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Extended health care and dental insurance

Worry less with health and dental coverage

Prescriptions, visits to the optician or chiropractor, even a stay in the hospital can add up. AffinityPlus™ extended health care (EHC) and dental insurance helps cover these health costs and many more.

You’ll use your coverage when you:

  • Need prescription drugs1
  • Buy new glasses or contacts
  • See a variety of medical practitioners, including:
    • Registered massage therapists
    • Physiotherapists
    • Chiropractors
    • Naturopaths
    • Psychologists
    • Speech therapists
  • Stay in the hospital (in a semi-private room)
  • Visit the dentist (if you choose an option with dental care coverage)

Who’s eligible?

  • You
  • Spouse2
  • Child(ren)

You are eligible to apply for coverage if you meet all the criteria below:

  • Are between the ages of 18 and 69 (renewable at age 70 and over)
  • Have provincial health coverage
  • Are a resident of Canada

Your spouse is eligible to apply for coverage if they meet all the criteria below:

  • Are under age 70
  • Have provincial health coverage
  • Are a resident of Canada

Your dependant child is eligible for coverage if they meet all the criteria below:

  • Your or your spouse’s child or adopted by you (other than a foster child)
  • Unmarried and entirely dependant on you and:
    • Is under age 21, or
    • Is under age 25 and attending college or university full-time, or
    • Became incapable of self-support while they were entirely dependant on you.

Three coverage options

There are three health care plans available. Choose the plan that’s right for you.

The information found in this chart shows a summary of the coverage only. Full benefit details can be found in the group insurance policy and certificate of insurance.

The maximums are for each insured person.

Questions?

Call us at 1-877-363-2773
Mon to Fri 8 a.m. to 8 p.m. ET

For Quebec Residents Only:

Please contact a Securian Canada licensed representative at 1-877-363-2773.

They will help ensure that the product you’re interested in meets your needs, and help you fill out the application.

Options

Basic plan

Standard plan

Enhanced plan

Prescription drugs3

Reimbursement

60%

100% of dispensing fee up to $5

70% of the first $7,000 of expenses

100% on the next $93,000

80% of the first $5,000 of expenses

100% on the next $95,000

Annual maximum

$750

$100,000

$100,000

Deductible (the amount you pay)

None

None

None

Fertility drugs/contraceptives

No

No

Yes

(oral contraceptives only)

Smoking cessation medication

Up to $250 lifetime maximum

Up to $250 lifetime maximum

Up to $250 lifetime maximum

Pay-Direct drug card

Yes

Yes

Yes

Exclusions 
(exclusions apply to Basic, Standard and Enhanced plans)

Drugs used to treat infertility, erectile dysfunction, or obesity

Dietary supplements, vitamins and infant foods

Cost of giving injections, serums, vaccines

Contraceptives (other than oral in the Enhanced plan)

Over-the-counter products to help with quitting smoking.

Extended health care
These services must be medically necessary and within reasonable and customary charges. A provincially authorized medical professional must prescribe them.

Reimbursement

60%

$25 per visit and calendar year maximum of $250 for each practitioner

100%

Up to $300 each calendar year for each practitioner

100%

Up to $400 each calendar year for each practitioner

Deductible

None

None

None

Accidental dental

$2,000 for each fracture or injury

$2,000 for each fracture or injury

$2,000 for each fracture or injury

Air ambulance services

Yes

Yes

Yes

Hearing aids

$400 every five years

$400 every five years

$400 every five years

In home nursing (by RNs, RPNs, RNAs, CNAs or LPAs)

No

$5,000 each calendar year

$25,000 lifetime maximum

$10,000 each calendar year

$30,000 lifetime maximum

Medical services and equipment

$2,500 each calendar year

$20,000 lifetime maximum

$5,000 each calendar year

$5,000 each calendar year

Wigs and/or hair pieces

$100 each calendar year

$500 lifetime maximum

$500 lifetime maximum

Orthopedic shoes and orthotics

$150 each calendar year

$200 each calendar year

$200 each calendar year

Blood glucose monitor

$150 every 5 years

$300 every 5 years

$300 every 5 years

Splints and crutches, braces and/or casts

Yes

Yes

Yes

Wheelchairs, walkers, traction kits

$1,000 lifetime maximum only applicable for wheelchair

$4,000 lifetime maximum only applicable for wheelchair

$4,000 lifetime maximum only applicable for wheelchair

Hospital bed

Yes

$1,500 lifetime maximum

$1,500 lifetime maximum

Prosthetic appliances

Yes

Yes

Yes

Breast prosthesis

No

$200 each calendar year

$200 each calendar year

Exclusions
(exclusions apply to Basic, Standard and Enhanced plans)

Services of a homemaker or home service worker

Items solely for athletic use

Dental expenses that aren’t accidental or aren’t to natural teeth

User fees

Semi-private hospital room (in Canada)

Reimbursement

n/a

85%

$200 each day

$5,000 annual maximum

Convalescent hospital:

  • $20 daily maximum; 180 days for each incident
  • If you are pregnant when you apply, we will pay up to two days of hospitalization due to pregnancy

