage:

(Please refer to the benefit information provided by your plan sponsor or contact a Canada Life customer service representative.)

*Benefits may be subject to customary charges

Health, Drugs, Vision (51391)

Deductible: N/A

The following is payable at: 80%

*Plan Maximum & Frequency

- Each claim is paid back at 80% with maximum(s) and frequency(s) listed below.

(Keep in mind that the length of these benefits is 2 and 4 calendar years)

Glasses & Contact Lens

$320 per 4 calendar year(s)

Eye Exam - 1 occurrence(s) per 2 calendar year(s). This service is a set period

*Benefits may be subject to customary charges

Health, Drugs, Vision (51391)

Deductible: N/A

The following is payable at: 80%

*Plan Maximum & Frequency

- Each claim is paid back at 80% with maximum(s) and frequency(s) listed below.

Acupuncture

$480 per calendar year(s)

( ie. An acupuncture Visit: Feb 2, 2022. The Cost: $80 of which Canada Life covers: $64. So, remaining benefit coverage for 2022 (acupuncture) is: $416 )

*Benefits may be subject to customary charges

Health, Drugs, Vision (51391)

Deductible: N/A

The following is payable at: 80%

*Plan Maximum & Frequency

- Each claim is paid back at 80% with maximum(s) and frequency(s) listed below.

Chiropractor

Chiropractor X-Rays

$480 per calendar year(s) - (above two coverages combined)

*Benefits may be subject to customary charges

Health, Drugs, Vision (51391)

Deductible: N/A - The following is payable at: 80%

*Plan Maximum & Frequency - Each claim is paid back at 80% with maximum(s) and frequency(s) listed below:

Orthopedic Shoe Repair or Adjustment Orthopedic Shoes

- Requires the recommendation of a Physician, Podiatrist, Chiropodist, Orthopedic Surgeon or Nurse Practitioner.

$120 per calendar year(s) - (above two coverages combined)

Orthotic Appliances - 1 occurrence(s) per calendar year(s)

- Requires the recommendation of a Physician, Podiatrist, Chiropodist, Orthopedic Surgeon or Nurse Practitioner.

- Repairs, modifications and adjustments to foot orthotics are covered

Podiatrist / Podiatrist Surgery / Podiatrist X-Rays

$400 per calendar year(s) - (above three coverages combined)

*Benefits may be subject to customary charges

Health, Drugs, Vision (51391)

Deductible: N/A - The following is payable at: 80% *Plan Maximum & Frequency

Massage Therapy - $320 per calendar year(s)

Naturopath - $480 per calendar year(s)

Osteopath / Osteopath X-Rays - $400 per calendar year(s) - (above two coverages combined)

Physiotherapy - Reasonable and customary - Requires a medical recommendation from physician or nurse practitioner.

Psychologist Office Visit / Psychologist Testing / Social Worker (Electrologist is covered for a separate maximum for $20 per visit) - A prescription is required by Psychiatrist or Psychologist

$1,600 per calendar year(s) - (above three coverages combined)

Speech Therapy - Requires a medical recommendation from physician or nurse practitioner.

$480 per calendar year(s)

*Benefits may be subject to customary charges