Benefits
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OmniPlan®
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ExtendaPlan®
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BasicPlan
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Notes
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Goods & Services
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Goods and services may be purchased anywhere in Canada.
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Goods can be purchased anywhere in Canada. Services must be received in your province of residence.
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Goods can be purchased anywhere in Canada. Services must be received in your province of residence.
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Eye Exams
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$90 / 2 years
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$90 / 2 years
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n/a
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Eyeglasses & Contact Lenses
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$200 / 2 years
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Included in Eye Exams limit.
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n/a
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Health Practitioners
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Maximum $35 per visit to a maximum of $300 per specialty, per person, per year.
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Maximum $35 per visit to a maximum of $250 combined, per person, per year.
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n/a
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Acupuncture, chiropractic, chiropody/podiatry, clinical psychology, massage therapy, speech therapy, naturopath and physiotherapy treatments.
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Hearing Aids
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$800 / 5 years
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$500 / 5 years
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n/a
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One year waiting period.
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Health Supplies & Equipment
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$500 / person / year
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$500 / person / year
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n/a
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See policy wording for a complete list of eligible items. Requires a physician's written prescription.
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Diabetic Supplies & Equipment
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$300 / person / year
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$300 / person / year
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n/a
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Diabetic supplies and equipment, including testing devices when ordered in writing by a physician. One year waiting period on testing devices.
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Oxygen Equipment
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$500 / person / year to a lifetime maximum of $2,500
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$500 / person / year to a lifetime maximum of $1,500
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n/a
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Does not cover the cost of oxygen. One year waiting period on CPAP supplies.
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Blood Pressure Monitors
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1 / policy / 5 years
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1 /policy / 5 years
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n/a
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.
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Custom Made Foot Orthotics
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80% 1 / 3 years / adult; 1 / year for children under 16
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80% 1 / 5 years / adult; 1 / year for children under 16
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n/a
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Therapeutic Shoes
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$225 / person / year
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$225 / person / year
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n/a
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Require a physician's written prescription.
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Mobility Aids
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$300 / policy / year
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$300 / policy / year
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n/a
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Canes, reaching aids, raised toilet seats, grab bars, bath safety rails and transfer benches when accompanied by a physician's letter of necessity.
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Ostomy Supplies
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$300 / person / year
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$300 / person / year
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n/a
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Funeral Expenses
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$4,000 for funeral expenses in the case of accidental death
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n/a
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n/a
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Out-of-province Referral
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$50,000 / person lifetime maximum
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$50,000 / person lifetime maximum
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n/a
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Requires prior written approval from GMS.
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Ambulance
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Unlimited
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Unlimited
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$2,000 / person / year
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100% emergency transport to hospital; 50% return of bedridden patients.
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Air Ambulance
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Unlimited
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Unlimited
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Unlimited
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Transport within your province of residence.
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Casts & Crutches
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Unlimited
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Unlimited
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Unlimited
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Fibreglass casts and the purchase or rental of crutches.
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Preferred Hospital Rooms
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45 days up to $3,500 / person / year
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$1,000 / person / year
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$500 / person / year
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Private or semi-private hospital room costs.
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Private Duty Nursing
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80% of costs to $5,000 / person / year for in-hospital or in-home as palliative care nursing.
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80% of costs to $3,000 / person / year for in-hospital or in-home as palliative care nursing.
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80% of costs to $1,500 / person / year for in-hospital nursing.
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Must be prescribed by a physician.
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In-Hospital Drugs
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$2,000 / person / year
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$1,000 / person / year
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$1,000 / person / year
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Accidental Injury to Natural Teeth
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$5,000 / injury
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$2,000 / injury
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$500 / injury
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Services totaling $500 or more must be pre-approved.
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Wheelchairs, Motorized Scooters & Adjustable Beds
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100% of purchase or rental to a maximum of $1,000 / person / 5 years
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100% of purchase or rental to a maximum of $750 / person / 5 years
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100% of purchase or rental to a maximum of $500 / person / 5 years
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These benefits have a one year waiting period and require a physician's written order.
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Artificial Limbs, Eyes & Larynx
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$5,000 / person / year
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$5,000 / person / year
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$5,000 / person / year
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Patient Walkers
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80% of purchase or rental to a maximum of $300 / person / 5 years
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80% of purchase or rental to a maximum of $300 / perdon / 5 years
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80% of purchase or rental to a maximum of $300 / person / 5 years
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Requires a physician's written order.
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Breast Prosthesis
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$325 / 2 years lateral
$650 / 2 years bilateral
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$325 / 2 years lateral
$650 / 2 years bilateral
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$175 / 2 years lateral
$350 / 2 years bilateral
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Excludes surgical brassieres.
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