Visitors to Canada – PLAN B

Eligibility

Manulife Travel insurance - Eligibility Requirements:

IMPORTANT

Please read the eligibility requirements, pre-existing conditions, and privacy statement carefully, before agreeing to the declaration of the primary insured. If you have any questions or concerns, contact 1-800-607-1920

This plan is for visitors to Canada; Canadians or immigrants who are awaiting coverage under a Canadian government health insurance plan or persons who are in Canada on a work visa or Parent and Grandparent Super Visa.

Under Plan A, no benefits are payable for a pre-existing condition that existed within the 180 days prior to your effective date of insurance. Please refer to the section “What is not covered under Emergency Medical Insurance?”.

• Under Plan B, no benefits are payable for a pre-existing condition that is not stable within 180 days of the effective date. Please refer to the section “What is not covered under Emergency Medical Insurance?”.

In order to be eligible for travel insurance coverage, the applicant must agree with each statement below:

All travellers are not travelling against the advice of a physician;

All travellers have not been diagnosed with a terminal illness with less than 2 years to live;

All travellers do not have a kidney condition requiring dialysis;

All travellers have not used home oxygen in the last twelve (12) months;

All travellers have not been diagnosed with Alzheimer’s disease or any other form of dementia;

All travellers do not reside in a nursing home, home for the aged, other long term care facility or rehabilitation center;

All travellers do not require assistance with activities of daily living (eating, bathing, dressing, using the toilet, changing positions including getting in and out of a bed or chair).

If you cannot agree with each statement, unfortunately you are not eligible for this coverage. Please remove any travellers that do not meet the statements above.

Your coverage starts on the later of:

• the effective date of insurance as shown on your confirmation; or

• the time and date you arrive in Canada from home.

Except for losses resulting from any injury, coverage will begin 48 hours after the effective date if you purchase your policy:

• after the expiry date of an existing Manulife policy; or

• after you leave home.

When coverage is purchased prior to leaving home with an effective date equal to the date and time you are scheduled to arrive in Canada, coverage will also be provided with no additional premium during your uninterrupted flight directly to Canada. An uninterrupted flight can include a stop-over provided you do not leave the airport.

PRIVACY

I understand that GCAG/assurancevisiteurs.ca, and Manulife Travel Insurance Company will collect, use, retain, and disclose my personal information to provide me with the requested insurance services and for any other use authorized by me, and/or as required by law. For complete information on your privacy rights, please refer to Privacy Statement.

DECLARATION

I confirm that I have read, understand, and agree to all the terms, conditions, limitations, and exclusions outlined in this declaration and in the policy.

I have been authorized by any other travellers to apply for insurance coverage on their behalf and to confirm their understanding of and agreement to these terms, conditions, limitations, and exclusions.