BENEFITS:

The insurer agrees to pay for hospital accommodation, including semi-private room, and for reasonable and customary services and supplies necessary for your emergency care during confinement as a resident in-patient.

The insurer agrees to pay for the following services,supplies, or treatment, when provided by a health practitioner who is not related to you by blood or marriage:

• Emergency medical, surgical or anaesthetic services when performed and authorized by a physician.
• Private duty services of a Registered Nurse when approved in advance by TIC. Not to exceed $10,000.
• The services of a legally licensed physiotherapist when ordered by the attending physician as treatment for a covered injury. Not to exceed $500 for out-patient treatment.
• When performed at the time of the initial emergency, lab tests and/or X-ray examinations as ordered by a physician for the purpose of diagnosis.
• The use of a licensed local air, land, or sea ambulance (including mountain or sea evacuation) to the nearest hospital, when reasonable and necessary.
• Rental of crutches or hospital-type bed, not exceeding the purchase price; and the cost of splints,trusses, braces or other approved prosthetic appliances approved in advance by TIC.
• Emergency out-patient services provided by a hospital.
• When not hospitalized as an in-patient, drugs or medications that require a physician's written prescription, not exceeding a 30-day supply, to a maximum of $1,000.

Eligibility:

• Coverage is NOT AVAILABLE to any individual who, as of their effective date:

  a. has been diagnosed with a terminal illness; or
  b. has been diagnosed with or has had an episode of congestive heart failure; or
  c. has had their most recent heart surgery more than 10 years ago; or
  d. has been diagnosed with Acquired Immune Deficiency Syndrome (AIDS) or Human Immunodeficiency Virus (HIV); or
  e. has been diagnosed with stage 3 or 4 cancer, or cancer of the lung, liver, pancreas, or bone; or has received treatment for any cancer (other than basal or squamous cell skin cancer or breast cancer treated only with hormone therapy) in the past 3 months; or
  f. has had a lung condition for which, in the last 12 months, they have been prescribed or used home oxygen; or
  g. has received or is awaiting a bone marrow or major organ transplant; or
  h. has been diagnosed with or received treatment for kidney disease requiring dialysis; or
  i. has been diagnosed with an aneurysm that has not been repaired; or
  j. requires assistance with activities of daily living.
  

• To be eligible for coverage you must:

  a. be at least 15 days old and not more than 89 yearsold; and
  b. not be insured or eligible for benefits under a Canadian government health insurance plan; and
  c. be in good health at the time you purchase yourpolicy and on the date you exit your country of origin, and know of no reason to seek medical consultation during the period of coverage; and
  d. not have exceeded two years of uninterrupted coverage under a TIC insurance plan.
  

EXCLUSIONS

• If you are 59 years of age or under on the effective date: Benefits are not payable for costs incurred due to or resulting from your medical condition or related condition that was not stable at any time during the stability period.
• If you are 60 to 79 years of age on the effective date: i. Benefits are not payable for costs incurred due to or resulting from any of the following pre-existing conditions, unless you have completed a Medical
• Questionnaire, have been approved in writing by TIC and have paid the required premium:

  a. heart condition;
  b. stroke or mini-stroke ( TIA- transient ischemic attack);
  c. lung condition;
  d. artery or vein disorders.

Benefits are not payable for costs incurred due to or resulting from any pre-existing condition not listed under i) unless it was stable during thestability period

Claims:

To make a claim due to illness or injury during your trip, please Call : Toll Free 1-877-525-1278 ext 137 Canada
Your claim must be sent to Manulife within 90 days of your loss.
Ensure you keep a copy of your receipts, bills and invoices for your records.
If you disagree with the claim decision, the matter will be submitted to arbitration under the arbitration law in the Canadian province or territory where your policy was issued. Every action or proceeding against the insurer for the recovery of insurance money payable under this contract is absolutely barred unless commenced within the time set out in the Insurance Act, or other applicable legislation.

Download:

Download Travel Insurance Sample Policy pdf document