- GREYmed
- Health Protection Plan
DecisionMaker |
Plan Features
| Plan A | Plan B | Plan C |
| Primary Health Care | Enhanced Health Care | Comprehensive Health Care |
| Pays 100% eligible expenses | Pays 90% drugs, 100% other eligible expenses | Pays 90% drugs, 80% dental, 100% other eligible expenses |
| $15,000 / person annual maximum* | $25,000 / person annual maximum* | $30,000 / person annual maximum* |
* $1 million maximum on Travel Coverage.
Vision Care
| Plan A | Plan B | Plan C |
| Up to $100 for contact lenses and glasses plus $50 for eye exams every 24 months. | Up to $150 for contact lenses and glasses plus $50 for eye exams every 24 months. | Up to $150 for contact lenses and glasses plus $50 for eye exams every 24 months. |
Corrective contact lenses and glasses, including the cost of frames, up to your plan maximum every 24 consecutive months. Plus each plan provides up to $50 every 24 consecutive months for the cost of eye examinations that are not covered under the provincial health plan.
Paramedical Services
| Plan A | Plan B | Plan C |
| Up to $300 per year | Up to $300 per year | Up to $300 per year |
Up to $300 per calendar year, $20 per visit per licensed practitioner for the services of a Physiotherapist, Speech Therapist/Pathologist, Chiropractor, Osteopath, Podiatrist, Chiropodist, and Clinical Psychologist.
Ambulance Services
| Plan A | Plan B | Plan C |
| Land or air ambulance | Land or air ambulance | Land or air ambulance |
Licensed land ambulance service, (or air ambulance when medically necessary) to the nearest hospital where adequate treatment is available, or from one hospital to another hospital.
Hearing Aids
| Plan A | Plan B | Plan C |
| Up to $300 every 60 months | Up to $500 every 60 months | Up to $500 every 60 months |
Hearing aids, their repair, or replacement parts up to the plan maximum. A loss of hearing acuity must be determined by an Otolaryngologist or Otologist, and a hearing aid subsequently prescribed by an Audiologist.
Accidental Dental
| Plan A | Plan B | Plan C |
| Up to $2,000 | Up to $2,000 | Up to $2,000 |
Up to $2,000 for the repair or replacement of natural teeth or crowned teeth (excluding bridges, dentures) by a licensed dental practitioner, damaged as a result of an external blow to the mouth occurring while covered under this plan, when treatment is rendered within 180 days of the accident.
Medical Services and Supplies**
| Plan A | Plan B | Plan C |
| See details below | See below | See below |
Medical services and supplies when prescribed by an attending physician. This includes up to $500 per year for laboratory and diagnostic services; treatments, supplies and equipment as listed in your policy. A pre-existing condition exclusion applies to this benefit.***
- Up to $150 per year for braces, cervical collars, walkers, and other aids.
- Up to $300 per year for custom made foot orthotics, boots or shoes.
- Up to a lifetime maximum of $3,000 for an artificial limb or prosthetic appliance.
- Up to $2,000 per year for the rental or the purchase of medical equipment including hospital beds, patient lifts, wheelchairs.
**Benefits will be in excess of any payment under a government agency supported Assistive Devices Program (ADP), or similar program.
Accidental Death
| Plan A | Plan B | Plan C |
| $10,000 benefit | Not available with plan | Not available with plan |
Plan A provides a $10,000 benefit should the insured or covered spouse die due to an accident.
Dental Care
| Plan A | Plan B | Plan C |
| Not available with plan | Not available with plan | Up to $1,000 per person per year |
Plan C provides up to $1,000 per person per calendar year for preventative and restorative services. There is a $500 maximum per person in the first 12 months. Reimbursement is based on the 1997 Dental Fee Guide in the province of residence. Eligible expenses include oral examinations, x-rays, teeth cleaning, fillings, extractions, root canal therapy, periodontal treatment, dental repairs and additions, surgical services and general anesthetics.
Hospitalization
| Plan A | Plan B | Plan C |
| Up to $150 per day and 90 days per year | Up to $175 per day and 90 days per year | Up to $175 per day and 120 days per year |
GREYmed covers the difference in cost up to a plan maximum between standard ward charges and semi-private/private accommodation in a public, convalescent, or rehabilitation hospital (non-chronic care), up to a maximum number of days per calendar year for each plan. Accommodation in a chronic care hospital or facility, or private hospital is not covered. Benefits begin on the 3rd day of each hospitalization stay. A pre-existing condition exclusion applies to this benefit.***
Travel Coverage
| Plan A | Plan B | Plan C |
| Up to $1,000,000 up to 15 days | Up to $1,000,000 up to 15 days | Up to $1,000,000 up to 15 days |
Coverage includes travel assistance services, physician fees, medical expenses and hospitalization plus other benefits. A pre-existing condition exclusion applies to this benefit.***
Prescription Drugs
| Plan A | Plan B | Plan C |
| Not available with this plan | Up to $1,000 per year | Up to $1,000 per year |
Plans B and C provide generic drug coverage up to $1,000 per calendar year for medication legally requiring a written prescription, excluding drugs or drug costs eligible under a provincial drug plan.
Private Nursing
| Plan A | Plan B | Plan C |
| Up to $2,000 per year | Up to $2,500 per year | Up to $2,500 per year |
In-home services of a RN, RNA or LPN, on a full or part time basis up to the plan maximum per calendar year. The services must require the expertise of a nurse and be certified as being medically necessary by your attending physician. A pre-existing condition exclusion applies to this benefit.***
