The costs of health and dental care continue to climb; consequently, if you are not protected with insurance, these expenses can add up fast. A trip to the dentist’s office for a routine visit can easily cost hundreds of dollars, or prescription drug costs for a chronic or major health incident could expose you to significant financial hardship. The safest way to guard against rapidly rising costs is to carry health and dental insurance.
What’s New for 2021
Effective January 1, 2021 the following services are eligible:
Services of a Licensed Counsellor included in the Psychological Treatment provision
Room and board in a rehabilitative facility
To be eligible for insurance under the group policy, a physician must be:
Permanent, full-time office employees of a member who work a minimum of 20 hours per week, who is under the age of 70 on the date of becoming insured under this policy are also eligible.
Coverage for you and your family for health-related services not covered by provincial health insurance - including eligible drugs, hospitalization, paramedical services, and more. Enjoy the added convenience of a pay-direct drug card as well as emergency out-of-province/country coverages.
Health Plus provides higher limits (meaning lower out-of-pocket expenses) and additional benefits such as vision care.
This coverage provides Basic and Preventative Treatment including recall examinations, bitewing
x-rays, scaling and polishing, and fluoride treatments. Also covered are denture repair, relining and rebasing, endodontic, and periodontal services.
Dental Plus provides even more coverage such as children's orthodontics and Major Dental Services, major restorations and prosthodontics.
OMA Insurance works to streamline the underwriting process as much as possible, reducing the complexity and time required to arrange coverage. Here are the steps:
1 Emergency out-of-province (out-of-Canada) medical expenses are covered at 100% up to a $2,000,000 limit per sickness or injury during the first 90 days of travel (30 days for someone age 70 or older), with no restrictions for pre-existing conditions. The usual medical evacuation, trip delay, hotel convalescence, return of automobile, and other travel insurance benefits are included.
2 Additional expenses may be covered. Some restrictions apply.
OMA Health Plus and Dental Insurance policy is underwritten by Sun Life Assurance Company, a member of the Sun Life group of companies. This fact sheet is intended for general guidance and is not a contract. The complete terms, conditions, limitations and exclusions governing the OMA Health, Health Plus, Dental and Dental Plus Insurance coverage can be found in your Benefits Booklet and in the relevant group insurance policy 017884 and issued to the OMA by Sun Life Assurance Company of Canada.
Some conditions apply.