BENEFIT DETAILS

-All Benefits Are Per Insured Person-

         :::::

Prescription Drugs:

No Deductible

Telus National Formulary

Healthcare Professionals: 

Acupuncturist, Audiologist, Chiropodist, Chiropractor, Registered Dietician, Massage Therapist, Naturopath, Occupational Therapist, Osteopath, Physiotherapist,

Podiatrist, Psychologist,

Speech Therapist,

and Social Worker

 

Supplies & Services:

Breast prosthesis*

Oxygen & Equipment

Compression stockings

Foot orthoses

Hair prosthesis (wig)

Hearing aid

Hospital bed

Intrauterine device (IUD)

Orthopedic shoes

Ostomy supplies

Post-surgical bra

Prosthetics

TENS device

Wheelchair

Accidental dental

Nursing care*

Ambulance (Ground & Air)

Specialized Care

Semi-private Hospital

Convalescent Hospital

Diagnostic Services

Vision Care

Eye Exams

Glasses

Diabetic Supplies

Blood Glucose Monitor

Disposable syringes, lancets, and chemical reagent testing materials

Diabetic Sensors

Freestyle Sensors

Dexcom Sensors

Out of Country & Province

Travel Insurance 

Covid Insurance

Trip Interuption

Professional Health Service

Second Opinion

Eldercare

Virtual Healthcare

PocketPills

 

Optional Dental

Basic

Endodontic & Periodontal

Major

DELUXE

$10,000 / Year @ 90%

(100% if dispensed

through PocketPills)

Covered at 100%

$1,500 Combined / Year

Covered at 100%

Unlimited - R&C*

Unlimited - R&C*

Two pairs / Year

$250 / Year

$500 lifetime

$1,000 / Four Years

Unlimited - R&C*

Unlimited - R&C*

$250 / Year

Unlimited - R&C*

Two / Year

$25,000 lifetime 

Unlimited - R&C*

$10,000 - R&C*

$5,000 - R&C*

$15,000 / Year

Unlimited

Covered at 100%

Unlimited - R&C*

$20 / day - 90 day max

$500 / year

Covered at 100%

$100 / 2 Years

$300 / 2 Years

$4,000/yr @ 100%

$200 / 3 Years

Covered - R&C* Combined with Diabetic Sensors

$4,000/yr @ 100%

Covered - R&C* Combined with Diabetic Supplies

90 day trip limit

$5,000,000 / Trip

$5,000,000 / Trip

Covered - R&C*

Included

Included

Included

Included

Included

$2,000 / year / person

100% coverage

100% coverage

50% coverage

ELITE

$7,500 / Year @ 90%

(100% if dispensed

through PocketPills)

Covered at 100%

$1,250 Combined / Year

Covered at 100%

Unlimited - R&C*

Unlimited - R&C*

Two pairs / Year

$200 / Year

$500 lifetime

$750 / Four Years

Unlimited - R&C*

Unlimited - R&C*

$200 / Year

Unlimited - R&C*

Two / Year

$25,000 lifetime 

Unlimited - R&C*

$10,000 - R&C*

$5,000 - R&C*

$10,000 / Year

Unlimited

Covered at 100%

Unlimited - R&C*

$20 / day - 90 day max

$500 / year

Covered at 100%

$100 / 2 years

$200 / 2 years

$4,000/yr @ 100%

$200 / 3 Years

Covered - R&C* Combined with Diabetic Sensors

$4,000/yr @ 100%

Covered - R&C* Combined with Diabetic Supplies

90 day trip limit

$5,000,000 / Trip

$5,000,000 / Trip

Covered - R&C*

Included

Included

Included

Included

Included

$2,000 / year / person

100% coverage

100% coverage

50% coverage

PREMIER

$5,000 / Year @ 80%

(90% if dispensed

through PocketPills)

Covered at 100%

$1,000 Combined / Year

Covered at 100%

Unlimited - R&C*

Unlimited - R&C*

Two pairs / Year

$150 / Year

$500 lifetime

$500 / Four Years

Unlimited - R&C*

Unlimited - R&C*

$150 / Year

Unlimited - R&C*

Two / Year

$25,000 lifetime 

Unlimited - R&C*

$10,000 - R&C*

$5,000 - R&C*

$7,500 / Year

Unlimited

Covered at 100%

Unlimited - R&C*

$20 / day - 90 day max

$500 / year

Covered at 100%

$100 / 2 Years

$100 / 2 Years

$4,000/yr @ 100%

$200 / 3 Years

Covered - R&C* Combined with Diabetic Sensors

$4,000/yr @ 100%

Covered - R&C* Combined with Diabetic Supplies

90 day trip limit

$5,000,000 / Trip

$5,000,000 / Trip

Covered - R&C* 

Included

Included

Included

Included

Included

 

