DeLuxe

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Prescription Drugs*:                    $10,000@90%
Paramedical (Massage, Etc)*:     $1,500/yr - Combined 
Semi-Private Hospital Room:      120 days
Orthotics / Shoes:                        $500/yr
Ambulance:                                  Unlimited
Air Ambulance:                            Unlimited
Private Duty Nursing*:                 $15,000/yr
Hearing Aids:                               $1,000/4yrs
Wheelchairs & Beds:                   $10,000/5yrs
Oxygen & Equipment:                Covered@100%
Medical Equipment:                    Covered@100%
Breast / Artificial Prosthesis:       $10,000/life
Blood Pressure Monitor:             One every 5 years
Diabetic Supplies*:                      Covered@100%
Accidental Dental:                       Covered@100%
Eye Exams / Glasses:                   $400/2yrs
Travel Insurance*:                         90 days/trip - 5 Million
Retiree Assistance Program:        Covered
Feel Better Now:                          Covered
CAREpath Navigation:                 Covered
WorldCare Access:                       Covered

Optional Dental:   $2,000/yr - 100% Basic,                               100% Endodontic & Periodontal, 50% Major

Elite

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Prescription Drugs*:                    $7,500@90%
Paramedical (Massage, Etc)*:     $1,250/yr - Combined 
Semi-Private Hospital Room:      100 days
Orthotics / Shoes:                        $400/yr
Ambulance:                                  Unlimited
Air Ambulance:                            Unlimited
Private Duty Nursing*:                 $10,000/yr
Hearing Aids:                               $750/4yrs
Wheelchairs & Beds:                   $10,000/5yrs
Oxygen & Equipment:                Covered@90%
Medical Equipment:                    Covered@90%
Breast / Artificial Prosthesis:       $7,500/life
Blood Pressure Monitor:             One every 5 years
Diabetic Supplies*:                      Covered@100%
Accidental Dental:                       Covered@90%
Eye Exams / Glasses:                   $300/2yrs
Travel Insurance*:                         60 days/trip - 5 Million 
Retiree Assistance Program:        Covered
Feel Better Now:                          Covered
CAREpath Navigation:                 Covered
WorldCare Access:                       Covered

Optional Dental:   $2,000/yr - 100% Basic,                               100% Endodontic & Periodontal, 50% Major

 

Premier

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Prescription Drugs*:                    $5000@80%
Paramedical (Massage, Etc)*:     $1,000/yr - Combined 
Semi-Private Hospital Room:      80 days
Orthotics / Shoes:                        $300/yr
Ambulance:                                  Unlimited
Air Ambulance:                            Unlimited
Private Duty Nursing*:                 $5,000/yr
Hearing Aids:                               $500/4yrs
Wheelchairs & Beds:                   $10,000/5yrs
Oxygen & Equipment:                Covered@80%
Medical Equipment:                    Covered@80%
Breast / Artificial Prosthesis:       $5,000/life
Blood Pressure Monitor:             One every 5 years
Diabetic Supplies*:                      Covered@100%
Accidental Dental:                       Covered@100%
Eye Exams / Glasses:                   $200/2yrs
Travel Insurance*:                         60 days/trip - 5 Million
Retiree Assistance Program:        Covered

Feel Better Now:                          Covered
CAREpath Navigation:                 Covered
WorldCare Access:                       Covered

Optional Dental:   $2,000/yr - 100% Basic, 
100% Endodontic & Periodontal, 50% Major


 

Lite

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Prescription Drugs*:                    $2,500@80%
Paramedical (Massage, Etc)*:     $750/yr - Combined
Semi-Private Hospital Room:      60 days
Orthotics / Shoes:                        $200/yr
Ambulance:                                  Unlimited
Air Ambulance:                            Unlimited
Private Duty Nursing*:                 $2,500/yr
Hearing Aids:                               $250/4yrs
Wheelchairs & Beds:                   $10,000/5yrs
Oxygen & Equipment:                Covered@70%
Medical Equipment:                    Covered@70%
Breast / Artificial Prosthesis:       2,500/life
Blood Pressure Monitor:             One every 5 years
Diabetic Supplies*:                      Covered@100%
Accidental Dental:                       Covered@70%
Eye Exams / Glasses:                   $100/2yrs
Travel Insurance*:                         30 days/trip - 5 Million 
Retiree Assistance Program:        Covered
Feel Better Now:                          Covered
CAREpath Navigation:                 Covered
WorldCare Access:                       Covered

Optional Dental:   $2,000/yr - 100% Basic,                               100% Endodontic & Periodontal, 50% Major

 

BOOKLETS

With Dental:                                 DeLuxe                          Elite                            Premier                        Lite

Without Dental:                           DeLuxe                          Elite                            Premier                        Lite

PRICE CHART

-Monthly pricing renews each year on June 1st-

Deluxe

Single: $225

Couple: $450

Family: $515

Elite

Single: $185

Couple: $370

Family: $425

Premier

Single: ​$130

Couple: $260

Family: $340

Lite

Single: $105

Couple: $210

Family: $280

Optional Dental:

Single: $52

Couple: $104

Family: $120

Saskatchewan

Deluxe

Single: $280

Couple: $560

Family: $645

Elite

Single: $230

Couple: $460

Family: $525

Premier

Single: $160

Couple: $320

Family: $425

Lite

Single: $130

Couple: $260

Family: $355

Optional Dental:

Single: $75

Couple: $150

Family: $170

Alberta

Deluxe

Single: $225

Couple: $450

Family: $505

Elite

Single: $185

Couple: $370

Family: $415

Premier

Single: $130

Couple: $260

Family: $335

Lite

Single: $110

Couple: $220

Family: $275

Optional Dental:

Single: $58

Couple: $115

Family: $133

Manitoba

Additional Considerations

Private Duty Nursing: Lifetime Max: DeLuxe - $150,000, Elite - $100,000, Premier - $50,000, Lite - $25,000

Paramedical Services: Includes Athletic Therapist, Audiologist, Chiropractor (including x-rays), Dietician, Registered Massage Therapist, Naturopath (including x-rays), Osteopath (including x-rays), Physiotherapist, Podiatrist (chiropodist) (including x-rays), Psychologist (including Master of Social Work / Clinical Counsellor), Specialist in Acupuncture, Speech Therapist.

Diabetic Supplies:

Flash Glucose Monitors (FGM): Freestyle Libre Sensors are covered up to $4000 / person / calendar year for those with Type 1 and Type 2 Diabetes who are prescribed insulin. Freestyle Libra Sensor claims are included in your drug maximum. 

 

Continuous Glucose Monitors (CGM): Dexcom sensors are covered under "insulin pump supplies" and are subject to the overall drug maximum. Dexcom sensors are only eligible if the member is Type 1 Diabetic. 

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". For more details please refer to your booklet or contact us directly. 

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

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

Travel Insurance: With Orion Travel Insurance you have $5,000,000 per trip out-of-country, with full COVID coverage as long as you are fully vaccinated, and $2,500,000 in COVID coverage per trip, regardless of COVID restrictions with one vaccine shot. To qualify, you must follow your provincial laws. 

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.