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Extended health care and dental insurance

Health and dental insurance that keeps your wallet healthy too

The cost of prescription drugs, a visit to the optician, a paramedical appointment or even a stay in the hospital can all add up. Extended health care (EHC) insurance covers many basic health costs. You can even make trips to the dentist less painful by choosing a plan with dental care.

You’ll use your coverage when you:

  • Need prescription drugs1
  • Buy new glasses or contacts
  • See a variety of medical practitioners, including massage therapists, physiotherapists, chiropractors and more
  • Have a stay in the hospital (where you’ll want a semi-private or private room)
  • Visit the dentist (if you choose an option with dental care coverage)

Why choose EHC and dental insurance offered through your association?

  • Choice of five plans, so you get the best solution for your needs
  • Savings on the insurance you need, thanks to group pricing

You're eligible if you are:

  • A member in good standing, working a minimum of 25 hours a week
  • Between the ages of 18 and 74 (coverage ends on member’s 75th birthday)
  • A resident of Canada, and
  • Covered under your provincial health insurance
  • Quebec residents must have health and drug coverage through Régie de l'assurance maladie du Québec (RAMQ)

Meet the criteria? You can get extended health care and dental insurance for:

  • You
  • You + your spouse2
  • You + your spouse + your children3

What's the cost?

Our rate sheets can provide you with a quick estimate.

What are the coverage options?

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

Questions?

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

Benefit details

You can find out more in your plan brochure.

Options Basic Standard Standard Plus Enhanced Enhanced Plus
Extended health care
Prescription drugs
  70% 70% of the first $1,000 of expenses, 80% of the excess 70% of the first $800 of expenses, 80% of the excess 80% of the first $3,000 of expenses, 90% of the excess 80% of the first $3,000 of expenses, 90% of the excess
Dispensing fee maximum 100% up to $6.50 per prescription or refill 100% up to $6.50 per prescription or refill 100% up to $6.50 per prescription or refill 80%
No maximum
80%
No maximum
Oral contraceptives No No No Yes Yes
Plan year maximum $750 per person $5,000 per person $3,500 per person $12,000 per person $12,000 per person
Paramedical services
Registered specialists
 
70% 80% 80% 90% 90%
Plan year maximum per specialty $350 per person $480 per person $480 per person $600 per person $600 per person
Plan year combined maximum $600 per person $800 per person $800 per person $1,000 per person $1,000 per person
Travel expenses
Expenses out of your province No 100% 100% 100% 100%
Emergency travel assistance No First 15 days First 20 days First 30 days First 30 days
Hospital expenses
Hospital expenses in your province No 80% 80% 90% 90%
Convalescent hospital No No No No Yes
Private duty nursing
  70% 80% 80% 90% 90%
Plan year maximum $2,500 per person $5,000 per person $5,000 per person $7,500 per person $7,500 per person
Lifetime maximum $10,000 per person $15,000 per person $15,000 per person $20,000 per person $20,000 per person
Ambulance
  70% 80% 80% 90% 90%
Medical services, equipment, supplies and other services
  70% 80% 80% 90% 90%
Wigs (maximum
per person)
$100 per plan year $500 lifetime $500 lifetime $500 lifetime $500 lifetime
Wheelchairs
(lifetime maximum)
$1,000 per person $1,000 per person $1,000 per person $1,200 per person $1,200 per person
MRI and other services (plan year maximum) - Quebec only $750 per person $1,000 per person $1,000 per person $1,200 per person $1,200 per person
Orthotic inserts and orthopaedic shoes (plan year maximum) $250 per person $250 per person $250 per person $300 per person $300 per person
Glucometers (maximum in any 5-year period) $150 per person $300 per person $300 per person $300 per person $300 per person
Casts, splints, trusses, canes and crutches
(plan year maximum)
Up to the plan year combined maximum shown below $500 per person $500 per person $500 per person $500 per person
Breast prosthesis
(plan year maximum)
Up to the plan year combined maximum shown below $200 per person $200 per person $200 per person $200 per person
Hospital beds
(lifetime maximum)
Up to the lifetime maximum shown below $1,000 per person $1,000 per person $1,200 per person $1,200 per person
Plan year combined maximum $1,000 per person $1,500 per person $1,500 per person $2,000 per person $2,000 per person
Lifetime maximum $20,000 $20,000 $20,000 $20,000 $20,000
Hearing aids
  70% with a maximum in any 5-year period of $350 per person 80% with a maximum in any 5-year period of $400 per person 80% with a maximum in any 5-year period of $450 per person 90% with a maximum in any 5-year period of $550 per person 90% with a maximum in any 5-year period of $550 per person
Vision care
  100% 100% 100% 100% 100%
Waiting period None 1 year 1 year 1 year 1 year
Maximum in any 2 plan years Eye exam only $150 per person $150 per person $250 per person $250 per person
EHC lifetime maximum per person
Out-of-province emergencies No $3,000,000 $3,000,000 $3,000,000 $3,000,000
All other expenses $100,000 $300,000 $300,000 $500,000 $500,000
Dental
Preventive and basic
 