$2,000 / year / person

100% coverage

100% coverage

50% coverage

LITE

$2,500 / Year @ 80%

(90% if dispensed

through PocketPills)

Covered at 100%

$750 Combined / Year

Covered at 100%

Unlimited - R&C*

Unlimited - R&C*

Two pairs / Year

$100 / Year

$500 lifetime

$250 / Four Years

Unlimited - R&C*

Unlimited - R&C*

$100 / Year

Unlimited - R&C*

Two / Year

$25,000 lifetime 

Unlimited - R&C*

$10,000 - R&C*

$5,000 - R&C*

$5,000 / Year

Unlimited

Covered at 100%

Unlimited - R&C*

$20 / day - 90 day max

$500 / year

Covered at 100%

$100 / 2 Years

$4,000/yr @ 100%

$200 / 3 Years

Covered - R&C* Combined with Diabetic Sensors

$4,000/yr @ 100%

Covered - R&C* Combined with Diabetic Supplies

90 day trip limit

$5,000,000 / Trip

$5,000,000 / Trip

Covered - R&C*

Included

Included

Included

Included

Included

$2,000 / year / person

100% coverage

100% coverage

50% coverage

        Booklets With Dental             DeLuxe                             Elite                                 Premier                           Lite

Booklets Without Dental             DeLuxe                            Elite                                 Premier                            Lite

PRICE CHART

-Monthly pricing renews each year on June 1st-

Pricing Below: June 1, 2022 - May 31, 2023

Deluxe

Single: $234

Couple: $468

Family: $536

Elite

Single: $192

Couple: $385

Family: $442

Premier

Single: ​$135

Couple: $270

Family: $354

Lite

Single: $109

Couple: $218

Family: $354

Optional Dental:

Single: $54

Couple: $108

Family: $125

Saskatchewan

Deluxe

Single: $291

Couple: $582

Family: $671

Elite

Single: $239

Couple: $478

Family: $546

Premier

Single: $166

Couple: $333

Family: $442

Lite

Single: $135

Couple: $270

Family: $369

Optional Dental:

Single: $78

Couple: $156

Family: $177

Alberta

Deluxe

Single: $234

Couple: $468

Family: $525

Elite

Single: $192

Couple: $385

Family: $432

Premier

Single: $135

Couple: $270

Family: $348

Lite

Single: $114

Couple: $229

Family: $286

Optional Dental:

Single: $60

Couple: $120

Family: $138

Manitoba

Additional Considerations

R&C (Reasonable and Customary Charges):  refers to the maximum allowable amount that an insurance carrier or claims payor will reimburse on a particular service or item. This amount reflects the average cost associated with this service or product in a specific geographical region.

Unlimited: Means there is no set limit but is subject to Reasonable and Customary Charges.

Breast Prosthesis: Will pay in excess of any amount payable under the provincial health insurance plan of the insured.

 

Private Duty Nursing: Lifetime Max on all plans of $25,000.

Prescription Drugs: Uses the Telus National Formulary Pay Direct drug Plan. Generally speaking this formulary covers generic drugs and name brand drugs where generic drugs are not available unless your doctor specifies "no substitution". 

Optional Dental: Recall Exams every 6 months. Follows your Provincial Dental Fee Guide.

Premiums: Premiums are subject to change on renewal (June 1) each year. 

What is Age Banding?: When your premiums increase due to age. This is in addition to all other factors that contribute to premium increases. Factors which include rising drug costs, usage rates, demographics, administrative requirements, shareholder pressures, etc. PUBLIK does not age band.

Disclaimer:   The information provided on this document is intended for information purposes only and is not intended to replace professional advice. This document does not include all benefit coverages and could include inaccuracies. We do not warrant the accuracy, completeness , quality, adequacy, or content. Such information is provided "as is" without warranty or condition of any kind, either expressed or implied, including, without limitation. Last updated April 1,2021. E&O E.