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DeLuxe Elite Premier LiteTelus National Formulary$10,000@90% Copay(100% if dispensedthrough PocketPills)$7,500@90% Copay(100% if dispensedthrough PocketPills)$5,000@80% Copay(90% if dispensedthrough PocketPills)$2,500@80% Copay(90% if dispensedthrough PocketPills)Acupuncturist, Audiologist, Chiropodist,Chiropractor, Dietician, Massage Therapist,Naturopath, Occupational Therapist,Osteopath, Physiotherapist, Podiatrist,Psychologist, Speech Therapist, Audiologist,and Social Worker.$1,500 Combinedper person percalendar year$1,250 Combinedper person percalendar year$1,000 Combinedper person percalendar year$750 Combinedper person percalendar yearBreast prosthesisUnlimited R&C* Unlimited R&C* Unlimited R&C* Unlimited R&C*Oxygen and Oxygen EquipmentUnlimited R&C* Unlimited R&C* Unlimited R&C* Unlimited R&C*Compression StockingsTwo pairs / Year Two pairs / Year Two pairs / Year Two pairs / YearFoot orthoses$250 / Year $200 / Year $150 / Year $100 / YearHair prosthesis (Wig)$500 Lifetime $500 Lifetime $500 Lifetime $500 LifetimeHearing Aids$1,000 / 4 Years $750 / 4 Years $500 / 4 Years $250 / 4 YearsHospital BedsUnlimited R&C* Unlimited R&C* Unlimited R&C* Unlimited R&C*Intrauterine Device (IUD)Unlimited R&C* Unlimited R&C* Unlimited R&C* Unlimited R&C*Orthopedic Shoes$250 / Year $200 / Year $150 / Year $100 / YearOstomy SuppliesUnlimited R&C* Unlimited R&C* Unlimited R&C* Unlimited R&C*Post-surgical braTwo / Year Two / Year Two / Year Two / YearProsthetics$25,000 Lifetime $25,000 Lifetime $25,000 Lifetime $25,000 LifetimeTENS deviceUnlimited R&C* Unlimited R&C* Unlimited R&C* Unlimited R&C*Wheelchair$10,000 R&C* $10,000 R&C* $10,000 R&C* $10,000 R&C*Accidental Dental$5,000 R&C* $5,000 R&C* $5,000 R&C* $5,000 R&C*Nursing Care$15,000 / Year $10,000 / Year $7,500 / Year $5,000 / YearAmbulance (Ground & Air)Unlimited Unlimited Unlimited UnlimitedBlood Glucose Monitor$200 / 3 Years $200 / 3 Years $200 / 3 Years $200 / 3 YearsSemi-private Hospital RoomUnlimited R&C* Unlimited R&C* Unlimited R&C* Unlimited R&C*Convalescent Hospital$20/day-90 day Max $20/day-90 day Max $20/day-90 day Max $20/day-90 day MaxDiagnostic Services$500 / Year $500 / Year $500 / Year $500 / YearEye Exams$100 / 2 Years $100 / 2 Years $100 / 2 Years $100 / 2 YearsGlasses$300 / 2 Years $200 / 2 Years $100 / 2 YearsSyringes, Lancets, Chemical Reagent Test90% Copay - R&C* 90% Copay - R&C* 80% Copay - R&C* 80% Copay - R&C*Freestyle SensorsCovered - R&C* Covered - R&C* Covered - R&C* Covered - R&C*Dexcom SensorsCovered - R&C* Covered - R&C* Covered - R&C* Covered - R&C*Prescription Drugs - Direct billing available (per calendar year) (No age limit)Healthcare Professionals - 100% Coinsurance (R&C*) (No age limit)Vision Care - 100% Coinsurance (No age limit)Supplies and Services - 100% Coinsurance (No age limit)Specialized Care - 100% Coinsurance (No age limit)Diabetic Supplies - Included in Prescription Drugs Coverage (No age limit)Diabetic Sensors - 100% Coinsurance ($4,000 Combined Maximum) (No age limit)

