Personal Health Insurance
Health and Dental

Be ready for wherever life takes you with flexible and comprehensive coverage from BC’s health experts.

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Be ready for wherever life takes you

Get protection for things you don’t plan for. Our Personal Health Insurance helps cover out-of-pocket expenses not covered by your government health plan—because you never know where life will take you.

Consider this plan if:

  • You don’t have health benefits through your employer
  • You’d like to supplement your existing coverage
  • You’re losing your group coverage
  • You don’t have an existing health condition

Why choose our Health and Dental Plan?

Mental wellness

Enhanced coverage specifically for registered clinical counsellors, psychologists, and online CBT.

The most coverage

The highest prescription drug, vision and practitioner coverage available on a personal health plan.

Family planning benefit

The first personal health plan in Canada to offer fertility treatment and adoption coverage.

Flexibility and choice

Enjoy flexible, annual upgrades — no medical review required — and enhanced coverage options.

Travel and Life

Enjoy added peace of mind with Travel and Life Insurance included across all plan levels.

Enhanced coverage for women

We’re promoting health equity by bridging the gaps that exist in women’s health care.

Choosing the right level of coverage for your health needs

BRONZE

Flexible coverage with the ability to waive Dental and/or Prescription coverage to design an affordable plan that meets your health needs. Perfect for:

  • Recent grads
  • Self-employed, contract or part-time workers

SILVER

Comprehensive coverage for practitioners, prescription drugs, vision, and mental wellness with the flexibility to waive Dental coverage. Perfect for:

  • Couples
  • Families

GOLD

Best-in-market coverage for practitioners, prescription drugs, and vision, with enhanced mental wellness coverage. Plus, the first personal health plan in Canada to feature a Family Planning Benefit. Perfect for:

  • Anyone looking for the most personal health coverage
  • Individuals and couples planning to build their family
COVERAGE BRONZE SILVER GOLD
HEALTH Lifetime maximum $375,000 $500,000 Unlimited
PROFESSIONAL SERVICES
Practitioner services2 $400 per practitioner/yr, $30/visit $600 per practitioner/yr, $40/visit $800 per practitioner/yr, $50/visit
Mental wellness services3 $750 combined limit/yr $1,000 combined limit/yr $1,500 combined limit/yr
VISION / 6 month waiting period / Eligible every 2 years
Prescription eyewear $250 $300 $400
Eye exam $60 $80 $80
MEDICAL EQUIPMENT and SUPPLIES / $5,000 per year
Hearing aids $300/4 years/3 month waiting period $400/4 years/3 month waiting period $600/4 years/3 month waiting period
FAMILY PLANNING BENEFIT / 1 year waiting period
Fertility drugs $5,000/yr/family5
Fertility treatment and adoption4 $5,000/yr/family5
DRUGS PRESCRIPTION DRUGS
Choose NONE or BRONZE
Coverage Payable up to 80%1 Payable up to 90%1 Payable up to 90%1
Dispensing fee $5 $10 $10
Yearly limit $5,000 $10,000 Unlimited
DENTAL DENTAL
Choose NONE or BRONZE
Choose NONE or BRONZE or SILVER
Choose SILVER or GOLD
Basic and routine services
Waiting period 3 months 3 months No waiting period
Recall frequency6 9 months 6 months 6 months
Year 1 70%, $500 max. 70%, $800 max. 80%, $1,000 max.
Year 2 80%, $700 max. 80%, $1,100 max. 90%, $1,300 max.
Year 3+ 80%, $900 max. 80%, $1,400 max. 90%, $1,600 max.
Major services and dentures
Annual maximum Combined with Basic max. Combined with Basic max.
Waiting period 12 months 6 months
Year 1 60%
Year 2 50% 60%
Year 3+ 50% 60%
Orthodontics 50%7/Year 3+/children only 60%7/Year 2+/children and adults

1Maximum coverage limits apply at Preferred Pharmacy Network (PPN) providers only. Lower coverage limits apply at non-PPN providers. Find a PPN provider near you at pac.bluecross.ca/PPN.

2Practitioner services include physiotherapists, massage practitioners, chiropractors, naturopaths, chiropodists, podiatrists, osteopaths, speech pathologists, registered dieticians, and acupuncturists.

3Mental wellness services include psychologists, registered counsellors, and online CBT. For more information on online CBT, visit pac.bluecross.ca/member/iCBT.

4Fertility treatment includes in-vitro fertilization, egg freezing, intrauterine insemination, and sperm freezing. Adoption includes agency and legal fees. For more info, visit pac.bluecross.ca/FamilyPlanning.

5If 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.

6The min. frequency required between select preventative and diagnostic services (e.g., exams, polishing, fluoride).

7$2,000 orthodontic lifetime max/person.

 


 

“Always there” health coverage on every plan level includes:

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Additional member value

Our Health and Dental plan also includes the following:

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Healthy women, healthy families

Our enhanced coverage for women is designed with the support of BC Women’s Health Foundation to help you take control of your health, your life and your family journey.

  • Boosted benefits for new or expecting parents
  • Fertility and adoption coverage