Scale 3 – Sonata Health

Scale 3 is our broadest plan. It provides more generous coverage for the same expenses covered under Scale 2, plus major dental services such as crowns, bridges and dentures.

Scale 3 provides coverage for the following benefits and benefit levels:

Prescription drugs

Drugs that require a prescription by law are covered at:

• 90% reimbursement¹ for both generic and brand name prescriptions²
• $10,000 per person per calendar year
• $7 maximum dispensing fee per prescription

If you live in Quebec, read the Information for Quebec Residents.

Ambulance services – 100% reimbursement¹ for ground or air transport.

Visioncare – 100% reimbursement¹ to a maximum of $200 every 2 years; $50 every 2 years for eye exams.

Paramedical services – 90% reimbursement¹ to a $500 calendar year maximum for all practitioners combined.

In-home nursing benefits and home care – 100% reimbursement¹ to a $5,000 calendar year maximum.

Medical supplies – 100% reimbursement¹ for selected medical supplies.

Hearing aids – 100% reimbursement¹ up to $500 every 5 years.

Dentalcare

• Waiting period³: 3-month no-claims waiting period
• Deductible of $25 per person to a maximum of $50 per family per calendar year
• 60% reimbursement¹ for endodontic, periodontal and oral surgery services; 80% reimbursement for other covered routine services; $750 per person per calendar year
• 100% reimbursement¹ for accidental injury to natural teeth
• 50% reimbursement¹ for major services (e.g. crowns, bridges, dentures, etc.); $500 per person per calendar year

PVS – discount on prescription eyewear at participating outlets.

Best Doctors® – Consultation services that put you in touch with the world’s best medical specialists to help with diagnosis and treatment planning for serious illnesses.

Sonata Health also features several included services as part of each plan.

To learn more

• Compare all 5 Sonata Health plans
• Talk to your financial security advisor, or contact us and we’ll put you in touch with a financial security advisor in your area.

¹Reimbursement: refers to reimbursement for eligible expenses.

²Generic and brand name prescriptions: the plan pays for the lower cost alternative drug, unless the physician has directed that a particular brand name prescription drug not be interchanged.

³Waiting period: A 3-month waiting period applies to dentalcare services and supplies. This means no benefits are payable for dentalcare services and supplies expenses incurred during the period starting on your policy's effective date and ending on the last day of the third month following your policy's effective date.

Benefits payable for certain health and dental services and supplies are subject to a limitation. A limitation may apply to a dollar amount which is payable under the policy or the frequency for which benefits will be payable.