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Eligible Expenses

Eligible expenses include:
  • public-ward accommodation and auxiliary hospital services in a general hospital,
  • the services of a physician,
  • out-patient services in a hospital,
  • one-way economy airfare for the patient and professional attendant, back to the province of residence, when medically necessary,
  • medical evacuation by ambulance, when Sun Life determines that suitable care is not available where the emergency occurs,
  • family assistance, for example, reimbursement of expenses to return dependent children, under age 16, to Canada, subject to certain limits (combined maximum payable - $2,500 for any one travel emergency),
  • transportation arrangements to the nearest hospital that provides the appropriate care, or back to Canada,
  • medical referrals, consultation and monitoring,
  • legal referrals,
  • a telephone interpretation service,
  • a message service (messages held up to 15 days for family and business associates),
  • advance hospital and medical expense payment, and
  • return of the deceased in the event of death, to a maximum of $3,000.
If a treatment or service is not offered in the patient’s province and the person is referred to a hospital in another province, in writing, by the attending physician in his/her province of residence, the plan pays 100% for reasonable and customary charges for the same services, up to a maximum of $25,000 per illness.
Published on February 01, 2016