Travel Health

coverage provided by Manulife Financial and Allianz Gobal Assistance

Note that coverage is based on the age of the plan member. Spouse and/or dependents are covered if the enrolled plan member is under age 65. Travel coverage ends when the plan member reaches age 65 including coverage for the spouse and/or dependents regardless of their age.

Travel Coverage

Coverage:

Reasonable and Customary charges listed below incurred outside the province of residence will be payable, less the amount payable by the Provincial Plan.

100% of expenses to a lifetime maximum of CDN $5,000,000 (note: Medical Referral Coverage has a separate maximum within this overall amount and also there are a few other benefits within the Medical Emergency section that have separate limits)

Charges payable under this benefit include:

  • Physician’s services;
  • hospital room and board at standard ward rates;
  • hospital charges for out-patient treatment;
  • the cost of special hospital services;
  • Licensed ambulance services, including air ambulance, to transfer the patient to the nearest medical facility or hospital where adequate treatment is available;
  • medical evacuation for admission to a hospital or medical facility in the province where the patient normally resides.

Charges incurred outeside the province of residence for all other Covered Extended Health Care Expenses are payable on the same basis as if they were incurred in the insured person’s province of residence.

If you have an existing medical condition, please read the sections entitled medical emergency and Manulife’s Stability Clause.

Medical Emergency

Whether you travel outside your province or country, a medical emergency includes an accidental injury or unexpected illness, not previously diagnosed or treated in Canada.  Treatment required for any medical condition previously diagnosed in Canada is excluded, however, coverage may be available for an unforeseen complication of an existing, pre-diagnosed condition that was completely stable at the time of departure from Canada.  This coverage would apply in those situations that are clearly unexpected emergencies where immediate medical emergency is deemed to be over when medical evidence supports that the patient is medically stable to return to Canada for any ongoing or follow-up treatment required.

Coverage is provided for treatment required as a result of a medical emergency which occurs during the first 60 days outside the province of residence, provided the insured person who receives the treatment is also covered by a Provincial Plan during this period.

A medical emergency is a sudden, unexpected injury that occurs, or an unforeseen illness that begins while an insured person is travelling outside their province of residence and which requires immediate medical attention. Such emergency no longer exists when, in the opinion of the attending Physician, and supporting medical evidence, the patient is stable enough to return to their province of residence.

Medical Referral

Coverage: 50% of expenses to a maximum of CDN $3,000 every 3 calendar years.

Coverage is provided for referral outside Canada for medical treatment which is available in Canada. If, while outside Canada on referral for medical treatment, the insured person requires treatment for a medical condition, which is related directly or indirectly to the referral treatment.

Non-Emergency Medical Treatment

All non-emergency medical treatment given outside of Canada must be recommended as necessary by a Physician practicing in Canada. It is recommended that you submit a detailed treatment plan with cost estimates before treatment begins. You will then be advised of the amount of any benefit that will be provided.

Manulife Stability Clause

Stable means in the  90 days before departure, the insured person has not:

  • been treated or tested for any new symptoms or conditions;
  • had an increase or worsening of any existing symptoms;
  • changed treatments or medications (other than normal adjustments for ongoing care);
  • been admitted to the hospital for treatment of the condition.

Coverage is not available if you (or your dependent) have scheduled non-routine appointments, tests or treatments for the condition or an undiagnosed condition.

Emergency Travel Assistance

provided by Allianz Gobal Assistance

Emergency Travel Assistance is a travel assistance program available for you and your insured dependents. The assistance services are delivered through an international organization, specializing in travel assistance.

The following services are provided, when required as a result of a medical emergency which occurs during the first 60 days while travelling outside your province of residence:

Medical Emergency Assistance

A Medical Emergency condition:

  1. Coverage is for immediate medical treatment required for:  i) a sudden, unexpected injury or a new medical condition which occurs while an insured person is travelling outside his province of residence; or ii) a specific medical problem or chronic condition that was diagnosed but medically stable prior to departure. Such emergency no longer exists when, in the opinion of the attending Physician and supporting medical evidence, the insured person is stable enough to return to his province of residence.
  2. Coverage is available for medical emergencies related to pregnancy as long as travel is completed at least 4 weeks before the due date.
  3. Valid Government Health Insurance Plan (GHP) coverage is required for you and your dependents.

a) 24-Hour Access

Multilingual assistance is available 24 hours a day, seven days a week, through telephone (toll-free or call collect), telex or fax.

b) Medical Referral

Referral to the nearest Physician, Dentist, pharmacist or appropriate medical facility, and verification of insurance coverage, is provided.

c) Claims Payment Service

If a hospital or other provider of medical services requires a deposit or payment in full for services rendered, and the expenses exceed $200 (Canadian), payment of such expenses will be arranged and claims co-ordinated on behalf of the insured person.

