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Basic Plus+ - Regular health benefits package

Basic health insurance package

The Basic Plus+ plan is available to those 16 years +

If you are not covered by a company health plan, Basic Plus+ can be invaluable. With low monthly rates for comprehensive coverage, Basic Plus+ is the simplest cost-effective answer. It offers coverage for ambulance services, nursing care, prescription drugs, dental care and even out-of-province travel benefits, and includes the ever-so-important hospital benefit.

Benefits are based on a yearly schedule commencing from the effective date of your policy. Coverage is for residents of Ontario only. Limitations may apply, see contract for details.

Blue Cross Assistance Program

We are pleased to provide our clients with the Blue Cross Assistance Program. This new program includes Health Consulting and Support Services, Information and Prevention Services, and Partner privileges and discounts.

When you enroll in a health plan from Ontario Blue Cross, you automatically have access to these services 24 hours a day, 7 days a week.

Our staff will provide you with:

  • Access to a Registered Nurse to answer your questions and provide advice and guidance on your health related questions
  • Home Support Services following a hospital stay
  • Referrals to specialists and health organizations in your area
  • and much more

Blue Cross Assistance offers exclusive benefits with our health care partners and as part of this essential program, you also have access to quality services at discounted rates through Ontario Blue Cross partnerships.

Upon enrollment, all customers will receive a booklet detailing the benefits of this exciting new program along with an Assistance Program card. Simply present your card, and enjoy quality products and services at a preferred rate.

Blue Cross Assistance. Another unique and valuable feature added to your health care plan.

Extended Health Benefits

  • Accidental Dental - up to $2,000 per calendar year -reimbursed at 100%
  • Eye exams: Up to $50/2 calendar years for people aged 20-65

For the following benefits payments are reimbursed at 80%, up to specified maximum. Amounts refer to each covered person:

  • Hearing Aids (3 month waiting period) - up to $300 every 5 calendar years
  • Ambulance Services
  • Orthopaedic shoes up to $200 per calendar year
  • Purchase or rental of equipment, Diabetic supplies. Nursing Care and Homecare, Prostheses and accessories:
    • up to $2,500 per calendar year

Registered Therapists and Specialists

Costs and number of appointments vary for visits to a psychologist, speech therapist, massage therapist, chiropodist, podiatrist, naturopath, physiotherapist, osteopath and chiropractor.

(Benefit payments reimbursed at 100%, up to specified maximum. Amounts refer to each covered person.)

Specialist Each Visit Max. Number
Psychologist $65 12
Speech Therapist $45 12
Massage Therapist $15 20
Chiropodist/Podiatrist $15 25
Naturopath $15 25
Physiotherapist $15 25
Osteopath $15 25
Chiropractor $15 25

Benefits payable only after the yearly maximum allowed under the Ontario Health Insurance Plan (OHIP) has been reached.

A written recommendation from a physician is required for massage therapy.

Annual Travel Insurance*

Enjoy a 15-day annual travel plan with all Basic Plus+ Benefit Plans

Our plan provides emergency medical coverage while travelling outside the province and includes:

  • Benefits paid at 100%
  • An unlimited number of trips per year
  • Emergency hospital and medical expenses
  • Worldwide Assistance Service
  • No deductibles
  • Emergency financial assistance
  • Up to $5 million in coverage
  • Available Top-up coverage

* This benefit is subject to exclusions relating to pre-existing conditions.

Prescription Drug Coverage - Available only up to age 64.

  • No deductible
  • Ontario Blue Cross pays 80%
  • Pay Direct Drug Card
  • Benefits are pro-rated in the first year
  • Year 1: Up to $500 per year
  • Subsequent years: Up to $750 per year
  • No lifetime maximum

Dental Coverage

  • 70% coverage for basic or preventative dentals services
  • $500 per person per year maximum
  • No deductible
  • 9 month recall exams
  • Benefits are pro-rated in the first year

24-Hour Toll-Free Health Assistance Hotline

 

Hospital Benefit

Basic Plus+ Hospital Coverage includes:

  • $200 per day
  • 90 days per year maximum
  • Semi-private/private room

Benefits are not paid for hospitalization due to pregnancy or pregnancy-related conditions during the first eight-months following the effective date of coverage.

*This benefit is subject to exclusions relating to pre-existing conditions.