Dental and Drug Plan

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Issue ages: 16 and over
The insured must also enroll to the EXTENDED HEALTH BENEFIT.
Suggested Fee Guide for Dental Services for General Practitioners (in effect on the date the services were rendered)
Preventive care
First calendar year 70%
Second calendar year 75%
Thereafter 80%
• Examinations and diagnostic services
• Radiographs
• Laboratory tests
• Preventive services
• Case presentation and treatment planning
Basic care
First calendar year 70%
Second calendar year 75%
Thereafter 80%
• Removal of erupted teeth (uncomplicated surgery)
• Restorative services
• Endodontics
• Periodontics
• Denture services
• Surgical services
• Adjunctive services
Major restorative benefits
Third year this benefit is in effect 50%, up to a maximum of $500 per calendar year.
This maximum limit is within and not in addition of, the maximum overall reimbursement.
• Extensive restorative procedures
• Prosthodontic services removable
• Prosthodontic services fixed bridge
Maximum overall reimbursement (per insured)
First calendar year $750
Second year $1 000
Subsequent calendar years $1 250
Basic or Deluxe Drug Benefit
Eligibility
16 to 64 years of age
The insured must also enroll in the EXTENDED HEALTH BENEFIT, REGULAR or ENHANCED COVERAGE
Prescription drugs covered at 80% without deductible
• Pay Direct drug card
• No lifetime maximum
• Reimbursement is based on the lowest-cost generic equivalent if available
End of coverage 65 years of age Maximum overall reimbursement (per insured)
First calendar year $500
Subsequent calendar years $750
Deluxe Drug Benefit
No maximum overall reimbursement
FREE ASSISTANCE PROGRAM
This plan provides you with our program, a unique program of services and privileges for your well-being.
• Consulting services
• Support services
• Information and prevention
• Member discounts

Your partner in health
Other benefits you can add to your Dental and Drug plan are:
• Disability Benefits
• Monthly Indemnity Benefits
• Overhead Expenses
• Hospital allowance
• Term Life Insurance to Age 65
• Regular and Enhanced Extended Health Benefits
• Travel Insurance – Basic or Deluxe
• Extended health benefit – CATASTROPHE COVERAGE
• Customized Group Benefits
• Temporary Insurance Coverage
• Non-Medical Life Insurance
• Non-Medical critical Illness
• Accidental Death Insurance
• Accidental Loss of Use
• Child Insurance
• Refund of Premiums upon Death
• Accidental FRACTURE
• Post-Accident Adaptation
• Home Health Care – Basic or Deluxe
For complete details of the plan, quotation and or a confidential appointment please contact Maria Xavier at: 416-626-5044 Ext: 228 or e-mail at: mxavier@mriaxavier.com or mxavier@versatilefinancial.com.