Payment and co-ordination of expenses will take into account the coverage that the insured person is eligible for under a Provincial Plan and this benefit. If such payments are subsequently determined to be in excess of the amount of benefits to which the insured person is entitled, Manulife Financial shall have the right to recover the excess amount by assignment of Provincial Plan benefits and/or refund from you.

d) Medical Care Monitoring

Medical care and services rendered to the insured person will be monitored by medical staff who will maintain contact, as frequently as necessary, with the insured person, the attending Physician, the insured person’s personal Physician and family.

e) Medical Transportation

If medically necessary, arrangements will be made to transfer an insured person to and from the nearest medical facility or to a medical facility in the insured person’s province of residence. Expenses incurred for the medical transportation will be paid, as described under Medical Services and Supplies – Ambulance. If medically necessary for a qualified medical attendant to accompany the insured person, expenses incurred for round-trip transportation will be paid.

f) Return of Dependent Children

If Dependent Children are left unattended due to the hospitalization of an insured person, arrangements will be made to return the children to their home. The extra costs over and above any allowance available under pre-paid travel arrangements will be paid.

If necessary for a qualified escort to accompany the Dependent Children, expenses incurred for round-trip transportation will be paid.

g) Trip Interruption/Delay

If a trip is interrupted or delayed due to an illness or injury of an insured person, one-way economy transportation will be arranged to enable each insured person and a Travelling Companion (if applicable) to rejoin the trip or return home. Expenses incurred, over and above any allowance available under pre-paid travel arrangements will be paid.

A Travelling Companion is any one person travelling with the insured person, and whose fare for transportation and accommodation was pre-paid at the same time as the insured person’s fare.

If the insured person chooses to rejoin the trip, further expenses incurred which are related directly or indirectly to the same illness or injury, will not be paid.

h) After Hospital Convalescence

If an insured person is unable to travel due to medical reasons following discharge from a hospital, expenses incurred for meals and accommodation after the originally scheduled departure date will be paid, subject to the maximum of this provision.

i) Visit of Family Member

Expenses incurred for round-trip economy transportation will be paid for an Immediate Family Member to visit an insured person who, while travelling alone, becomes hospitalized and is expected to be hospitalized for longer than 7 days. The visit must be approved in advance by Manulife Financial.

j) Vehicle Return

If an insured person is unable to operate his owned or rented vehicle due to illness, injury or death, expenses incurred for a commercial agency to return the vehicle to the insured person’s home or nearest appropriate rental agency will be paid, up to a maximum of $1,000 (Canadian).

k) Identification of Deceased

If an insured person dies while travelling alone, expenses incurred for round-trip economy transportation will be paid for an immediate family member to travel, if necessary, to identify the deceased prior to release of the body.

l) Meals and Accommodation

Under the circumstances described in parts f), g), h), i), and k) of this provision, expenses incurred for meals and accommodation will be paid, subject to a combined maximum of $2,000 (Canadian) per medical emergency.

Non-medical Assistance

a) Return of Deceased to Province of Residence

In the event of the death of an insured person, the necessary authorizations will be obtained and arrangements made for the return of the deceased to his province of residence. Expenses incurred for the preparation and transportation of the body will be paid, up to a maximum of $5,000 (Canadian). Expenses related to the burial, such as a casket or an urn, will not be paid.

b) Lost Document and Ticket Replacement

Assistance in contacting the local authorities is provided, to help an insured person in replacing lost or stolen passports, visas, tickets or other travel documents.

c) Legal Referral

Referral to a local legal advisor, and if necessary, arrangement for cash advances from the insured person’s credit cards, family or friends, is provided.

d) Interpretation Service

Telephone interpretation service in most major languages is provided.

e) Message Service

Telephone message service is provided for messages to or from family, friends or business associates. Messages will be held for up to 15 days.

f) Pre-trip Assistance Service

Up-to-date information is provided on passport and visa, vaccination and inoculation requirements for the country where the insured person plans to travel.

Exceptions

Manulife Financial, and the company contracted by Manulife Financial to provide the travel assistance services described in this benefit, will not be responsible for the availability, quality, or results of any medical treatment, or the failure of an insured person to obtain medical treatment or emergency assistance services for any reason.

Emergency assistance services may not be available in all countries due to conditions such as war, political unrest or other circumstances which interfere with or prevent the provision of any services.

Also see what the plan does not cover under the general extended health coverages.

How to Access Allianz Gobal Assistance

Your Manulife Financial Card lists the toll free numbers to call in case of an emergency, while travelling outside your province. The toll free number will put you in touch with the international travel assistance organization.

Your Manulife Financial Card also lists your I.D. number and group policy number, which the travel assistance organization needs to confirm that you are covered by ManuAssist through Manulife Financial.

If you do not have a Manulife Financial Card, please contact ELCIC Group Services Inc.