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Optional Benefit / Rider / Add-On

An optional benefit, also called a rider or add-on, is an additional feature that can be purchased to enhance your existing health, dental, life, or disability insurance plan. Optional benefits allow you to customize coverage by adding protection that suits your personal needs, rather than relying only on the base plan design.

Common examples include hospital cash benefits, travel medical coverage, accidental death and dismemberment (AD&D), vision care, or higher prescription drug limits. In life or disability insurance, riders might include return of premium, waiver of premium, or critical illness coverage. Each add-on has its own cost, eligibility rules, and maximums, and premiums are adjusted accordingly.

Optional benefits provide flexibility for individuals who want extra security or wish to tailor their plan to specific life stages, such as growing families, frequent travelers, or self-employed professionals.

Example:

If your base health plan does not include dental coverage, you can add a dental rider for an additional monthly premium.

What to Watch For:

Always review how each optional benefit integrates with your main policy. Riders may have separate waiting periods, exclusions, or renewal terms. Some can only be added at the time of application, while others can be added later with underwriting approval.

Related Terms

Individual Insurance

Individual insurance is a personal policy purchased directly from an insurance company to provide financial protection for a single person or family, rather than through an employer or group plan. It allows you to customize coverage according to your health needs, lifestyle, and budget. Common types of individual insurance include health, dental, life, critical illness, and disability coverage.

Extended Health Care Insurance

Extended health care insurance (EHC) is supplemental coverage that helps pay for medical expenses not covered by your provincial or territorial health plan. It protects you from out-of-pocket costs associated with services such as prescription drugs, vision care, medical equipment, hospital upgrades, emergency travel medical care, and paramedical services like physiotherapy or chiropractic treatments.

Travel Insurance

Travel insurance provides financial protection for unexpected events that occur while you are traveling outside your home province, territory, or country. It helps cover emergency medical expenses, trip cancellations, interruptions, delays, lost luggage, and other unforeseen travel-related incidents. The most important component of travel insurance is emergency medical coverage, which pays for hospital and physician costs, medical evacuations, and repatriation in case of serious illness or injury abroad

Effective Date

The effective date is the day your insurance coverage officially begins. From this date forward, you are eligible to receive benefits for covered health, dental, life, or disability expenses under the terms of your policy. The effective date is established once your application has been approved, all requirements are met, and the first premium payment has been received, unless otherwise specified in the policy.

Member

A member is an individual who is enrolled and covered under a group insurance plan, typically through their employer, association, or organization. The member is often referred to as the insured employee or plan participant and receives coverage for benefits such as health, dental, life, and disability insurance. The member may also extend coverage to eligible dependents, such as a spouse or children, under the same plan.

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