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Health & Dental Insurance / PHSP

Health & Dental Plans for Seniors

Why Health & Dental Plans Are Essential for Seniors

As we age, our health needs evolve, often leading to increased medical expenses. Provincial health care plans cover only a fraction of necessary services, leaving many seniors with significant out-of-pocket costs. Health and dental insurance plans can help bridge this gap, ensuring that seniors have access to essential health care services, including prescription drugs, dental care, vision care, and paramedical services.

With a tailored health and dental plan, seniors can maintain their quality of life, access preventive care, and manage chronic health conditions more effectively.

Options for Health & Dental Plans

1. Pacific Blue Cross - Guaranteed Acceptance Plan

Key Features:

  • Guaranteed acceptance regardless of existing health conditions.

  • No waiting periods on most benefits.

  • Coverage includes mental wellness and support for new parents.

  • Flexible coverage options tailored to individual needs.

2. Pacific Blue Cross - Retirement Health Plan

Key Features:

  • Specifically designed for retirees transitioning from group plans.

  • No deductibles and no age limits.

  • Covers pre-existing conditions without a medical questionnaire.

  • Allows for plan upgrades on anniversary dates to adapt to future health needs.

3. Canada Life - Guaranteed Plus

Key Features:

  • No medical exam required for coverage.

  • Covers a wide range of health needs, including dental and paramedical services.

  • Offers a drug card option for easy prescription processing.

  • Includes private hospital accommodation coverage.

4. Sun Life - Personal Health Insurance

Key Features:

  • Provides comprehensive coverage for prescription drugs, dental, vision care, and more.

  • Ideal for those who are self-employed, retired, or seeking to top up existing coverage.

  • Helps cover expenses not fully addressed by provincial health plans.

5. Manulife - Health & Dental

Key Features:

  • Guaranteed acceptance without medical questions for easier access to coverage.

  • Comprehensive drug coverage with a maximum benefit of $2,500 per year, including lifestyle drugs.

  • Dental coverage up to $450 per year, covering exams, cleanings, and essential dental services.

  • Extended health care benefits for various services, including nursing care and medical equipment, with a combined maximum of $500 per year.

Making the Right Choice

Choosing the right health and dental plan is crucial for maintaining health and well-being in your retirement years. Each of these options offers unique benefits designed to cater to different needs and preferences. We encourage you to assess your personal health situation, budget, and coverage requirements to find the plan that best suits your lifestyle.

For more detailed information about each plan, including how to apply, please visit the respective providers' websites.

Frequently Asked Questions

Why do I need a separate health and dental insurance plan if I already have provincial coverage?

Provincial health care plans cover basic medical services but often leave out important areas like prescription drugs, dental care, vision, and paramedical services such as physiotherapy and chiropractic care. A personal health and dental insurance plan fills these gaps and helps you manage additional health expenses, especially as your needs increase with age.

How do I choose the right health and dental plan for me?

Start by assessing your current and anticipated health needs. Consider whether you need coverage for prescription drugs, dental work, vision care, or paramedical services. Each plan offers different levels of coverage, so choose one that matches your medical history and budget. For example, if you have pre-existing conditions, a plan like Pacific Blue Cross's Guaranteed Acceptance might be ideal, whereas those retiring from a group plan might prefer their Retirement Health Plan.

Can I get coverage if I have a pre-existing medical condition?

Yes. Some plans, such as Pacific Blue Cross's Guaranteed Acceptance and Retirement Health Plan, guarantee coverage regardless of pre-existing conditions, with no medical exam or questionnaire required.

What is the difference between the Pacific Blue Cross plans and Canada Life or Sun Life plans?

Pacific Blue Cross – Guaranteed Acceptance focuses on providing coverage without any medical questionnaires and offers flexible tiers to customize your plan.

Pacific Blue Cross – Retirement Health Plan is ideal for those retiring from group plans, offering coverage with no age limit and guaranteed acceptance for pre-existing conditions.

Canada Life – Guaranteed Plus provides broad coverage with no medical exam and includes options for prescription drugs, paramedical services, and private hospital rooms.

Sun Life – Personal Health Insurance offers a comprehensive plan ideal for retirees or those looking to top up coverage, focusing on prescription drugs, dental, vision, and other health services.

Are prescription drugs covered under these plans?

Yes, most of these plans offer prescription drug coverage. For example, Pacific Blue Cross and Canada Life offer options for drug cards, allowing you to pay only your portion at the pharmacy, while Sun Life includes coverage for prescription drugs to treat chronic or serious conditions.

How does dental coverage work?

Dental coverage varies by plan. Basic services like cleanings and fillings are usually covered up to 80%, with higher levels of coverage available for major services like root canals, bridges, and crowns. Each plan provides different levels of dental coverage, such as the tiered Bronze, Silver, and Gold options in Pacific Blue Cross's plans.

Do these plans cover vision care?

Yes, most plans offer vision care, including coverage for eye exams and glasses or contact lenses. For instance, Canada Life covers up to $200 every two years, and Sun Life provides coverage for eye exams and prescription glasses.

Can I get coverage if I’m already retired?

Yes, most of these plans are specifically designed for retirees or those nearing retirement. Pacific Blue Cross's Retirement Health Plan, for instance, is designed for retirees coming off group plans, and Sun Life offers flexible options for retirees as well.

How can I apply for these plans?

You can apply directly through the provider’s website. Be sure to check each provider’s application requirements, such as applying within a certain period after your group coverage ends or being a certain age.

Can I change my coverage after enrolling?

Yes, some plans, such as Pacific Blue Cross's Retirement Health Plan, allow you to upgrade or change your coverage on your plan's anniversary date to meet future healthcare needs.

At Senior Secure Canada, we specialize in providing financial solutions that ensure guaranteed income for life, helping you retire with peace of mind. With personalized strategies tailored to your needs, we help you navigate retirement without the stress of market risks.

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