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Ontario Standard Accident Benefits Options Explained
Medical, Rehabilitation, and Attendant Care Coverage Options
On June 1st, 2016 reforms to the Ontario Automobile Policy were introduced.
You should consider updating your Ontario auto insurance policy if you fall under the following categories:
- You are the principal caregiver in your household and are responsible for the care of young children, elderly parents or disabled family members
- Your annual income is over $30,000
- You are a snowbird
- You are a housekeeper or do home maintenance
- You require physiotherapy or frequent massage treatments for a pre-existing injury
- You have no additional form of coverage other than your auto insurance policy
Changes to the Medical, Rehabilitation, and Attendant Care Benefit were also introduced. As of June 1, 2016 if you have been injured in a car accident and suffer catastrophic injuries such as loss of a limb or become a para/quadriplegic, your standard Accident Benefits Coverage would provide $1,000,000 for medical, rehabilitation, and attendant care expenses. For non-catastrophic injuries such as broken bones and strains, a maximum limit of $65,000 would apply.
In order to help stabilize rates and provide consumers with more options, these Standard Accident Benefits were reduced, which could have an adverse effect on the consumer in the long run.
In order to have a more comprehensive coverage for bodily injury and greater peace of mind in the event of a car accident, you can increase your Accident Benefit Coverage and customize it to better suit your situation and insurance needs in alignment with your income.
Standard Accident Benefits Coverage OptionsThe table below summarizes the options available to you for Standard Accident Benefits coverage before and after June 1st, 2016. Remember if you have any questions or concerns, we are here to answer and alleviate them at 1 (855) 482-5001.
|Accident Benefits Coverage||Prior To June 2016||As of June 2016||Options|
|Medical Rehabilitation and Attendant Care Benefit1||Medical and Rehabilitation:|
Reimbursement for a reasonable, necessary medical and rehabilitation expenses like physiotherapy not covered by OHIP or group insurance plans.
Attendant Care: Reimbursement for an attendant to look after you either at home or within a health care facility.
Non-Catastrophic Injuries: Minor injuries (sprains, whiplash) + Serious Injuries (broken bones).
Catastrophic Injuries: Loss of a limb, para/quadriplegic.
|$50,000 for Medical and Rehabilitation (for Non-Catastrophic Injuries)|
$36,000 for Attendant Care (for Non-Catastophic Injuries)
$1,000,000 for Medical and Rehabilitation (for Catastrophic Injuries)
$1,000,000 for Attendant Care (for Catastrophic Injuries)
|$65,000 total for Medical, Rehabilitation and Attendant Care (for Non-Catastrophic Injuries)|
$1,000,000 total for Medical, Rehabilitation and Attendant Care (for Catastrophic Injuries)
|Increase Non-Catastrophic benefit to $130,000 total|
Add an additional $1,000,0000 for a total of $2,000,000 for Catastrophic Injuries
Increase combined all injury benefit to $1,000,000 and combined Catastrophic benefit total to $2,000,0002
|Caregiver Benefit||Reimbursement to hire someone to care for your dependents.||Up to $200/week for first dependent, $50/week for additional dependents (Catastrophic Injuries only)||No Change||Extend benefit to cover all injuries|
(not just Catastrophic)
|Housekeeping and Home Maintenance Expenses||Reimbursement for someone to carry out your household responsibilities.||Up to $100/week (Catastrophic Injuries only)||No Change||Extend benefit to cover all injuries (not just Catastrophic)|
|Income Replacement Benefit||A weekly up to $400; begins one week after the accident occurs.||70% of gross income up to $400/week||No Change||Increase to $600, $800 or $1,000/week|
|WHAT INCOME REPLACEMENT BENEFIT (IRB) IS BEST FOR YOU?||IS YOUR INCOME CLOSE TO OR GREATER THAN||$30,000/year?|
|CONSIDER AN IRB AT THIS LEVEL||$600/week|
|Dependant Care Benefit||Reimbursement for additional expenses to care for your dependants if you're employed and injured from a car accident||Not Provided||No Change||Purchase up to $75/week for first dependant and $25/week for additional dependants (max $150.00/week)|
|Death and Funeral Benefit||A lump sum payout to your spouse and dependant(s);|
a second lump sum payout to cover the cost of funeral expenses.
|$25,000 to spouse;|
$10,000 to each dependant
Up to $6,000 for Funeral
|No Change||Increase to $50,000 for spouse; $20,000 for each dependant|
Increase to $8,000 for funeral
|Indexation Benefit||Adjustment of Benefits to account for changes in inflation.||Not Provided||No Change||Adjust annually according to the Consumer Price Index of Canada|
|Tort Deductible||The amount deducted for court awarded compensation for pain and suffering.||$36,905.40 deductible (Jan 1 - Dec 31, 2016)||No Change||Reduce deductible by $10,000 regardless of annual indexation|
- Making a Claim
For immediate assistance during normal operating hours call 1 (877) 482 - 5001 to speak to your broker. For emergencies…
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