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Friday, June 23rd, 2017

MANULIFE
Students Insurance manulife logo
   

 

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Administrated by: The Manufactures Life Insurance Company (Manulife Financial).
Underwritten by: The Manufactures Life Insurance Company (Manulife Financial).
24 hours Assistance Center: Active Care Management

IMPORTANT NOTE: The product-related information on this website is for illustration purposes only. For complete benefits, terms, conditions, limitations and exclusions, please see the policy booklet at the download section below. Please read and understand your policy before you travel.

BENEFITS:
Emergency Medical maximum benefit: $2,000,000
- Hospital expenses (semi-private room) limited to 60 days per injury or sickness (30 days per policy for psychiatric treatment).
- Physician services in or out of hospital and up to 5 follow-up visits. 
- Diagnostic services - tests that are required as a result of an emergency. Prior approval is required for all major diagnostic testing including but not limited to MRI, CAT scan, sonograms, ultrasounds and biopsies. *
- Private duty nursing services up to $10,000.
- Ambulance services up to $5,000 for a ground or air ambulance to the nearest hospital.
- Prescription drugs up to 30-day supply.
- Professional medical services - treatment received from a licensed chiropodist, podiatrist, physiotherapist, chiropractor, or osteopath, up to $70 per visit to a maximum of $700 for a covered injury.
- Medical appliances – purchase or rental (whichever is less) of a hospital bed, wheelchairs, crutches, canes, splints, slings, trusses, braces or other prosthetic appliance. *
- Emergency evacuation – up to maximum of $100,000 for air ambulance, a stretcher or economy class airfare to transport you home as a result of a covered emergency; plus, the cost for an attendant, if medically necessary. *
- Accidental dental: up to $2,500 for emergency dental treatment as a result of an accidental blow to the mouth.
- Emergency dental: up to $100 for a pain relief, and up to $250 per tooth to extract impacted wisdom teeth. (this benefit excludes crowns and root canals).
- Psychiatric care - up to $5,000 for services of a legally qualified psychiatrist while you are an in-patient following an emergency, plus up to five (5) follow-up visits.
- Trauma counselling – up to 6 sessions for a covered emergency.
- Family Transportation and subsistence allowance - up to $3,000 for transportation of a family member to be with you, and up to $150 per day (maximum $1,500) for meals and accommodation in the event of your hospitalization for at least 7 days. *
- Tuition reimbursement – up to $5,000 per semester for tuition fee paid, if you have an emergency which prevents you from attending school and, as a result, you are unable to obtain passing grades for the semester, as confirmed by your physician and registrar of the school you are attending.
- Repatriation of mortal remains - up to $10,000 for preparation of your body, plus up to $3,000 for burial or cremation at the place of death or the cost to return your body or ashes home. *
- Trip break - during the period of coverage you may return home to attend special events for up to 21 consecutive days without terminating your policy (you have to request and receive prior approval from the Assistance Centre). *

Non Emergency Treatment:
- Annual medical examination - up to $100 per year to a physician for an exam and associated tests and for one consultation session.
- Eye Examination
- one visit to optometrist per year.
- Maternity Benefit - the reasonable and customary charges up to the following amounts for physician services and hospitalization, per pregnancy:
     - $4,000 for normal childbirth
     - $6,000 for caesarian section or
     - $8,000 for medical complications related to childbirth.
To be eligible for this benefit, your pregnancy must have commenced after the effective date of the policy. If you have purchased back-to-back policies issued by Manulife, you are still eligible for this benefit (provided there has been no lapse in coverage and your pregnancy commenced after the effective date of the first policy). 
Notwithstanding the above benefit, newborns are not covered under this policy. They can become fully covered at 30 days of age if an application is completed and submitted to, and approved in writing by Manulife and you have purchased and paid the premium for family coverage.
- Accidental Death or Dismemberment insurance – up to $10,000
- Terrorism Coverage – up to $35,000,000 for emergency medical benefits in excess to all other potential sources of recovery.

* These benefits must be approved and/or arranged in advance by the Assistance Centre.

