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Group Benefits Plan bowenbenefits.ca June 2017 Open Enrollment
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If something does not provide you with value then any price greater than $0 is too much
Confidential © BOWEN 14/11/2018
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Type of Insurance Group Insurance Mandatory No medical evidence
Shared policy Shared expenses Employer subsidized Maximums Individual Insurance Voluntary Medical evidence Own policy Own expenses Lots of plan options Tight maximums Limited coverage Confidential © BOWEN 14/11/2018
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Paramedical Expenses Paramedical Services BOWEN Carrier A Carrier B
Evaluate plan details accurately when comparing alternatives. Paramedical Services BOWEN Carrier A Carrier B Physiotherapist $90/visit $25/visit $65/visit Chiropractor $45/visit $20/visit Podiatrist / Chiropodist $80/visit $15/visit Psychologist $190/visit $60/visit Massage Therapy $0 Acupuncture $100/visit Speech Therapist $125/visit Osteopath Naturopath $180/visit Confidential © BOWEN 14/11/2018
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BOWEN benefits Group Insurance Platforms Lots of coverage
No medical evidence Payroll deductions Shared policy & expenses Limited options Voluntary Confidential © BOWEN 14/11/2018
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Eligibility A minimum average of 30 hours worked per week
Contract with BOWEN is valid for 6 months or longer at the time of enrollment Currently actively at work Value Add No medical questions to answer No pre-existing conditions limitations Restrictions 30 days from time of eligibility to enroll Three month waiting period for dental benefits Confidential © BOWEN 14/11/2018
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Life & AD&D Insurance Provides participant/contractor $25,000 of coverage without evidence of insurability (mandatory) Upon termination of employment or age 65 the life insurance can be converted to an individual policy without evidence of insurability Waiver of premium on disability Accidental Death results in an additional $25,000 Confidential © BOWEN 14/11/2018
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Life Insurance Dependents Basic Life Insurance
$10,000 Spouse / $5,000 per child (mandatory) Contractor and Spousal Optional Life Insurance Additional units of $25,000 of coverage available (maximum of $200,000) Evidence of insurability required Confidential © BOWEN 14/11/2018
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Extended Health Care Drugs 80% coverage $5.00 dispensing fee cap
$10,000 annual maximum Covers drugs that legally require a prescription Exclusions are over the counter and lifestyle drugs (smoking cessation) Confidential © BOWEN 14/11/2018
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Extended Health Care Paramedical Expenses $0 deductible
80% co-insurance $300 per person per year for each paramedical expense Chiropractic care Physiotherapy Massage therapy Psychologist Naturopath Confidential © BOWEN 14/11/2018
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Extended Health Care Medical Services and Supplies $0 deductible
80% co-insurance $25,000 lifetime maximum Wheelchairs Braces Breathing apparatus Support hose Confidential © BOWEN 14/11/2018
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Extended Health Care Hospital Coverage $0 deductible 100% coinsurance
Private room Vision Care $150 every 24 months One eye exam every 24 months Confidential © BOWEN 14/11/2018
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Extended Health Care Out of Country
Travel Emergency Medical $2,000,000 lifetime max 90 days trip duration Emergency medical coverage Terminates at age 70 Confidential © BOWEN 14/11/2018
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Dental Care Based on current provincial “fee guide”
Pre-determinations for expenses over $300 Terminates at retirement or age 70 Confidential © BOWEN 14/11/2018
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Dental Care Basic Dental $25 (single) /$50 (family) deductible
80% reimbursement for Basic Service 50% reimbursement for Periodontics and Endodontic services $1,000 calendar year maximum Cleanings and check ups twice a year 10 units of scaling a year General fee guide for province of residence Confidential © BOWEN 14/11/2018
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Major Dental Available in third year on plan 50% coinsurance
$1,000 combined calendar year Bridges, crowns, and dentures Missing tooth exclusion Confidential © BOWEN 14/11/2018
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Services Smart phone claims submission
Dental and paramedical provider assignment Electronic adjudication 24/7 on-line adjudication Direct deposit of cheques 1-800 number claims inquiries Plan member site Plan provision booklet Confidential © BOWEN 14/11/2018
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Pricing Single - $139.60 Family - $316.09 Confidential © BOWEN
14/11/2018
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