Sutton Special Risk offers
a comprehensive Major Medical product with many flexible options:
- worldwide, 24 hour coverage
- suitable for Canadian or International Expatriates, Inpatriates to Canada, Third
Country and Local Nationals
- up to $5 million lifetime maximum
- first dollar or excess of Provincial Government Healthcare Programs (PGHP)
- full War Risk coverage available, or War Risk only to supplement group medical
plans
Covered Expenses: The plan covers 100% of customary and necessary
charges for the following:
- Hospital room (semi-private) and board charges, including drugs administered while
confined in hospital and medical care and treatment provided on an outpatient basis
Physician's and surgeon's charges
- One physical examination per year to a maximum of $350
- Physiotherapy or speech therapy to a maximum of $5,000 per year
- Anaesthesia
- X-rays and radioactive therapies
- Blood transfusions and plasma
- Oxygen where prescribed by a physician
- Prosthetic appliances, dressings, mechanical breathing aids, and similar medical
supplies
- Replacement of prescription glasses, contact lenses, or hearing aids due to a covered
accident
- Professional nursing services to a $10,000 maximum per year
- Dental treatment for injuries to a $15,000 maximum per year
- Local licensed ambulance service
- Air ambulance, transportation, repatriation – up to $250,000
- Paramedical services to a $500 maximum per year, per practitioner, per type of service
(psychologist, chiropodist, podiatrist, chiropractor, naturopath or osteopath, acupuncturist
or massage therapist
- Prescribed drugs and medicines
- Immunizations
- Allergy treatments
- Diabetic supplies
- Option: Pregnancy and childbirth can be covered on group plans for an additional
premium.
Dental coverage includes:
- Diagnostic and Preventative services
- Minor restorative services:
- Fillings
- Endodontics
- Periodontics
- Oral surgery
- Major restorative services and Prosthodontics
- Maximum: $1,500 per person per year
- Orthodontics – lifetime maximum $1,500