85%

$200 each day

$5,000 annual maximum

Convalescent hospital:

  • $20 daily maximum; 180 days for each incident
  • If you are pregnant when you apply, we will pay up to two days of hospitalization due to pregnancy

Major exclusions

n/a

Expenses that aren’t medically necessary

Expenses that aren’t medically necessary

Emergency travel medical

Eligibility

n/a

Up to age 80

Up to age 80

Reimbursement

n/a

100%

$1 million lifetime maximum

Pre-existing conditions not included

100%

$1 million lifetime maximum

Pre-existing conditions not included

Trip length

n/a

60 days each trip

60 days each trip

Travel assistance

n/a

Toll-free number for emergency assistance services

Toll-free number for emergency assistance services

Emergency payment assistance

n/a

Yes

Yes

Repatriation

n/a

Yes

Yes

Vehicle return

n/a

Yes

Yes

Major exclusions

n/a

Services that are not immediately required or which could wait until return home

Related illness or injury after the emergency has ended

Services rendered after you could have returned home (based on medical evidence)

Injury, illness or complications if you refused recommended medical services

Injury or illness related to or resulting from travel for medical treatment

Emergencies more than 60 days after leaving your home province

Regular treatment of a chronic injury or illness

Pre-existing medical condition. This means that you had symptoms or needed treatment in the nine months before you left your home province. This includes changes in medication or doses

Due to pregnancy and incurred within four weeks of the expected delivery date

For a child born outside of Canada, until their coverage is in effect or they return to Canada (whichever is later)

Incurred on an non-emergency referral basis

Vision care
(Prescription eyeglasses, contact lenses, prescription sunglasses, laser eye surgery)

Reimbursement

No

100%

100%

Maximum

No

$150 every 2 years; every year for dependants under 18

$200 every 2 years; every year for dependants under 18

Eye exams

No

$50 every 2 years; every year for dependants under 18

$50 every 2 years; every year for dependants under 18

Waiting period

No

1 year

1 year

Dental – preventive

Reimbursement

60%

70%

80%

Annual maximum

$750 each calendar year

$750 each calendar year

$750 each calendar year

Waiting period

3 months 3 months 3 months

Exclusions
(exclusions apply to Basic, Standard and Enhanced plans)

Lost, stolen, misplaced appliances, dentures and space maintainers

Full mouth reconstructions for vertical dimension correction or for correction of temporomandibular joint dysfunction

Expenses incurred for the treatment of malocclusion or for orthodontic treatment

Services rendered in conjunction with surgical services payable under a government plan

Services needed due to congenital malformation

Charges for missed appointments

Charges for completing claims forms

Dental – restorative

Reimbursement

n/a

n/a

50%

Annual maximum

n/a

n/a

$500 annual maximum

Waiting period

n/a

n/a

1 year

Dental – orthodontics

Reimbursement

n/a

n/a

60%

Lifetime maximum

n/a

n/a

$1,500

Waiting period

n/a

n/a

2 years

For some benefits, we pay when the insured person shows they have applied for the applicable government funding. For further details, please see a sample policy and/or certificate of insurance.

Things to know

All coverage becomes effective upon date of approval and receipt of premium payment.

General exclusions:

We will not pay for expenses:

  • Incurred, directly or indirectly caused by or associated with civil disorder or war, whether declared or not; or service in the naval, military or air force of any country, combination of countries or international organization at war, whether war is declared or not
  • That we are not legally allowed to pay
  • For services or items that we consider cosmetic
  • For services or items that we consider experimental
  • For delivery, transportation and administration charges
  • For services and products that are self-prescribed or are rendered or prescribed by a person who is ordinarily a resident in the insured person’s home or who is related to the insured person by blood or marriage
  • For services or supplies payable or available (regardless of any waiting list) under any government-sponsored plan or program unless explicitly listed as covered under this benefit
  • For services or supplies that are not approved by Health Canada or other government regulatory body for the general public
  • For services or supplies that are not generally recognized by the Canadian medical profession as effective, appropriate and required in the treatment of an illness in accordance with Canadian medical standards
  • For services or supplies that do not qualify as medical expenses under the Income Tax Act (Canada)
  • For elective (non-emergency) medical treatment or surgery which is received or performed out of province where they live

Financially protect what’s important – apply today

Get a quote and apply using the quote tool

Medical underwriting is required.

1. Charges above the lowest-priced equivalent drug are not covered unless Securian Canada specifically approves them. You, your spouse, or your dependant child and the attending physician will need to fill out and send in an exception form.

2. Spouse: Your spouse by marriage or under any other formal union recognized by law, or a person who is publicly represented as your spouse for least 12 months. You can only cover one spouse at a time. If you no longer live together, your common-law spouse is no longer eligible for coverage. You must have your own coverage to get spouse coverage.

3. Drugs or related supplies must be medically necessary and within reasonable and customary charges. A provincially authorized medical professional must prescribe them. A registered pharmacist or doctor must dispense them. We pay the cost of the lowest-priced generic version of the drug, unless the physician has stated no substitutions. Securian Canada needs to approve the cost. You and the attending physician will need to send Securian Canada a form.