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NACHI Health Solutions Benefit Summary

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Benefits Included

NACHI Health Solutions
SELECT

EHC BENEFITS

Echelon General Insurance Co.

80% Reimbursement NO DEDUCTIBLE

Prescription Drugs

80% to $5,000/calendar Yr.
Generic Drugs unless Physician indicates “no substitution”
ESI Pay-Direct Drug card

Accidental Dental

Up to $2,500/calendar year

Ambulance

Ambulance services not covered by Provincial Plan  up to $250/trip

Home Support

See Private Duty Nursing

Durable Medical Equipment

$1,750/calendar year for Durable Medical Equipment

Prosthetics

Included Above

Medical Supplies

$1,500/calendar year

Orthopedic footwear or Orthotics

Reasonable & Customary charges for Orthopedic footwear or Orthotics prescribed by a Chiropodist or Physician to a maximum of $150/calendar year

Private Duty Nurse

$2,000/calendar year

Paramedical Services

Up to $300/practitioner per calendar year with a $50 per visit maximum on a “top up” basis to any Provincial benefits, including: Chiropractors, Chiropodist, Nutritionist, Podiatrist, Physiotherapist, Speech Therapist, Osteopath, Reg. Massage Therapist,

Up to $360 for Psychologist per policy year.

Hearing Aids

$300/ 5 calendar years

Vision

Eye Glasses up to $150 every 2 calendar years, after 6 month waiting period. $100 for Eye Examinations/24 months

 

Hospital

Semi-Private room up to $170 per day for 30 days ($5,100 maximum/calendar year)

Maximum per person

$25,000 per calendar year

Lifetime Maximum

No Maximum

Out-of-Province/Country
Travel Insurance Coordinators Ltd.

100% up to $1M for trips of up to 30 days plus Emergency Travel Assistance Services

DENTAL

Echelon General Insurance Company

 

Preventive Services

Must be purchased with EHC. No deductible, 80% reimbursement up to $1,500 per person per calendar year. Basic Care including fillings, oral surgery, anesthetic and minor restorations; Periodontics covered at 50% reimbursement

Major Restorative Services

Not Included

Orthodontia

Not Included

Maximum

80% up to $1,500 per person per calendar year

Critical Illness
ACE INA Insurance

Optional Benefit of $10,000; $25,000; or $50,000 cover TEN life threatening conditions

Disability Insurance
Lloyd’s of London

Individual Disability Insurance Program available as an option

AD&D
ACE INA Insurance

Optional Employee/Family Program in units of $50, 000 to $300,000 full benefit schedule

 


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