DeLuxe Elite Premier LiteOut-of-Province / Country90 day trip limit 90 day trip limit 90 day trip limit 90 day trip limitTravel Insurance$5,000,000 / Trip $5,000,000 / Trip $5,000,000 / Trip $5,000,000 / TripCovid Insurance (Must be fully vaxxed)$5,000,000 / Trip $5,000,000 / Trip $5,000,000 / Trip $5,000,000 / TripBasic, Endodontic & Periodontal ServicesMajor ServicesVirtual Healthcare - Included in all plans. (Coverage to age 71) - Provided by MapleOnline Pharmacy - Included in all plans. (No age limit) - Provided by PocketPillsHumanaCare is an integrated mental and physical wellness service provider, with a compassionate, holistic, employee family centric caremodel. HumanaCare provides access to clinically appropriate counselling to provide solutions to a short-term situation, this often means4-8 counselling sessions but may require more or less. HumanaCare will ensure the individual is supported appropriately.Through a simple phone call to HumanaCare, you will reach Medical Experts who will be able to review your medical information to giveyou answers to critical questions to empower you make the best decisions. Throughout the process you will be supported by a Nurse whocan help make sense of the information and activate services and supports around youHumanaCare’s Eldercare Advisory service provides tools to help caregivers address their particular challenges. Nurse-led. A personalconsultation and map of care report is customized to each member’s specific needs. Coaching, support, and planning are provided in keyareas:•Current living situation and future planning• Existing health condition• Goals of care   • Resource navigationHome care, including nursing and personal care, delivered by quality approved providers, is available on a 24/7 basis, across Canada.Maple (formerly Wello) Virtual Healthcare connects you to a clinician 24/7 for all your urgent and long term healthcare needs, via phone andvideo chat. Save time and stress when you need convenient access to:•Medical diagnosis• Prescriptions and requisitions• Specialist referrals • Mental health support•Chronic illness management and prevention       • Health coaching and adviceOptional Dental Care Benefits - Can be added to any plan design. (No age limit)SimplyBenefitsSimply Benefits is a 100% digital Employee Benefits Third-Party Payor (TPP) that allows retirees to take better control of their benefitsmanagement on their own dedicated, user-friendly portal. Simply is responsible for:• Adjudicating and Paying Claims•Premium Billing•Claims administrationEmergency Travel Benefits - Inlcuded in all plans. (Coverage terminates at age 80) - Provided by Orion Travel InsuranceRetiree Assistance Program - Included in all plans. (Coverage terminates at age 71) - Provided by HumanaCare100% coverage: Includes exams, cleanings, fillings, scaling, polishing, and oral surgery.Second Opinion - Included in all plans. (Coverage terminates at age 71) - Provided by HumanaCareEldercare - Included in all plans. (Coverage terminates at age 71) - Provided by HumanaCarePocketpills is an mail order pharmacy that pre-sorts your medication into easy to open "PocketPacks". No more hard-to-open vials. No moresorting pills, no more missing doses. They work direct with the Governement and your insurer to direct bill.• Add Vitamins to your "PocketPacks"•Your refills automatically arrive together on the appropriate day.•They work with your doctor to renew your prescriptions so you have them on time.50% coverage: Includes crowns, bridges, and dentures.

DeLuxe Elite Premier LiteSaskatchewanSingle$233.71 $194.14 $137.08 $110.28Couple$467.15 $388.01 $273.89 $220.04Family$536.00 $445.66 $357.47 $291.85AlbertaSingle$290.77 $240.84 $168.21 $135.52Couple$581.28 $481.39 $336.14 $270.53Family$669.46 $549.41 $445.66 $367.57ManitobaSingle$233.71 $194.15 $137.09 $115.32Couple$467.15 $388.02 $273.89 $230.14Family$524.21 $435.28 $352.28 $286.80British ColumbiaSingle$228.53 $188.96 $137.08 $110.28Couple$456.78 $377.64 $263.51 $220.05Family$513.84 $424.91 $347.10 $281.75Single Couple FamilySaskatchewan$53.95 $107.90 $124.50Alberta$77.81 $155.63 $176.37Manitoba$60.18 $119.31 $137.99British Columbia$83.00 $163.93 $188.83Things To ConsiderPremium PaymentThis is a summary of benefits and may contain inaccuracies. Please review the full booklet wording prior to purchasing a plan.Please contact us directly for full coverage details or download the booklet from our website.All calendar year or lifetime maximums are per person, unless otherwise stated.You must be a resident of Canada and be covered under the provincial health plan in your province of residence to apply for this retiree plan. If you apply for family coverage, your spouse and dependent children must also have provincial healthcare coverage.For individuals or dependents to be eligible for any benefits under the Emergency Travel Benefit, they must be age 79 or less. Travel coverage will terminate at age 80. Coverage must be in effect prior to departure. If individuals are out of the country when the plan goes into effect, the travel coverage will not go into effect until they return to their province of residence. Extended healthcare coverage for a dependent who is hospitalized on the date they become eligible for coverage, other than a newborn child, will be delayed until the first day immediately following his/her discharge from the hospital. To qualify, you must be actively at work on the date of retirement. Persons on disability will not qualify. Premiums are withdrawn from your bank account on the 10th of every month by pre-authorized debit starting on the date your plan becomes active. All invoices are generated on the 1st of every month. Your plan will stay active as long as premiums are paid. DefinitionsReasonable & Customary (R&C) Refers to the maximum allowable amount that an insurance carrier or claims payor will reimburse on a particular service or item. This amount reflects the average cost associated with this service or product in a specific geographical region.UnlimitedMeans there is no set limit but is subject to Reasonable and Customary Charges.Coinsurance (Copay)The portion, as a percentage of the claim, that the insurer is responsible for paying. The Insured is responsible for the remaining balance. For example: 80% coinsurnace means the insured is responsible for paying 20% of the claim.Monthly Plan Pricing (June 1, 2022 to May 31, 2023) - Renews each year on June 1.Optional Dental Pricing (June 1, 2022 to May 31, 2023) - Renews on June 1.Cancellation of CoverageYou must notify us in writing of your intent to terminate coverage at least 30 days prior to the requested termination date.

PUBLIK HEALTH PLANS

Visit us at

www.mypublik.ca

310-8th Street, P.O. Box 360

Humboldt, SK S0K 2A0

Phone 1.306.682.1615

Fax 1.306.682.1843

E-mail publik@vikingbenefit.ca