ELIGIBILITY:
To be eligible for insurance under this policy, you must be:
• under the age of 55; and
   ° a full-time student with proof of admission or enrolment in a recognized institute of learning; or
   ° a student completing post-doctoral research in a recognized institute of learning; or
   ° dependant(s) and/or the spouse of and living with a student covered under this insurance, and named on the application; and
• purchasing coverage
   ° as an outbound student, when your home country is Canada, and you are covered under a government health insurance plan while temporarily residing outside Canada, or
  ° as a national student, when your home country is Canada, and you are covered under a government health insurance plan while you are temporarily residing in another Canadian province or territory.
- For Canadians, it is your responsibility to ensure continued coverage, where available, under the government health insurance plan of the province/territory where you permanently reside. Your coverage under this insurance will end the date you are no longer covered by a government health insurance plan.
- If you stay in your destination between semesters, you can re-apply for coverage as long as you have proof of enrolment in the following semester.

YOU ARE NOT ELIGIBLE FOR ANY COVERAGE UNDER THIS POLICY IF YOUR TRIP IS BOOKED OR UNDERTAKEN:
• contrary to medical advice;
• while you require kidney dialysis;
• if you have used home oxygen at any time during the twelve (12) months prior to the date of application; and/or
• you have been diagnosed with a terminal illness with less than two (2) years to live
YOUR COVERAGE ENDS 15 days after the date your enrolment as a student at a recognized educational institute terminates, unless you are in the U.S.A. holding a valid F1 visa. 

PRE-EXISTING CONDITIONS: Manulife will not pay any expenses or benefits relating to a pre-existing condition which has not remained STABLE in the three (3) months before your effective date.
Stable means that all of the following apply:
     • there has not been any new symptom(s); and
     • existing symptom(s) have not become more frequent or severe; and
     • a physician has not determined that the medical condition has become worse; and
     • no test findings have shown that the medical condition may be getting worse; and
     • a physician has not provided, prescribed, or recommended any new medication, any change in medication; and
     • a physician has not prescribed or recommended any new treatment or any change in treatment; and
     • there has been no admission to a hospital or referral to a specialty clinic or specialist; and
     • a physician has not advised referral to a specialist or further testing, and there has been no testing for which the results have not yet been received.
Change in medication means the medication dosage, frequency or type has been reduced, increased, stopped and/ or new medication(s) has/have been prescribed. Exceptions: the routine adjustment of Coumadin, warfarin or insulin (as long as they are not newly prescribed or stopped) and there has been no change in your medical condition; and, a change from a brand name medication to a generic brand medication of the same dosage. 

WAITING PERIOD will apply if you purchase this coverage after your arrival at your destination.
a) the 48-hour period following your effective date of insurance if you purchase this insurance within 30 days after your arrival at your destination;
b) the 8-day period following your effective date of insurance if you purchase this insurance more than 30 days after your arrival at your destination.
The waiting period will be waived:
• in the case of injury; or
• if you purchased this policy prior to the expiry date of your existing policy, to become effective on the day following such expiry date.

EXTENSIONS:
If you already have coverage, simply call the broker from whom you purchased this coverage. You may be able to extend your coverage as long as:
1. your period of coverage does not extend beyond 365 days;
2. you remain eligible for insurance under this plan;
3. we have received the extension request prior to the expiry date of your existing policy issued by us; and
4. there has been no change between single or family coverage.
NOTE: For policy extensions, no losses or expenses or benefits will be paid for any sickness or injury which first appeared, whether diagnosed or not, or for which treatment may or may not have been received prior to the effective date of the extension of coverage under this policy.

REFUNDS:
Full refunds must be requested in writing to us before coverage commences.
Partial refunds must be requested in writing to us before coverage expires. The refund (minimum premium of $50) is calculated from the postmark date of your request, provided there has been no incident which has resulted or will result in a claim during your trip, and provided that you mail your written refund request within five (5) days of your return home.

