Super Visa Insurance Monthly Payment

BENEFITS

PLAN A

PLAN B

COMPREHENSIVE

Hospital Accommodation

a.Semi-Private Roomrate OR ICU if required. Emergency room fees.
a.Emergency out-patient services

b.Semi-Private Roomrate OR ICU if required. Emergency room fees. b. Emergency out-patient service

c.Semi-Private Roomrate OR ICU if required. Emergency room fees. c. Emergency out-patient services

Medical Services

a.Licensed Physician Surgeon, Anaesthetist or Registered Graduate Nurse.

b.Licensed Physician Surgeon, Anaesthetist or Registered Graduate Nurse.

c.Licensed Physician, Surgeon, Anaesthetist or Registered Graduate Nurse.

Diagnostic Services

a. Laboratory Tests and x-rays. magnetic resonance imaging (MRI), cardiac catheterization, Computerized axial tomography (CAT) scans, Sonograms or ultrasounds and biopsies if approved.

b. Laboratory Tests and x-rays. magnetic resonance imaging (MRI), cardiac catheterization, Computerized axial tomography (CAT) scans, Sonograms or ultrasounds and biopsies if approved.

c. Laboratory Tests and x-rays. magnetic resonance imaging (MRI), cardiac catheterization, Computerized axial tomography (CAT) scans, Sonograms or ultrasounds and biopsies if approved.

Prescription

a.This Benefit is limited to a 30-day supply and up to overall maximum of $5,000 for the full policy duration.

b. This Benefit is limited to a 30-day supply and up to $1,000 per prescription, Unless the insured person is hospitalized, To a maximum of $500 per insured person per claim.

c. This Benefit is limited to a 30-day supply and up to $1,000 per prescription, Unless the insured person is hospitalized, To a maximum of $500 per insured person per claim.

Private Duty Nurse

a.Registered Private Duty nurse as the result of a coveredemergency when medically necessary and while hospitalized or in lieu of hospitalization To a maximum of $5000.

b.Registered Private Duty nurse as the result of a coveredemergency when medically necessary and while hospitalized or in lieu of hospitalization to a maximum of $5000.

c.Registered Private Duty nurse as the result of a coveredemergency when medically necessary and while hospitalized or in lieu of hospitalization to a maximum of $5000.

Paramedical Services

a.Licensed Chiropractor, physiotherapist, podiatrist, Osteopath or acupuncturist to a maximum of $300 per insured person, Per Profession Listed Above.

b.Licensed Chiropractor, physiotherapist, podiatrist, Osteopath or acupuncturist to a maximum of $500 per insured person, Per Profession Listed Above.

c.Licensed Chiropractor, physiotherapist, podiatrist, Osteopath or acupuncturist to a maximum of $500 per insured Person, Per Profession Listed Above.

Dental

a.Up to $3,000 to repair or replace whole or sound natural teeth or permanently attached artificial teeth damaged as a result of an accidental blow to the face; and b. up to $300 for emergency dental treatment for relief of pain caused other than by a blow to the face.

b.Up to $3,000 to repair or replace whole or sound natural teeth or permanently attached artificial teeth damaged as a result of an accidental blow to the face; and b. up to $500 for emergency dental treatment for relief of pain caused other than by a blow to the face

c.Up to $4,000 to repair or replace whole or sound natural teeth or permanently attached artificial teeth damaged as a result of an accidental blow to the face; and b. up to $500 for emergency dental treatment for relief of pain caused other than by a blow to the face.

Medical Appliances

a.Minor Appliances Such As Crutches, Casts, Splints, Canes, Slings, Trusses, Braces, Walkers and/or the temporary rental of a wheelchair, Not Exceeding The Purchase price.

b.Minor Appliances Such As Crutches, Casts, Splints, Canes, Slings, Trusses, Braces, Walkers and/or the temporary rental of a wheelchair, Not Exceeding The Purchase price.

c.Minor Appliances Such As Crutches, Casts, Splints, Canes, Slings, Trusses, Braces, Walkers and/or the temporary rental of a wheelchair, Not Exceeding The Purchase price.

Ambulance Services

a.Licensed Ground Ambulance or Taxi
• With Prior Approval:
- Economy Airfare to Canada or Country of Origin
- Airline With Medical Attendant
- Additional Seats If Required
- Air ambulance

b.Licensed Ground Ambulance or Taxi
• With Prior Approval:
- Economy Airfare to Canada or Country of Origin
- Airline With Medical Attendant
- Additional Seats If Required
- Air Ambulance

c.Licensed Ground Ambulance or Taxi
• With Prior Approval:
- Economy Airfare to Canada or Country of Origin
- Airline With Medical Attendant
- Additional Seats If Required
- Air Ambulance

Transportation to Bedside

a.Economy Airfare Plus up to $150 per day to a maximum of $1,500 for the cost of meals and commercial

b.Economy Airfare Plus up to $150 per day to a maximum of $2,500 for the cost of meals and commercial

c.Economy Airfare Plus up to $150 per day to a maximum of $5,000 for the cost of meals and commercial

Ambulance Services

a.Air Ambulance to the nearest appropriate medical facility.

b.Air Ambulance to the nearest appropriate medical facility.

c.Air Ambulance to the nearest appropriate medical facility.

