Plan at a glance
Accident insurance
This is an outline of the covered benefits available. The amount aid will depend on the number of benefits you qualify for, the care you receive and the terms and conditions of the policy.
Injuries |
Covered Benefits |
|---|---|
Burns (2nd degree) |
|
| Less than 10% of body | $300 |
| Between 10 and 20% of body | $750 |
| 20% or more of body | $1,500 |
Burns (3rd degree) |
|
| Less than 10% of body | $3,000 |
| Between 10 and 20% of body | $7,500 |
| 20% or more of body | $15,000 |
Child organized sports injury |
$300 |
Concussion |
$450 |
Dislocation (surgical) |
|
| Hip/thigh | $6,000 |
| Knee | $3,000 |
| Foot | $2,400 |
| Ankle | $2,400 |
| Wrist | $1,800 |
| Hand | $1,200 |
| Lower jaw | $1,200 |
| Shoulder | $1,200 |
| Collarbone | $1,200 |
| Ribs | $1,200 |
| Elbow | $1,200 |
| Finger | $300 |
| Toe | $300 |
| Non-surgical % | 50% |
| Partial (% of non-surgical benefit) | 25% |
Eye injury |
|
| With surgery | $400 |
| Removal of foreign object | $100 |
Fracture (surgical) |
|
| Skull - depressed | $9,000 |
| Hip/thigh | $6,000 |
| Skull - non-depressed | $6,000 |
| Pelvis | $4,500 |
| Sternum | $4,500 |
| Vertebral body | $3,000 |
| Lower leg | $3,000 |
| Shoulder blade | $3,000 |
| Upper arm | $2,100 |
| Facial excluding lower jaw | $2,100 |
| Foot | $1,500 |
| Ankle | $1,500 |
| Kneecap | $1,000 |
| Forearm | $1,500 |
| Hand or wrist (except fingers) | $1,500 |
| Lower jaw | $1,500 |
| Ribs | $1,500 |
| Vertebral processes | $1,200 |
| Collarbone | $900 |
| Coccyx | $600 |
| Finger | $300 |
| Toe | $300 |
| Nose | $300 |
| Non-surgical % | 50% |
| Chip (% of non-surgical benefit) | 25% |
Lacerations |
|
| With stitches or staples | $300 |
| Without stitches or staples | $50 |
Paralysis |
|
| Quadriplegia | $50,000 |
| Paraplegia | $25,000 |
| Hemiplegia | $25,000 |
| Uniplegia | $12,500 |
Emergency care |
Covered Benefits |
|---|---|
Ambulance |
|
| Air | $1,500 |
| Ground or water | $350 |
Blood, plasma or platelets transfusion |
$450 |
Emergency dental |
|
| Crown | $300 |
| Extraction | $150 |
Emergency room treatment |
$250 |
Initial physician's office visit |
$100 |
Hospital care |
Covered Benefits | |
|---|---|---|
Coma |
$15,000 | |
Diagnostic testing |
$200 | |
X-ray |
$150 | |
Hospital stay |
Non-ICU | ICU |
| Initial benefit | $2,000 | $2,000 |
| Daily benefit | $300 | $600 |
Accidental death and dismemberment |
Covered Benefits |
|---|---|
| Employee | $100,000 |
| Spouse | $50,000 |
| Child(ren) | $25,000 |
Surgery |
Covered Benefits |
|---|---|
Abdominal, pelvic |
$1,500 |
Cranial |
$1,500 |
Knee cartilage |
|
| Open | $1,000 |
| Arthroscopic | $500 |
Ruptured disc |
$1,000 |
Tendon, ligament or rotator cuff |
|
| Open | $1,000 |
| Arthroscopic | $500 |
Thoracic |
$1,500 |
Follow-up care |
Covered Benefits |
|---|---|
Appliances |
$125 |
Follow-up physician's office visit |
$100 |
Prosthetics |
|
| One | $1,000 |
| Two or more | $1,000 |
Transportation |
$450 per visit |
Rehabilitative therapy |
- |
| Inpatient | $150 per day |
| Outpatient | $450 lump sum payment |
Support care |
Covered Benefits |
|---|---|
Adult companion lodging |
$150 per day |