 CLAIMS:
IN THE EVENT OF AN EMERGENCY, YOU MUST CALL THE ASSISTANCE CENTRE IMMEDIATELY: 1-877-331-3134 toll free from Canada or the U.S., or +1-519-251-7401 collect call from anywhere else. If you do not contact the Assistance Centre before receiving medical treatment, you will have to pay 20% of the medical expenses Manulife would normally pay under this insurance. If it is medically impossible for you to call, we ask that you call as soon as you can or that someone calls on your behalf. Do not assume that someone will contact the Assistance Centre for you. It is your responsibility to verify that this has been done.
Your claim must be reported within 30 days and sent to Manulife within 90 days of your loss.
The Assistance Centre will furnish forms for proof of claim within 15 days after receiving notice of claim. You may call the Claims Centre directly for specific information on how to make a claim or to enquire about your claim status at: 1-877-331-3230 or 1-519-251-7402.
Please, mail all original receipt, bills, invoices (make your own copy), proof of travel (including departure and return dates) and proof of enrolment in a recognized institute of learning to:
Manulife Financial Travel Insurance for Students
c/o Active Care Management
PO Box 1237 Stn A
Windsor, ON, N9A 6P8

EXCLUSIONS:
Manulife will not pay any expenses or benefits relating to:
1. a) A pre-existing condition that was not stable in the three (3) months before your effective date.
   b) Any pre-existing condition of a covered dependant or spouse that was not stable in the three (3) months before the date the dependant or spouse became covered under this policy.
2. For covered dependants under two (2) years of age, any medical condition related to a birth defect whether genetic, acquired, or congenital.
3. Chemotherapy treatment unless approved by the Assistance Centre.
4. Any expense if you are either on an outbound trip or a national student, without a valid government health insurance plan.
5. Covered expenses that exceed 80% of the cost Manulife would normally have to pay under this insurance, if you or someone on your behalf does not contact the Assistance Centre at the time of the emergency, unless your medical condition makes it impossible for you to call (in which case, the 20% co-insurance does not apply).
6. Injuries or death sustained while you are enlisted in the regular force of the armed forces of any country, or participating in any maneuver or training exercises of the armed forces of any country.
7. Elective, non-emergency or experimental medical treatment, including any treatment given to maintain the stability of a chronic medical condition, including the refill of medication, test or examinations forming part of a normal regime, or treatment not required for the immediate relief of pain and suffering except those identified as Wellness Benefits in this policy.
8. Magnetic resonance imaging (MRIs), computerized axial tomography (CAT) scans, sonograms, ultrasounds or biopsies, cardiac catheterization, angioplasty and/or cardiovascular surgery including any associated diagnostic test(s) or charges unless approved in advance by the Assistance Centre prior to being performed. All surgery must be authorized by the Assistance Centre prior to being performed except in extreme circumstances where surgery is performed on an emergency basis immediately upon admission to hospital.
9. Continuing treatment after the Assistance Centre has requested that you return home.
10. Medication commonly available without a prescription, fertility drugs or testing, contraceptives, pregnancy tests, drugs for treatment of erectile dysfunction, vaccinations or injections, vitamin preparations or medication received on a preventive basis, acne medications, baldness remedies, nicotine resin products, dietary supplements or weight loss products and/or the replacement of existing prescriptions, whether replacement was for reason of loss, renewal or inadequate supply.
11. Any emergency medical and non-emergency medical services for any injury that occurred or sickness that started in your home country during a Trip Break Benefit.
12. Not applicable for outbound and national students.
13. Not applicable for outbound and national students.
14. Pregnancy, voluntary termination of pregnancy, childbirth or their complications except as identified in Maternity benefit.
15. Dental surgery, cosmetic or plastic surgery unless such surgery is an emergency and necessary as a result of an injury incurred while this policy is in force.
16. Any dental crowns or root canals except as specified under Accidental dental benefit.
17. Any loss, injury or death related to intoxication, the misuse, abuse, overdose of, or chemical dependence on medication, drugs, alcohol or other intoxicant.
18. Suicide, attempted suicide, or self-inflicted injury.
19. Any minor mental or emotional disorder. Minor mental or emotional disorder means having anxiety or panic attacks, or being in an emotional state or in a stressful situation. A minor mental or emotional disorder is one where your treatment includes only minor tranquilizers or minor anti-anxiety (anxiolytics) medication or no prescribed medication at all.
20. Any eating disorder or weight problem.