Emergency Air Transportation

a. Up to a Maximum of $10,000 toward the actual cost incurred for the preparation of remains
a. up to $3,000 for cremation and/or burial at the place of death.

b. Up to a Maximum of $10,000 toward the actual cost incurred for the preparation of remains;
b. Up to $5,000 for cremation and/or burial at the place of death.

b. Up to a Maximum of $15,000 toward the actual cost incurred for the preparation of remains;
c.Up to $5,000 for cremation and/or burial at the place of death.

Repatriation

a. Up to a Maximum of $10,000 toward the actual cost incurred for the preparation of remains
a. Up to $3,000 for cremation and/or burial at the place of death.

b. Up to a Maximum of $10,000 toward the actual cost incurred for the preparation of remains;
b.Up to $5,000 for cremation and/or burial at the place of death.

c.p to a maximum of $15,000 toward the actual cost incurred for the preparation of remains;
c. Up to $5,000 for cremation and/or burial at the place of death.

Meals and Accommodation

a.Up to $150 Per Day, to an overall maximum of $1,000 for your commercial accommodation, Meals, Essential Telephone Calls, Internet Fees, Bus or Taxi fare or rental car…

b.Up to $150 Per Day, to an overall maximum of $2,000 for your commercial accommodation, Meals, Essential Telephone Calls, Internet Fees, Bus or Taxi fare or rental car

c.Up to $150 Per Day, to an overall maximum of $3,000 for your commercial accommodation, Meals, Essential Telephone Calls, Internet Fees, Bus or Taxi fare or rental car

Hospital Allowance

a.Up to $50 per day to a maximum $250 for incidental expenses billed by the hospital such as telephone, Television or Internet Charges While You Are Hospitalized

b.Up to $50 per day to a maximum $500 for incidental expenses billed by the hospital such as telephone, Television or Internet Charges While You Are Hospitalized

c.Up to $50 per day to a maximum $500 for incidental expenses billed by the hospital such as telephone, Television or Internet Charges While You Are Hospitalized

Return and Escort of Children

a.Up to Economy Airfare to return accompanying dependent children to the departure point in the event that you are returned to your country of origin or Canada.

b.Up to Economy Airfare to return accompanying dependent children to the departure point in the event that you are returned to your country of origin or Canada.

c.Up to Economy Airfare to return accompanying dependent children to the departure point in the event that you are returned to your country of origin or Canada.

Excess Baggage Return

a.Up to $500 for the cost of returning your excess baggage

b.Up to $500 for the cost of returning your excess baggage

c.Up to $500 for the cost of returning your excess baggage

Maternity

a.Not Available

b.Not Available

c.Up to $5,000 for expenses incurred in Canada for: a. pre-natal care, Childbirth, Miscarriage, And Post-natal Care Including Associated Complications; And
b. routine new-born nursing care up to 14 days following birth.

Psychiatric / Psychological

a.Not Available

b.Not Available

c.Up to $1,000 per insured for visits to a licensed psychiatrist, psychologist or social worker for the relief of acute symptoms when deemed essential by the attending physician

Vaccines

a.Not Available

b.Not Available

c.Up to $100 per insured for vaccinations in any 12-month period

Physical Examination

a.Not Available

b.Not Available

c.Up to $250 per insured for one visit to a physician for a routine examination in any 12-month period

Eye Examination

a.Up to $10,000

b.Not Available

c.Up to $100 per insured for one visit to a licensed optometrist in any 12-month period

Accidental Death Dismemberment

a.Up to $10,000

b.Up to $50,000, for loss of life, Limb or Sight Of An Insured Person Resulting Directly From Accidental Injury

c.The insurer agrees to pay up to $50,000, for loss of life, Limb or Sight Of An Insured Person Resulting Directly From Accidental Injury

Exposure and disappearance

a.Not Available

b. As A Result Of Such Exposure, you suffer one of the losses specified in the schedule of losses above; or b. your body has not been found within 52 weeks from the date of the accident.

c. As A Result Of Such Exposure, you suffer one of the losses specified in the schedule of losses above; or b. your body has not been found within 52 weeks from the date of the accident.

Flight Accident

a.Not Available

b.Up to $50,000 in case of death of an insured person as a result of an injury sustained during the coverage period while travelling as a fare-paying passenger

c.Up to $50,000 in case of death of an insured person as a result of an injury sustained during the coverage period while travelling as a fare-paying passenger

Exclusions

a.ExclusionsAny sickness, injury or medical condition (other than a minor ailment) that existed prior to the effective date. THIS POLICY DOES NOT COVER PREEXISTING HEALTH CONDITIONS.

b.ExclusionsAny sickness,Injury or Medical Condition (other than a minor ailment) that existed prior to the effective date other than:-a) Up to Age 70 – Any sickness, Injury or Medical Condition that was stable in the 180 days prior to the effective date.b) i. Age 71-80 Any sickness, Injury or Medical Condition that was stable in 180 days prior to the effective dateii.any of the following Pre-existing Conditions that were present on Your Start Date:- Any heart condition including but not limited to heart attack, Angina, Arrhythmia or Cardiac Surgery;- Any brain condition including but not limited to stroke, Transient Ischemic Attack (TIA), Mini-stroke, Aneurysm or Seizure;- Any lung condition including but not limited to chronic obstructive pulmonary disease (COPD), Asthma, Chronic Bronchitis or Emphysema.

c.ExclusionsAny sickness, Injury or Medical Condition (other than a minor ailment) that existed prior to the effective date other than:-a) Up to Age 70 – Any sickness, Injury or Medical Condition that was stable in the 120 days prior to the effective date.b) Age 71-80 Any sickness, Injury or Medical Condition that was stable in 180 days prior to the effective date