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Benefits Summary
WELCOME TO Canadian L.I.C. INC
BENEFITS SUMMARY
Maximum Sum Insured:
$2,000,000
| SERVICE | BENEFITS |
|---|---|
| Hospital | 100% Coverage for Eligible Amount; Semi Private Hospital Accommodation; |
| Physician, Surgeon & Anesthetist | 100% Coverage for Eligible Amount |
| Diagnostics, X-Rays, lab Testing | 100% Coverage for Eligible Amount; |
| Ambulance | Licenced Local Land and Sea Ambulance. Up to $150 for Taxi Expenses in lieu of Ambulance |
| Private Duty Nursing | 100% Coverage for Eligible Amount up to $15000 |
| Medical Equipment & Supplies | Rental of Crutches, Wheelchair or hospital-type bed (standard non-electric model only), not exceeding the purchase price; The cost of splints, trusses, braces or other approved prosthetic appliances; Initial purchase of casts; artificial limbs, eyes or other approved prosthetic or medical appliances; Oxygen and Rental of Equipment; Blood and Blood Plasma; |
| Professional Services | Physiotherapist, chiropractor, chiropodist, osteopath, podiatrist, acupuncturist, naturopath and speech therapist up to $600 per practitioner |
| Drugs or Medications | Drugs or Medications |
| Drugs or Medications | Up to $10,000 not exceeding a one-month supply |
| Maternity Benefit | Up to $25,000 for pre-natal care and involuntary termination of pregnancy or complications provided that pregnancy commenced during the period of coverage |
| Eye Examination | One visit during any 12 consecutive months |
| Physical Examination | One routine physical examination or one consultation for the “morning after pill” when 12 months has been purchased. Up to a maximum of $150 |
| Emergency Air Transportation / Return home | When pre-approved by Active Care Management |
| Transportation of Family | Up to $5,000 to transport one family member and up to $1,500 for meals and accommodation |
| Non-Emergency Treatment | Up to $3,000 to continue medical treatment when pre-approved by Active Care Management |
| Accidental Dental | Up to $5,000 for emergency treatment for accidental blow to the face |
| Dental Emergencies | Up to $600 for the immediate relief of acute dental pain |
| Wisdom Teeth | Up to $150 per tooth for extraction of impacted wisdom teeth |
| Return of Deceased | Up to $15,000 for return of remains |
| Burial in Host Country | Up to $5,000 for cremation or burial at place of death |
| Accidental Death & Dismemberment | Up to $10,000 Flight Accident and Common Carrier 24-Hour Accident |
| Psychiatric and Psychological Care | Up to $25,000 for inpatient and up to $1,000 for outpatient services |
| Prescription Glasses, Contact Lenses, and Hearing Aids | Up to $200 when required as a result of accidental injury |
| Tutorial Services | Up to $20/hour to a maximum of $400 for a qualified private tutorial service |
| Trauma Counselling | Up to a maximum of $500 |
| Tuberculosis testing and Vaccination | Up to a maximum of $100 for tuberculosis testing and vaccination or immunization during a 12 month period |
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