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Tuesday, September 16th, 2014

BLUE CROSS
Visitors Insurance

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Benefits
Exclusions
Claims
FAQ
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Administrated by: Blue Cross Canada.
Underwritten by: Blue Cross.
24 hours Emergency Assistance Center: CanAssistance.

BENEFITS:
  - Maximum Benefits: $50,000, $100,000 and $150,000.
  - Hospital and medical expenses - Up to the amount of insurance purchased for emergency hospitalization (ward accommodation) following an accident or illness.
  - Physician, surgeon, anesthetist and registered nurse services.
  - Medical appliances - rental or purchase cost for crutches, canes, wheelchair or other when prescribed by an attending physician.
  - Diagnostic Treatment including laboratory texts and X-ray when prescribed by a physician.
Prescription drugs except for continued stabilization or chronic medical condition.
  - Accidental Dental: Up to $1,000 for repair or replacement of whole or sound natural teeth damaged by an external injury.
  - Ambulance Transportation - air or land service.
  - Funeral Expenses: In the event of death, up to $5,000 for preparing and transportation of deceased person to the country of origin or up to $3,000 for cremation and/or burial at the place of death.
  - Repatriation to Residence: the cost of repatriation of insured to his residence by means of appropriate transportation in order to receive immediate medical attention, following an authorization of the attending physician and CanAssistance.
  - Return of Traveling Companion in case of repatriation of insured.
  - Return of Vehicle - up to $1,000 for the cost of returning own or rental vehicle due to illness or accident of the insured.
  - Subsistence Allowance - up to $1,000 ($100 per day) for the cost of accommodation and meals of a travel companion in case of hospitalization of the insured person.

EXCLUSIONS: Your coverage is subject to various exclusions, which are completely set out in the Exclusions section of the policy document. The following, although not an exhaustive list, are some of these exclusions:
AGE LIMIT:
   30 days to 79 years old for coverage of up to $100,000.
   30 days to 74 years old for coverage of up to $150,000.
Maximum period of coverage is 365 days per policy.
DEDUCTIBLES: No deductibles.
WAITING PERIOD for sickness and injury:
   - 72 hours if the insurance is purchased within 30 days AFTER your arrival in Canada
   - No waiting period if the insurance is purchased BEFORE your arrival in Canada.
This product is not available for purchase, if you have been in Canada more than 30 days following your arrival.
PRE-EXISTING CONDITIONS:
For persons under 55 years of age - during the 3 months period to the effective date of coverage:
   - any illness, injury or condition (with the exception of a minor ailment) related to a medical condition for which the covered person: consulted a physician (other than for a regular check-up), was hospitalized, was prescribed or received a new treatment, received a change in an existing treatment, was prescribed or had taken a new medication, received a change in existing medication (including usage or dosage). Blue Cross does not consider a change in existing medication the following elements: the routine adjustment of insulin or Coumadin; a change from a brand name medication to a generic brand medication, provided the dosage is the same; Aspirin taken for non-prescribed medical purposes; decrease of the dosage of cholesterol medication; hormone replacement therapy; vitamins and minerals and non-prescription medication; creams or ointments prescribed for cutaneous irritations.
   - any heart condition for which the covered person has taken nitroglycerin more than once in a 7-day period for the relief of a chest pain.
   - any pulmonary condition for which the covered person was treated with home oxygen or needed corticosteroid therapy.

For persons aged 55 and over - during the 6 months period to the effective date of coverage:
  - any illness, injury or condition (with the exception of a minor ailment) related to a medical condition for which the covered person: consulted a physician (other than for a regular check-up), was hospitalized, was prescribed or received a new treatment, received a change in an existing treatment, was prescribed or had taken a new medication, received a change in existing medication (including usage or dosage). Blue Cross does not consider a change in existing medication the following elements: the routine adjustment of insulin or Coumadin; a change from a brand name medication to a generic brand medication, provided the dosage is the same; Aspirin taken for non-prescribed medical purposes; decrease of the dosage of cholesterol medication; hormone replacement therapy; vitamins and minerals and non-prescription medication; creams or ointments prescribed for cutaneous irritations.
   - any heart condition for which the covered person has taken nitroglycerin more than once in a 7-day period for the relief of a chest pain.
   - any pulmonary condition for which the covered person was treated with home oxygen or needed corticosteroid therapy.