No No 70%
3 month waiting period
No 80%
3 month waiting period
Major
 
No No No No 50%
6 month waiting period
Orthodontics
 
No No No No 60%
1 year waiting period
Dental maximum
per plan year
per person
No No $750 for preventive and basic combined No $750 for preventive and basic combined
$500 for major
Lifetime per person No No No No $1,500 for orthodontics
Lock-in period 2 years 2 years 2 years 2 years 2 years
Changes in options Subject to the lock-in period indicated above, you can change your option on the policy anniversary. Evidence of insurability is required if you are moving up an option.

Coverage ends at:

  • Age 75
  • The date that any person who is not entitled to benefits under a provincial medicare plan or federal government plan that provides similar benefits (for Quebec: RAMQ equivalent)

Take these three steps to apply:

Icon of a download
Icon of a pen

Fill it out

Icon of a mail letter

Mail it in

Medical underwriting is required.

Exclusions:

  • Procedures performed primarily to improve appearance
  • Replacement of dental appliances that are lost, misplaced or stolen
  • Charges for appointments that a person does not keep
  • Charges for completing claim forms
  • Services or supplies for which no charge would have been made in the absence of this coverage
  • Supplies usually intended for sport or home use, such as mouth guards
  • Procedures or supplies used in full mouth reconstruction (capping all of the teeth in the mouth), vertical dimension corrections (changing the way the teeth meet) including attrition (worn down teeth), alteration or restoration of occlusion (building up and restoring the bite), or for the purpose of prosthetic splinting (capping teeth and joining teeth together to provide additional support)
  • Charges related to implants, including surgery charges
  • Charges related to temporomandibular joint (TMJ) treatment
  • Transplants and repositioning of the jaw
  • Experimental treatments
  • Hostile action of any armed forces, insurrection or participation in a riot or civil commotion
  • Dental services required due to congenital malformation
  • Participation in a criminal offence

1. Charges greater than the lowest-priced equivalent drug aren’t covered unless specifically approved by Securian Canada. To assess the medical necessity of a higher-priced drug, Securian Canada requires you, your spouse, or your dependant child and the attending physician to complete and submit an exception form.

2. Spouse: Your spouse by marriage or under any other formal union recognized by law, or a partner of the opposite sex or of the same sex who is living with you and has been living with you in a conjugal relationship for at least 12 months. For Québec residents, there is no minimum cohabitation period for common-law spouses if a child is born out of their relationship. Only one person at a time can be covered as your spouse.

3. Dependant children: Your children who are not married or in any other formal union recognized by law, dependant on you or your spouse for support, and are under the age of 21 (age 25 if the dependant is a full-time student – age 26 in Quebec), including adopted children and stepchildren, or children of any age if incapable of supporting themselves because of physical or mental disability.