Allianz Global Assistance Visitors to Canada Emergency Hospital & Medical
| Age | 10000 | 25000 | 50000 | 100000 | 150000 |
|---|---|---|---|---|---|
| 0-25 | 1.66 | 2.15 | 2.48 | 3.26 | 3.92 |
| 26-34 | 1.76 | 2.32 | 2.65 | 3.58 | 4.16 |
| 35-39 | 1.88 | 2.48 | 2.76 | 3.80 | 4.62 |
| 40-54 | 1.98 | 2.87 | 3.26 | 4.85 | 5.80 |
| 55-59 | 2.10 | 3.09 | 3.48 | 5.02 | 5.89 |
| 60-64 | 3.20 | 4.29 | 5.04 | 6.23 | 7.41 |
| 65-69 | 3.43 | 4.86 | 5.72 | 7.73 | 9.20 |
| 70-74 | 5.04 | 6.99 | 8.29 | 10.42 | 12.40 |
| 75-79 | 6.01 | 8.47 | 10.65 | 12.87 | 15.32 |
| Age | 10000 | 25000 | 50000 | 100000 | 150000 |
|---|---|---|---|---|---|
| 80-84 | 5.21 | 7.50 | 9.50 | 12.02 | 14.31 |
| 85-89 | 6.12 | 8.81 | 11.17 | 14.13 | 15.75 |
Family premium: 2 times individual premium of eldest personMaximum period: 365daysMinimum premium: $20 per policy
Allianz Global Assistance visitors to Canada Emergency Hospital & Medical
ELIGIBILITY
1. Coverage is NOT AVAILABLE to any individual who, as of their effective date
a) has been diagnosed with a terminal illness; or
b) has been diagnosed with or has had an episode of congestive heart failure; or
c) has had their most recent heart surgery more than 10 years ago; or
d) has been diagnosed with Acquired Immune Deficiency Syndrome (AIDS) or Human Immunodeficiency Virus (HIV); or
e) has been diagnosed with stage 3 or 4 cancer, or cancer of the lung, liver, pancreas, or bone; or has received treatment for any cancer (other than basal or squamous cell skin cancer or breast cancer treated only with hormone therapy) in the past 3 months; or
f) has had a lung condition for which, in the last 12 months, they have been prescribed or used home oxygen; or g) has received or is awaiting a bone marrow or major organ transplant; or
h) has been diagnosed with or received treatment for kidney disease requiring dialysis; or
i) has been diagnosed with an aneurysm that has not been repaired; or
j) requires assistance with activities of daily living.
2. To be eligible for coverage you must:
a) be at least 15 days old and not more than 89 years old; and
b) not be insured or eligible for benefits under a Canadian government health insurance plan; and
c) be in good health at the time you purchase your policy and on the date you exit your country of origin, and know of no reason to seek medical consultation during the period of coverage; and
d) not have exceeded two years of uninterrupted coverage under a Allianz Global Assistance insurance plan.
SUMMARY OF BENEFITS
|
EMERGENCY HOSPITAL & MEDICAL |
MAXIMUM COVERAGE AMOUNT |
| Emergency Hospital | up to sum insured |
| Emergency Medical | up to sum insured |
| Emergency Transportation | up to sum insured |
| Accidental Dental | $4,000 |
| Attendant | up to $500 |
| Chiropractor, osteopath, chiropodist, podiatrist or acupuncturist |
$500 per profession |
| Dental Emergency | up to $500 |
| Emergency Return Home | up to $3,000 |
| Follow-up visits | up to $5,000 |
| Out-of-Pocket Expenses | up to $1,500 |
| Physiotherapist | $500 |
| Return of Deceased | up to $10,000 |
| Transportation of Family/Friend | up to $3,000 |
| Accidental Death & Dismemberment | up to sum insured |
Administered by:
Allianz Global Assistance Travel Insurance Coordinators Ltd.
2100 – 250 Yonge Street
Toronto, Ontario
Canada M5B 2L7
Underwritten by:
Co-operators Life Insurance Company
1920 College Avenue
Regina, Saskatchewan
Canada S4P 1C4