For persons aged 55 and over - during the 6 months period to the effective date of coverage: 
   - any illness, injury or condition (with the exception of a minor ailment) related to a medical condition for which the covered person: consulted a physician (other than for a regular check-up), was hospitalized, was prescribed or received a new treatment, received a change in an existing treatment, was prescribed or had taken a new medication, received a change in existing medication (including usage or dosage). Blue Cross does not consider a change in existing medication the following elements: the routine adjustment of insulin or Coumadin; a change from a brand name medication to a generic brand medication, provided the dosage is the same; Aspirin taken for non-prescribed medical purposes; decrease of the dosage of cholesterol medication; hormone replacement therapy; vitamins and minerals and non-prescription medication; creams or ointments prescribed for cutaneous irritations.
   - any heart condition for which the covered person has taken nitroglycerin more than once in a 7-day period for the relief of a chest pain, 
   - any pulmonary condition for which the covered person was treated with home oxygen or needed corticosteroid therapy.
Note: Each time you extend or purchase another policy from the insurance company because you are staying in Canada longer, each new or extended policy will have a new effective date and you will NOT be covered under the new or extended policy for any sickness, disease or bodily injury for which you had symptoms, hospitalization, taken medication or medical procedure at any time in the 3 months (for visitors under 55 years of age) or in the 6 months (for visitors over 55 years of age) prior to your effective date.

PREGNANCY and complications arising therefrom are excluded from coverage.

OTHER EXCLUSIONS:
   - Injury or illness when participating to professional sports and any sports or activity with a high level of stress and risk involved.
   - Abuse of medication or alcohol.
   - Treatments from chiropractor, podiatrist, acupuncturist, physiotherapist, homeopath and naturopath.

CLAIMS:
All claims should be reported to Blue Cross in writing within 30 days of acquiring and all original documents have to be transmitted to the insurance company within 90 days.
To obtain a claim form the covered person may contact Blue Cross Customer Service Department at: 1-800-387-2538 for Quebec or 1-800-557-3907 for Ontario and Atlantic region.

Failure of the covered person to communicate with CanAssistance in the event of medical consultation or hospitalization following an accident or sudden illness could result in refusal of compensation requested. Toll free Canada, United States: 1-800-361-6068.

FAQ:
REFUNDS:
Administrative fee of $25 per contract will be deducted from any refund, including refund due to cancellation request before the effective date of the contract.
Partial refund after cancellation fee ($25) for early return to your country if no claim was submitted.

EXTENSION:
Extension of coverage is available by contacting Blue Cross before expiry date. If a claim has been submitted, approval is required to extend the contract.

SIDE TRIPS:
Trips to the United States (except Hawaii) are covered if the departure and return points are Canada. Trips to the United State have to be shorter than your stay in Canada.

ABOUT BLUE CROSS CANADA:
In Canada, eligible residents or visitors in every province and territory may obtain Blue Cross® coverage through one of the independent Blue Cross Member Plans. All Member Plans operate on a not-for-profit basis and are independent Members of the Canadian Association of Blue Cross Plans (CABCP). The Association maintains and monitors standards of performance ensuring the highest quality of service by its Members which benefit all clients across the country. The Member Plans are also linked with the Blue Cross and Blue Shield Association in the United States and worldwide through the International Federation of Health Funds.


DOWNLOADS:

Blue Cross Visitors Insurance Policy PDF

Blue Cross Visitors Endorsement PDF

The Blue Cross symbol and name are registered trademarks of the Canadian Association of Blue Cross Plans and the Association of Independent Blue Cross Plans, and are licenced to the Canassurance Hospital Service Association, carrying business as Ontario Blue Cross and Quebec Blue Cross and to the Medavie Inc. carrying on business as Atlantic Blue Cross Care.

 

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