Glossary
Glossary
Scroll down to see the list of definitions.
Brain death |
Irreversible unconsciousness with total loss of brain function and complete absence of electrical activity of the brain, even though the heart is still beating. |
Child/children |
Your natural, legally adopted, step or other eligible child* who meets all of the following requirements:
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Dentist |
A doctor of dental surgery or a doctor of dental medicine licensed to practice and prescribe in the area where services are rendered. |
Dependents |
Your eligible spouse and children. |
Earnings |
Gross earnings (guaranteed earnings instead for part-time employees), excluding bonuses, overtime and commissions. |
Hospital |
A facility that is licensed to provide active treatment for sick or injured patients. It does not include rehabilitation hospital, mental institution, convalescent hospital or home, an institution used primarily for treatment of a specific illness or disease, a nursing home, a chronic care facility, a home for the aged, a rest home or any other facility that provides similar care. Beds set aside for chronic care in a hospital are not covered. Regarding accidental injury or death benefits For in-hospital confinement monthly income, hospital means a legally constituted establishment that meets all of the following conditions:
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Immediate family |
“Immediate family” refers to a spouse (or common-law spouse), parents, grandparents, children over age 18, brothers or sisters. |
Irreversible |
Irreversible means the condition cannot be improved by medical or surgical treatment at the time of diagnosis. The medical or surgical treatment need not be undertaken if it would involve an undue risk to the health of the person. |
Life event |
Qualifying life event includes:
If you experience a life event, you have 31 days to register the event and make your benefit changes. |
Medically necessary |
A service or supply provided or prescribed by a health care professional to prevent, diagnose, or treat an injury, disease, or disability that is:
When the plan refers to a health care professional, it means a person who is legally licensed to practice their profession where services are rendered, and includes physicians, pharmacists, dentists, and other professionals as approved by the plan. |
Nurse practitioner |
A nurse practitioner of medicine who is legally licensed to prescribe drugs and administer medical treatment within the scope of their license. |
Permanently and totally disabled |
Under AD&D insurance coverage, permanent and total disabled means that after 365 days from the date of an accident you are completely and irreversibly unable to perform at least two of the six Activities of Daily Living without assistance from another person, as deemed by a Physician and as supported by objective medical evidence. Activities of Daily Living mean the following:
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Pharmacist |
A pharmacist who is legally licensed to prescribe drugs within the scope of their license. |
Physician |
A doctor of medicine who is legally licensed to prescribe drugs, administer medical treatment, and perform surgery within the scope of their license. |
Professional counsellor |
A therapist or counsellor who is licensed, registered or certified to provide the applicable treatment or counselling. |
Proof of good health |
Medical questionnaire that you must complete to show the status of your health. Depending on your answers, Canada Life can require a medical examination and any other information. |
Reasonable and customary |
Canada Life reimburses expenses based on Reasonable and Customary charges. Generally this is the lowest of the following:
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Specialist |
A specialist is a licensed and certified medical practitioner who has been trained in the specific area of medicine relevant to the covered critical illness condition for which benefit is being claimed. Specialists include, but are not limited to, cardiologists, neurologists, nephrologists, oncologists, ophthalmologists, burn specialists and internists. The specialist must not be the Group Policyholder, the insured, or a relative or business associate of the Group Policyholder or the insured. |
Spouse |
The person to whom you are legally married, or the person of the same or opposite sex with whom you have been living in a common-law relationship for at least 12 months. Also note:
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Totally disabled/total disability |
Under LTD coverage, totally disabled means: During the qualifying period and the following 24 months of disability, illness or injury must render you physically or mentally incapable of performing the essential duties of your normal occupation. If during this period another occupation becomes available for which you are qualified, and you are mentally and physically able to perform the essential duties of this job, you must accept it. Otherwise, benefits will end. After the qualifying period and the following 24 months of disability, illness or injury must render you physically or mentally incapable of being gainfully employed for:
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Usual cost |
The usual cost of covered services and supplies that are medically necessary to treat an illness, injury or pregnancy. The plan will only cover:
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