21. Any loss as a result of asymptomatic or symptomatic HIV infection, Acquired Immune Deficiency Syndrome (AIDS), AIDS related Conditions (ARC) or the presence of HIV, including any associated diagnostic tests or changes.
22. An emergency resulting from: mountain climbing requiring the use of specialized equipment, including carabineers, crampons, pick axes, anchors bolts and lead rope or top- rope anchoring equipment to ascend or descent a mountain; rock-climbing, parachuting, skydiving, hang-gliding or using any other air-supported sporting device; participating in a motorized speed contest; or your professional participation in a sport, snorkeling or scuba-diving when that sport, snorkeling or scuba-diving, is your principal paid occupation.
23. Treatment or services that contravene any government, hospital or medical care insurance legislation in Canada if you are inbound or a national student.
24. Piloting or learning to pilot, or acting as a crew member of any type of aircraft; or travelling as a passenger on any non-commercial flight; operating any form of motorized transport on land or water without a valid operator’s licence.
25. An act of war or act of terrorism. For Canadians travelling out of Canada, limited coverage applies with respect to an act of terrorism. See Terrorism Coverage.
26. Any services or supplies provided by you, or a member of your immediate family.
27. A medical condition:
   • when you knew, or for which it was reasonable to expect, before you left your home, or before the effective date of coverage, that you would need or be required to seek treatment for that medical condition; and/or
   • when the purpose of your trip was to seek medical treatment for that medical condition; and/or
   • that had caused your physician to advise you not to travel; and/or
   • related to a prior elective or non-emergent medical condition except as specifically stated as a benefit in this policy; and/or
   • when you did not comply or you failed to carry out a physician's instructions or you were negligent.
28. Any expense that is not for an emergency, except as identified as Wellness Benefits in this policy; and any benefit that must be authorized or arranged in advance by the Assistance Centre when it has given no authorization or made no arrangement for that benefit.
29. Costs that exceed the reasonable and customary charges.
30. Medical examinations and tests required for immigration purposes or by a third party; and/or consultation with a physician by telephone or e-mail.
31. Loss or damage to repair, extract, replace or purchase hearing devices, eyeglasses, sunglasses, contact lenses, or prosthetic limbs or devices, or artificial teeth and resulting prescriptions thereof.
32. Committing or attempting to commit an illegal or a criminal act.
33. Renal dialysis or organ transplantation of any nature.
34. Rehabilitation and convalescent facilities and services; or holidays for recuperative purposes.
35. Any interest, finance, administrative or late payment charge.
36. Any loss resulting from an act of war or an act of terrorism when, before your departure date, a written formal Travel Warning was issued by Foreign Affairs, Trade and Development Canada, advising Canadians to avoid all or non-essential travel to that specific country, region or city.
37. Any medical condition you suffer or contract in a specific country, region or city for which the Government of Canada has issued a Travel Advisory, before you left Canada, advising Canadians to avoid all or non-essential travel to that specific country, region or city. In this exclusion, "medical condition" is limited to the reason for which the formal warning was issued and includes complications arising from such medical condition.
38. For policy extensions only, any medical condition which first appeared, whether diagnosed or not, or for which treatment may or may not have been received prior to the effective date of the extension of coverage under this policy.
39. Not applicable for outbound and national students.
40. Any claim for a sickness sustained during the waiting period.

 RATES:

Medical and Hospital

Days:

0-365 days

Age:
(55 and under)

$2.70 per day

- Family Rate (Age 0-55) is $5.40 per day. 

FAMILY COVERAGE is available to you, your spouse and dependent child(ren) who are travelling with you, who are listed on your application, and who are under age 55 if you have applied and paid for family coverage.
Dependant means your unmarried child living with you who is at least 30 days of age and under twenty-one (21) years of age and who is dependent upon you for at least fifty percent (50%) of his/her maintenance and support, and who is residing with you on your trip.

IMPORTANT NOTE: The product-related information on this website is for illustration purposes only. For complete benefits, terms, conditions, limitations and exclusions, please see the policy booklet at the download section below. Please read and understand your policy before you travel.

DOWNLOADS:

Manulife Students Insurance POLICY PDF

Manulife Financial and the block design are registered service marks and trademarks of The Manufacturers Life Insurance Company and are used by it and its affiliates, including Manulife Financial Corporation.

 

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