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Lifetime maximum | $375,000 | $500,000 | Unlimited | |
Health co-insurance | 80% | |||
Prescription drugs |
$5,000 Limited 70% or 80%* $5 dispensing fee |
$10,000 Limited 70% or 90%* $10 dispensing fee |
Unlimited 80% or 90%* $10 dispensing fee |
|
Practitioner services |
$30/visit $400 per practitioner/year |
$40/visit $600 per practitioner/year |
$50/visit $800 per practitioner/year |
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Mental wellness | $750 combined | $750 combined | $1,500 combined | |
Vision care 6 month waiting period |
$250 / person every 2 years $60 eye exam |
$300 / person every 2 years $80 eye exam |
$400 / person every 2 years $80 eye exam |
|
Hearing aids 3 month waiting period |
$300 Every 4 years |
$400 Every 4 years |
$600 Every 4 years |
|
Family Planning Benefit 1 year waiting period |
N/A | N/A |
$5,000**/family/year - fertility drugs
$5,000**/family/year - fertility treatment & adoption |
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* Maximum coverage limits apply at Preferred Pharmacy Network (PPN) providers only. For a list of PPN providers visit pac.bluecross.ca/PPN. | ||||
** If per your agreement infertility is deemed to be a pre-existing condition then this benefit will reduce to a combined lifetime maximum of $2,000 for fertility drugs, fertility treatment and adoption. |
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BASIC AND ROUTINE SERVICES |
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Waiting period | 3 months | 3 months | No waiting period |
Recall | 9 months | 6 months | 6 months |
Year 1 | 70%, $500 | 70%, $800 | 80%, $1,0001 |
Year 2 | 80%, $700 | 80%, $1,1001 | 90%, $1,3001 |
Year 3+ | 80%, $900 | 80%, $1,4001 | 90%, $1,6001 |
MAJOR SERVICES DENTURES and ORTHODONTICS |
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Waiting period | X | 12 months | 6 months |
Year 1 | X | X | 60% Major only1 |
Year 2 | X | 50% Major only1 | 60% incl. Dentures, Orthodontics1,2 |
Year 3+ | X |
50% incl. Dentures, Child orthodontics1,2 |
60% incl. Dentures, Orthodontics1,2 |
1Combined annual maximum for all dental services. 2$2,000 orthodontic lifetime maximum/person. Gold orthodontics coverage is for children and adults. |
For BlueChoice, You will require the following information for each person to be included on the application:
Please allow sufficient time to complete the application. You cannot stop part way and return to it at a later time. Average completion time is 20-30 minutes.
If any of the following is true, you cannot proceed with an online submission:
Instead, please submit a paper application
All questions must be completed in full. Based on your family’s history coverage may be declined or modified to exclude certain conditions or may be given a higher premium. Expenses incurred as a result of current or past conditions may not be covered unless specified in the agreement letter. Additional information may be requested to underwrite your application.
Name | Care Card | Age | Gender | Ht | Wt |
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Thank you for applying for coverage with Pacific Blue Cross. You will receive a confirmation email shortly.
Your application will be reviewed by our team. Depending on the type of Personal Health Insurance Plan you applied for, your application will proceed as follows:
Once enrolment is complete, payment will be processed, and your Welcome Package containing your Pacific Blue Cross Identification Cards, Contract Letter and detailed Contract Booklet will be mailed to you.
We encourage you to review the information to ensure accuracy and understanding. Please call our customer service team if you require further assistance.
Business Hours | Monday to Friday, 8:00am - 4:30pm (Pacific) |
Local: | 604 419-2000 |
Toll Free (within BC only): | 1 877 PAC-BLUE (1 877 722-2583) |
inhealth@pac.bluecross.ca |
Thank you,
Pacific Blue Cross
Individual Plans Department
I confirm that the information I have provided is true and complete. I understand that I and my dependents (if applicable) must be continuously enrolled under all applicable provincial health plans in order to participate in this contract.
If I should receive a settlement against a liable third party for benefits covered under this contract, I agree to, and authorize the third party to, reimburse Pacific Blue Cross up to the amount advanced to me pending such settlement or judgement.
I understand and agree that any injury that occurred on or before the date of this application or any sickness, the signs of which appeared on or before the date of this application, may not be covered. I understand that not accurately and fully disclosing all information requested on this application, could result in a denial of claims and a cancellation, or modification of the contract.
I understand and consent that some of the personal information provided by me and my dependents (if applicable) may be disclosed to agents and representatives of Pacific Blue Cross and other providers/insurers and their agents and representatives for the purposes of assessing and providing benefit coverage. I also understand and consent to the retention, use and disclosure of this personal information in accordance with Pacific Blue Cross’ privacy policy. I authorize any medical practitioner, hospital, clinic, pharmacy and any British Columbia government health agency (including PharmaCare) or other medically related facility that has my health information to transfer the information to Pacific Blue Cross. This includes my health records and the health records of my covered dependents (if applicable), and details of coverage eligibility. A copy of our privacy policy is available by contacting Pacific Blue Cross. You can also read it here.