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The difference between saving a life rather than just issuing a cheque |
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CriticalAdvantage™ |
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Critical Illness Plan |
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Objective |
Focuses on helping clients recover from a covered
Illness by providing immediate access to medical advice and care and up to 1 million dollars in out-of-
country funding at an affordable price.
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Provides a cheque to replace lost income or pay expenses in the event the client suffers from a covered illness. |
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Illnesses Covered
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10 illnesses that individuals worry about the most, chosen based on the probability of successful treatment, if given proper care:
- Cancer (life-threatening)
- Coronary artery by-pass surgery
- Aortic surgery
- Heart valve replacement
- Multiple Sclerosis
- Kidney failure
- Major organ transplant
- Motor neuron disease (ALS/Lou Gehrig’s)
- Parkinson’s disease
- Benign brain tumour
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- From 3 to 23 illnesses depending on the type of plan and company
- Focus is generally on the number of illnesses covered rather than the likelihood of successful treatment
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Best Doctors Services |
Immediate access to Best Doctors: InterConsultation™
Medical Advice and Treatment Planning
- In depth review of patient's medical files for confirmation of diagnosis and treatment.
FindBestDoc™
Identification of the right care provider
- A customized search across a constantly updated global database of over 50,000 world-class specialists who are most qualified to meet the patient's specific medical needs.
FindBestCare®
Care Management
- Assistance with the out-of-country hospital admittance process and medical appointments. The additional VIP Concierge service helps clients travelling outside Canada with reservations and accommodations for themselves and a companion.
Please refer to the CriticalAdvantage guide for details on how to access these services.
® Best Doctors is a trademark of Best Doctors Inc. in the United States and/or other countries and is used under license. |
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- Best Doctors services are offered on several plans but are not integrated.
- Depending on the product, services may be limited in scope and provide for one-time use after the insurance company has approved the claim.
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Financial Benefits |
Option 1
- Up to $1 million in out-of-country medical expense coverage
- Up to $10,000 travel and accommodation expenses for the insured and one companion
- Up to $5,000 repatriation benefit should the insured die while receiving care
Option 2
- $25,000 single payment if the client decides to receive care in Canada
- Simplified application
- No appointments to arrange or fluids to obtain
- Immediate coverage on approved cases
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- Lump sum payment based on face amount purchased
- Average face amount in 2001 was $96,000 (Source: LIMRA)
- Clients are often forced to choose what they can afford, rather than what they really need
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Application Process |
- Simplified application
- No appointments to arrange or fluids to obtain
- Immediate coverage on approved cases
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- Long-form application
- Medical exams and fluids required
- Potentially lengthy underwriting process
- Uncertain result
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Survival Period |
None - Immediate access to Best Doctors services |
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- Client must survive 30 days from onset of covered illness before claim can be adjucated
- Best Doctors services generally available only after claim is approved
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90-Day Claim Exclusion Period |
Premiums refunded if claim is made within the first 90 days after the coverage effective date |
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Premiums are usually refunded if a cancer claim is made within the 90 day exclusion period |
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Plan Design
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- Single Life - one adult
- Spousal - Two adults
- Family - one or two adults and an unlimited number of children
Each insured individual receives $1 million of coverage and full access to all of the other benefits of the program. |
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- The candidate is faced with a myriad of options: basic versus enhanced definitions, various payment schedules and a range of amounts
- Covered illnesses usually differ for adults and children
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Premium Rate Structure |
- Five-year renewable term structure
- Male/female, smoker/non-smoker
™ Critical /Advantage is a trademark of AEGON Canada Inc. Transamerica Life Canada is licensed to use such mark. |
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- 10-year renewable term
- Level to 65 or 75
- Level to 100
- Male/female, smoker/non-smoker
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Contact Information: Gordon Johnston and Associates, Telephone: (905) 623-4800 ext.1, gordjohnston@ilibc.co
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