Share
Want to share this information on social media? Select the appropriate link below.
We're glad to inform you that the third-party outage is now resolved. Due to this outage, some of Sun Life’s systems, business teams and external providers experienced disruption. This disruption limited our access to emails as well as the ability to process new insurance applications and other administrative requests. As a result, we’re now ramping back to full operational service over the next few days. We apologize for any inconvenience this might have caused. Again, we thank you for your patience and understanding.
Prescription drugs | Basic | Standard | Enhanced |
---|---|---|---|
*Pay-Direct Drug card unavailable for Quebec residents |
Pay direct drug card* 60% reimbursement No deductible $5 dispensing fee cap Includes smoking cessation drugs ($250 lifetime max) Excludes fertility drug and contraceptives |
Pay direct drug card* 70% reimbursement on the first $7,000 of eligible expenses 100% on the next $93,000 No deductible Includes smoking cessation drugs ($250 lifetime max) Excludes fertility drug and contraceptives |
Pay direct drug card* 80% reimbursement on the first $5,000 of eligible expenses 100% on the next $245,000 No deductible Includes smoking cessation drugs ($250 lifetime max) Includes oral contraceptives Excludes fertility drugs |
Supplemental health care |
Basic |
Standard |
Enhanced |
*Up to reasonable customary services and charges | 60% reimbursement No deductible Paramedical practitioners $25 maximum per visit Hearing aids $400/5 years Accidental dental $2000/per incident Licensed ground ambulance Emergency air ambulance Medical equipment in-home nursing and home care $2500/year combined max. $20,000 combined lifetime max. Includes:
For Quebec residents, medically necessary MRI, Ultrasound, CAT and CT scans are covered to a combined yearly maximum of $750. |
100% reimbursement No deductible Paramedical practitioners $300/year per type of practitioner Hearing aids $400/5 years Accidental dental $2000/per incident Licensed ground ambulance Emergency air ambulance Medical equipment with a combined max. $5,000/year Includes:
In-home nursing and home care: combined $5,000 annual max; combined $25,000 lifetime maximum For Quebec residents, medically necessary MRI, Ultrasound, CAT and CT scan. |
100% reimbursement No deductible Paramedical practitioners Hearing aids $500/5 years Accidental dental $2000/per incident Licensed ground ambulance Emergency air ambulance Medical equipment with a combined max. $5,000/year Includes:
In-home nursing and home care: combined $10,000 annual max; combined $30,000 lifetime maximum For Quebec residents, medically necessary MRI, Ultrasound, CAT and CT scan. |
Vision |
Basic |
Standard |
Enhanced |
Prescription eyeglasses, contact lenses, prescription sunglasses, and laser eye surgery. Eye exams up to $50 included in benefit maximum |
No coverage | 100% reimbursement 1 year waiting period $250 maximum every 2 years |
100% reimbursement 1 year waiting period $300 maximum every 2 years |
Emergency travel medical |
Basic |
Standard |
Enhanced |
Ambulance, travel assistance, etc. | No coverage | 100% reimbursement 1st 60 days of trip $1 million lifetime max 9 month pre-existing condition clause Out of Country / Out of Province Coverage |
100% reimbursement 1st 60 days of trip $1 million lifetime max 9 month pre-existing condition clause Out of Country / Out of Province Coverage |
Optional benefit Semi-private hospital |
85% reimbursement $ 200/day $5,000 max Convalescent hospital - max $20/day for 180 days per incident |
85% reimbursement $ 200/day $5,000 max Convalescent hospital - max $20/day for 180 days per incident/year |
85% reimbursement $ 200/day $5,000 max Convalescent hospital - max $20/day for 180 days per incident |
Dental |
Basic |
Standard (optional benefit) |
Enhanced (optional benefit) |
Preventive services - exams, diagnosis, tests, x-rays, lab exams, space maintainers for children under 12 years of age, pit and fissure sealant for children under 19 years of age, white fillings, scaling, 9 month recall visits, minor extractions | 3 month waiting period 60% reimbursement $500/year max |
3 month waiting period 70% reimbursement $750/year max |
3 month waiting period 80% reimbursement $750/year max |
Major restorative - endodontics, periodontics, oral surgery, crowns, inlays, bridges, dentures (and repairs) | Not available | Not available | One year waiting period 50% reimbursement $500/year max |
Orthodontics | Not available | Not available | Two year waiting period 60% reimbursement $1,500/lifetime max |
Overall plan maximum (not including emergency travel benefit | $250,000 | $250,000 | $300,000 |
Want to share this information on social media? Select the appropriate link below.
© Sun Life Assurance Company of Canada. All rights reserved.