If you're not covered by a company health plan, Blue Choice
Balance is the cost-effective way to ensure you're protected. It
provides coverage that compliments your provincial health plan,
with a wide range of extended health care benefits like vision
care, hearing aids, nursing care, dental, prescription drugs and
optional hospital coverage at an affordable monthly premium.
Benefits are based on a yearly schedule commencing from
the effective date of your policy. Coverage for residents of
Ontario only. Limitations may apply, see contract for details. All
Blue Choice Balance contracts with Health Benefits include the
following:
Blue Cross Assistance Program
We are pleased to provide our clients with the Blue Cross
Assistance Program. This program includes Health Consulting and
Support services, Information and Prevention services, and Partner
privileges and discounts.
When you enrol in a health plan from Ontario Blue Cross, you
automatically have access to these services 24 hours a day, 7 days
a week.
Our staff will provide you with:
- Access to a Registered Nurse to answer your questions and
provide advice and guidance on your health related questions
- Home Support Services following a hospital stay
- Referrals to specialists and health organizations in your area
and much more
Blue Cross Assistance offers exclusive benefits with our health
care partners and as part of this essential program, you also have
access to quality services at discounted rates through Ontario Blue
Cross partnerships.
Upon enrolment, all customers will receive a booklet detailing
the benefits of this program along with an Assistance Program card.
Simply present your card, and enjoy quality products and services
at a preferred rate.
Blue Cross Assistance. Another unique and valuable feature added
to your health care plan.
Extended Health Care
(The following benefits are reimbursed
at 80%, up to specified maximum. Amounts refer to
each covered person.)
- Hearing Aids (3 months waiting period)-up to $300 every 5
calendar years
- Orthopaedic shoes up to $175 per calendar year
- Accidental Dental-up to $2,000 per calendar year
- Prostheses & Accessories-up to $2,500 per calendar
year
- Nursing Services and Home Care-up to $2,500 per calendar
year
- Ambulance Services-amount not covered by OHIP
- 24-Hour Toll-Free Health Assistance Hotline
(The following benefits are reimbursed at 100%,
up to specified maximum. Amounts refer to each covered person.)
- Vision Care (3 month waiting period)-up to $100 every 2
calendar years
- Emergency Out-of-Province Travel Coverage -up to $5
million
Registered Specialists and Therapists
Costs and number of appointments vary
for visits to an Acupuncturist, Chiropodist, Chiropractor, Massage
Therapist, Naturopath, Osteopath, Physiotherapist, and Speech
therapist.
| Specialist |
Initial Visit |
Subsequent Visit |
Max. Number |
| Acupuncturist |
$20 |
$20 |
25 |
| Chiropodist |
$20 |
$20 |
25 |
| Chiropractor |
$20 |
$20 |
25 |
| Massage Therapist |
$20 |
$20 |
20 |
| Naturopath |
$20 |
$20 |
25 |
| Osteopath |
$20 |
$20 |
25 |
| Physiotherapist |
$20 |
$20 |
25 |
| Podiatrist |
$20 |
$20 |
25 |
| Psychologist |
$75 |
$60 |
20 |
| Speech Therapist |
$60 |
$40 |
12 |
Benefits are payable only after the yearly maximum allowed under
the Ontario Health Insurance Plan (OHIP) has been reached.
A written recommendation from a physician is required for
Massage Therapy.
Travel Insurance-15 day medical coverage
Enjoy a 15-day annual travel plan with all Blue Choice
Balance Health Benefit Plans
Our plan provides emergency medical coverage while travelling
outside the province and includes:
- Benefits paid at 100%
- An unlimited number of trips per year (15-day maximum
trip)
- Emergency hospital and medical expenses
- Worldwide Assistance Service
- No deductible
- Available Top-up coverage
- Emergency financial assistance
- Up to $5 million in coverage
Restrictions may apply. Please contact our Call Centre for
further details.
Accidental Death and Loss of Use (available only to
persons under 75 years of age)
Maximum payable amount:
- $25,000 per applicant
- $25,000 per spouse
- $5,000 per child
Prescription Drug Benefit*
- Available up to age 64
- Ontario Blue Cross pays 70%
- Pay Direct Drug Card
- $5,000 per person, per calendar year maximum
*Benefits are pro-rated in the first year.
Dental Benefit*
- Available up to age 74
- For individuals 75 years of age and older, please call to
apply:1-866-732-2583
- Current ODA Fee Guide
- Up to 70% for Basic Dental Services per calendar year
- $500 per person, per calendar year maximum
*Benefits are pro-rated in the first year.
