Berkley- JF Royal Visitor to Canada

ELIGIBILITY

To be eligible for coverage under this plan, the applicant must:

1.be a visitor to Canada, a person with a Canadian work visa or super visa, an immigrant to Canada or a Canadian resident, who is not eligible for a provincial or territorial government health insurance plan in Canada;

2.be at least 15 days of age on the date of purchase;

3. not be travelling against the medical advice of a physician and/or have been diagnosed with a terminal illness. A terminal illness means that you have a medical condition that is cause for a physician to estimate that you have less than 6 months to live or for which palliative care has been received.

4.not have a kidney disease requiring dialysis;

5.not have Congestive Heart Failure, AIDS or require the use of home oxygen;

6.not be experiencing new or undiagnosed symptoms and/or know of any reason to seek medical attention.

Note: Your spouse and/or child(ren) must also meet all the criteria to be eligible for family coverage under this plan.

BENIFIT HILIGHTS

Hospital Accommodation

•Reasonable and customary cost for inpatient and outpatient treatment

Medical Services

•Medical treatment by a physician, surgeon, anaesthetist or registered graduate

Diagnostic Services

Private Duty Nursing during Hospitalization

Ambulance Services

•When reasonable and medically necessary, licensed ground ambulance service to the nearest hospital

Prescription Drugs

•limited to a 30-day supply per prescription unless you are hospitalized

Medical Appliances

•Cast, splints, trusses, braces, crutches, rental of a wheelchair or other minor medical appliances

Paramedical Services

•Chiropodist, chiropractor, osteopath, physiotherapist, optometrist or podiatrist, up to $500 per type of practitioner provided such treatment is prescribed by a physician and approved by Ontime Care

Acupuncture

•Up to $500 with a 365-day policy

Treatment of Dental Accident

•Up to $3,000

Emergency Relief of Dental Pain

•Up to $500

AD&D

•Up sum insured, maximum $150,000

Repatriation

•When approved in advance by Ontime Care

Preparation and Return of Remains

•Up to $10,0001

CLAIM

In the Event of emergency or hospitalization, you must call Ontime

Care Worldwide Inc. (OTC) immediately:

From Canada and U.S., call toll free 1-888-988-3268

From all other locations, call collect 905-918-0188

DOWNLOAND
Document
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