Below is a Summary of Eligible Expenses. For full details of your coverage, please refer to:
Group Benefits Booklet English Program
Livret des garanties (Français)
Livret des garanties (Anglais)
Medavie Benefit Summary:
Medavie Benefit Summary English
Sommaires des garantie Françias
Sommaires des garantie Anglais
Expenses not Reimbursed by the Plan
Remember to check your booklet for a complete list of benefits, exclusions, and limitations. The following expenses are not reimbursed under the plan:
|a)|| Dental surgery or cosmetic surgery unless such surgery is a result of a covered injury
under the Accidental Dental benefit.
|b)||Any sickness or injury due to the influence of drugs, alcohol or other intoxicant.|
|c)||Sickness or injury to the participation in professional sports.|
|d)||Suicide or any attempt at suicide while sane or insane.|
|e)|| Intentionally self-inflicted injury or any attempt at intentionally self-inflicted injury
while sane or insane.
|f)|| A sickness or injury that, at the time of departure from the Home Country, might
reasonably be expected to require medical treatment, surgery or hospitalization.
|g)|| Medication commonly available without a prescription; fertility drugs, contraceptives,
vitamin preparations, acne medications, baldness remedies, nicotine resin products,
dietary supplements or weight loss products.
|h)||Translation services of any kind, even when utilized in the delivery of medical services.|
|j)||Any sickness, injury or medical condition resulting from the commission or attempted commission of an illegal act.|
The above is a summary only, and does not constitute an agreement. The exact terms and conditions are described in the policy and booklet.
For inquiries, contact Medavie Blue Cross at 1-800-667-4511 or e-mail your questions to firstname.lastname@example.org.