Low Cost, Hassle-Free Protection for Your
Medical Needs | MAIN SERVICES | ANNUAL MAXIMUM(per person) | REIMBERSTMENT
/DEDUCTIBLE | | Prescription Drugs 1 | $1,000 in first year
$2,000 in each subsequent year | 100% reimbursement on lowest cost
generic drug with $5 per prescription deductible | | Semi-Private Hospital Room | $150 per day (max. 60 days per year) | 100% with no deductible | | Vision Care (for eyeglasses or contact
lenses) | $150 every two years | | | Private Duty Nursing (R.N., R.N.A. or L.P.N.) | $5,000 per year | 80% with $50/$100 deductible * | Health Care Services:
Chiropractor
Clinical Psychologist
Osteopath
Physiotherapist
Podiatrist/Chiropodist
Speech Therapist/Pathologist
Accidental Dental Coverage |
$350 per year
$350 per year
$350 per year
$350 per year
$350 per year
$350 per year
| 80% with $50/$100 deductible
*
80% with $50/$100 deductible * | | Ambulance Transportation | | 80% with $50/$100 deductible * | | Audio (Hearing Aids) | $300 every four years | 80% with $50/$100 deductible * | | Laboratory Diagnostic Services | | 80% with $50/$100 deductible * | Prosthetic Appliances and Durable Medical
Equipment include:
Braces
Inhalant Devices
Heart Rate Monitor
Blood Glucose Monitor
Cranes, Crutches, Wheelchairs
|
$2,500 per year |
80% with $50/$100 deductible * |
Please refer to the enclosed “Certificate
of Insurance” for complete information on coverage
details, making a claim, and limitations and exclusions for the TD
Extended Health Plan. 
For more information, please call
a
TD Insurance specialist
Monday to Friday 8 am to 8 pm ET at
1-877-983-5433
| 
