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Ambulance (Ground/Air)

Ambulance coverage provides reimbursement for emergency transportation to a hospital by ground or air when medically necessary. In health insurance plans, this benefit ensures that if you experience a sudden illness or accident, you can access appropriate care without paying the full transportation cost yourself.

Ground ambulance coverage applies to paramedic transport within your province, while air ambulance coverage is typically reserved for remote or life-threatening situations requiring rapid transfer to a major medical facility. Insurers usually limit reimbursement to reasonable and customary charges or to a provincial maximum.

Example:

If an air ambulance transfer costs $4,000 and your plan covers up to $3,500 per incident, the insurer pays $3,500 and you pay the remaining $500.

What to Watch For:

Confirm whether the plan covers both ground and air transportation and whether it requires pre-authorization for non-emergency transfers.

Related Terms

Accident

An accident is an unexpected, sudden, and external event that causes bodily injury, occurring independently of any illness or pre-existing condition. In the context of health and dental insurance, an accident typically refers to physical harm resulting from an unforeseen incident such as a fall, collision, or blow to the body. Accidents are distinct from sickness or degenerative conditions because they are caused by an identifiable event rather than a gradual process.

Accidental Death and Dismemberment Insurance (AD&D)

Accidental Death and Dismemberment Insurance (AD&D) provides a tax-free lump-sum payment if you die or suffer a severe injury as the direct result of an accident. It is designed to offer financial protection for you and your family in the event of an unexpected, accidental injury or loss that causes death, dismemberment, or permanent disability.

Accidental Dental

Accidental dental coverage pays for the repair or replacement of natural teeth damaged due to an accidental blow to the mouth or jaw. This benefit is distinct from routine dental coverage because it applies to emergencies caused by external physical impact, not decay or normal wear.

Actuary

An actuary is a professional who specializes in analyzing financial risk and uncertainty, particularly in the fields of insurance, pensions, and investments. Actuaries use mathematics, statistics, and financial theory to calculate premiums, reserves, and probabilities of future events such as illness, disability, or death. Their work ensures that insurance plans remain financially stable and that companies can meet future claim obligations while staying competitively priced.

Advisor/Agent

An advisor or agent is a licensed professional who helps individuals and businesses understand, choose, and manage insurance and financial products. In the context of health, dental, life, and disability insurance, an advisor’s role is to assess a client’s needs, explain plan options, and recommend solutions that provide appropriate protection within their budget.

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