Sun Life - Health Coverage Choice - Plan A

Covers trips to hospital in a licensed ambulance in your home province/territory of residence. Covers charges up to the amount between what your government health insurance plan covers and what is reasonable and customary.

• Ground ambulance service
• No coverage for air ambulance

Preventative

• Examinations and diagnosis
• Tests, x-rays, and ab exams
• White fillings
• Scaling and extractions
• Recall visits every 9 months
• Minor emergency treatment
• 80% reimbursement
• $700 annual maximum

Restorative

• No coverage

$2,500 annual maximum and a $20,000 lifetime maximum combined with medical equipment and services

Medical equipment and services have a $2,500 annual maximum and a $20,000 lifetime maximum combined with in-home nursing

• ‍Orthopedic shoes: $200 annual maximum
• Blood glucose monitor: $150 every 5 years
• Continuous glucose monitors: Reasonable and customary services and charges
• Medically necessary wigs and hair pieces: $100 lifetime maximum
• Wheelchairs, walkers and traction kits: $1,000 lifetime maximum
• Hospital bed, oxygen: Reasonable and customary services and charges
• Casts, crutches: Reasonable and customary services and charges
• Prosthetic appliances (e.g. artificial limbs): Reasonable and customary services and charges

• Chiropractors, including 1 x-ray examination per calendar year
• Registered massage therapists
• Naturopaths and acupuncturists
• Osteopaths, including 1 x-ray examination per calendar year
• Physiotherapists
• Podiatrists or chiropodists, including 1 x-ray examination per calendar year
• Speech language pathologists
• Psychologists and social workers
• 80% reimbursement
• $25 maximum per visit
• Up to $250 per year, per type of practitioner
• Psychologist/social worker: $60 per visit maximum up to $300 per year

• Generic drugs vs. brand-name drugs: Generic
• Pay Direct Drug card (except in Quebec)
• No deductible
• Smoking cessation medication ($250 lifetime maximum)
• 80% reimbursement
• $500 annual maximum
• Up to $5.00 paid towards dispensing fee on prescriptions

Lumino Health

https://luminohealth.sunlife.ca/

• Prescription eye glasses
• Prescription contact lenses
• Prescription sunglasses
• Laser eye surgery
• 100% reimbursement
• $150 maximum every
• 2 years, including
• $50 maximum per eye exam

Covers the costs to purchase and/or repair up to the allowed maximum.

$300 per 5 benefit years