Health Insurance Atlantic Canada

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Medavie Blue Cross Complete Health Insurance Plans

Please note: If your employee benefits plan is with Blue Cross and you are looking for claim or benefits information, please contact Medavie Blue Cross directly.

Build your own custom health insurance Complete Health is a flexible health insurance plan from Medavie Blue Cross that you can customize to fit your unique needs, lifestyle and budget. Choose the level of coverage - Entry, Essential or Enhanced - for each type of insurance you need: health, drug, dental and critical illness. Build the plan that's right for you. You can easily adjust your coverage up or down if your lifestyle or circumstances change.

Health Benefits

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Entry

60% coverage

Essential

70% coverage

Enhanced

80% coverage

Accidental injury to natural teeth $7,000 lifetime $7,000 lifetime $7,000 lifetime
Chronic disease management $250 $400 $500
Accidental death & accidental dismemberment -- $10,000 and $5,000 $15,000 and $5,000
Ambulance services -- $420 $420

Health practitioners

treatment by a licensed audiologist, chiropodist / podiatrist, chiropractor, dietician, occupational therapist, osteopath, physiotherapist/athletic therapist, psychologist/social worker, speech therapist

$250 / calendar year $400 / calendar year $500 / calendar year

Additional practitioners

treatment by a licensed acupuncturist, massage therapist, naturopath

-- $400 / calendar year $500 / calendar year

Orthotics / custom orthopedics


customized orthopedic shoes and shoe modification, adjustment supplies and/or moulded arch supports

$150 / calendar year $150 / calendar year $225 / calendar year

Vision care


eye exams, contact lenses, spectacle lenses and frames
6-month wait period

$100 / 2 consecutive calendar years $150 / 2 consecutive calendar years $300 / 2 consecutive calendar years

Hearing aids


6-month wait period

-- $400 / 5 consecutive calendar years $500 / 5 consecutive calendar years

Nursing care


essential skilled nursing care in the participant’s residence

-- $3,500 / 2 consecutive calendar years $5,600 / 2 consecutive calendar years

Prosthetic appliances


artificial limbs, breasts, hair, eyes, crutches, canes, casts, and trusses required due to sickness or accident

-- $10,000 lifetime $10,000 lifetime
Inconfidence for individual
Mobility aids
Diabetic supplies --
Medical equipment --
Ostomy supplies --
Oxygen --
Semi-private hospital stays -- -- 100% coverage up to a maximum 90 days
Travel -- -- 100% coverage up to a maximum 30 days

Drug Benefits

No overall maximum benefit per year

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Essential

70% coverage

Enhanced

80% coverage

100% coverage after $4,500 in eligible claims per year
Co-payment per prescription maximum cost of $50 / prescription maximum cost of $50 / prescription
Out of pocket co-pay maximum cost of $1,350 / year maximum cost of $900 / year
Birth control
Fertility drugs -- $1,500 / year and $3,000 / year lifetime
Allergy serums -- $500 / year

* all dollar amounts are maximums

Dental Benefits

Choose 1 >

Entry

60% coverage

Essential

70% coverage

Enhanced

80% coverage

Examination, cleaning, X-rays and fillings $500 per year
6-month wait period
6-month wait period 6-month wait period
Extractions and root canals -- 6-month wait period 6-month wait period
Periodontal services -- -- 60% coverage for up to $1,200 / year
24-month wait period
Major dental work -- -- 60% coverage for up to $500 / year
24-month wait period
Orthodontics
age 18 and under
-- -- 60% coverage for  up to $1,500 lifetime, with
24-month wait period

Additional Modules

Add any or all of these options to your Medavie Blue Cross Complete Health plan.

Critical Illness

Critical Illness coverage pays cash in the event of an unexpected illness. Covered conditions include:
Alzheimer’s Disease, Blindness, Burns, Coma, Deafness, Life Threatening Cancer, Loss of Speech, Major Organ Failure, Major Organ Failure requiring transplant, Motor Neuron Disease, Multiple Sclerosis, Paralysis, Parkinson’s Disease, Senile Dementia, Severe Heart Attack, Severe Stroke.

Hospital Cash

$100 per day for up to 100 days per year when hospitalized.
If over the age of 65, benefit is limited to 30 days per year.

Assured Access

Assured Access coverage means you can put your coverage on hold if you acquire group health benefits. Then you can reactivate your health plan later without needing to qualify again medically.

Blue Cross Assured Access Insurance 

Protect tomorrow's insurability today. If you currently have group health benefits through your employer Assured Access® is designed to work with your group health benefit plan. It provides you with future access to a personal health plan based on your present health.

More Details

As we age our health often deteriorates. This makes it difficult to be approved for the health care coverage we may need later in life. Once you qualify medically for Assured Access, you and your family are entitled to a Complete Health plan. You won't face additional medical questions, if you ever lose your group health benefits. Complete Health includes comprehensive coverage for hospital, travel, extended health and extensive drug benefits.

Assured Access provides additional security with a $10,000 Accidental Death & Dismemberment benefit for each participant covered under your plan. This AD&D benefit ends at age 65.

As your children grow up, they are no longer eligible for group health benefits as dependents under your group plan. They can enrol in their own Medavie Blue Cross personal health plan without undergoing additional medical underwriting.

To be eligible for the Assured Access product, you must:

  • apply and be approved for coverage prior to age 65
  • be enrolled in a group health benefits* plan at the time of application
  • have had group coverage for the past 12 consecutive months

Assured Access coverage can continue beyond age 65.

If you have questions about Medavie Blue Cross Assured Access, or would like an application form, contact one of our health insurance specialists.

Assured Access Rates

Monthly Assured Access Selling Rates (Health and Prescription Drugs)

Ages Single Couple Family
0-29 $21.65 $32.48 $38.66
30-44 $21.65 $32.48 $38.66
45-54 $24.76 $35.56 $41.77
55-64 $27.85 $38.66 $44.85

Rates are subject to change, please contact MacLellan Moffatt Health Insurance directly to discuss plan pricing and application process.

Eligibility requirements apply.

*Group Health Benefits - an employer sponsored health benefit plan consisting of 3 or more employees.

Notes:

  • The member is the oldest person covered under the plan. The age of the member is used to determine the rates.
  • Dependents include the spouse/cohabitant and dependent children of the member.
  • The Assured Access and Complete Health rates are reviewed and increased periodically. When activating the Complete Health plan, you will be subject to the rates in effect at the time of activation.
  • Applicants must meet medical underwriting standards at time of application.

 

Get Started with Health Insurance

Speak to a member of the MMHI team to help with your health insurance needs. 

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