Prescription Drugs |
80% Coverage. Maximum of $3,000 per benefit year |
90% Coverage. Maximum of $3,000 per benefit year |
70% Coverage. Maximum of $3,000 per benefit year |
70% Coverage. Maximum of $3,000 per benefit year |
Coverage for your medicines is dependent on your plan option and covers the cost of most medications legally requiring a prescription. The maximum amount payable to an eligible brand name drug will be limited to the lowest priced item in the appropriate generic category.
Your drug plan includes coverage Smoking Cessation Products that legally require a prescription. Reimbursed at 80% to a lifetime maximum of $500.
Your drug plan covers HPV vaccines (including Gardasil).
Advise your doctor and pharmacist that you are on the National Formulary - NASA.
Drug Exception Process
In the event that the drugs covered are not effective in treating your condition, or a drug that is effective is not covered, an exception process is in place. Download and complete the Drug Exception Form.
Prescription Search Tool
Please use our Prescription Drug Search Tool to find out if your medication is covered by the plan.
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Vision Care |
$60 for one eye examination. The exam must be by an ophthalmologist or optometrist. |
$100 for eyeglasses or contact lenses. |
No coverage |
$150 for eyeglasses or contact lenses. |
No coverage |
The vision coverage is every 24 months from the initial date of service based on reasonable and customary charges.
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Paramedical Practitioners |
80% Coverage. Maximum of $400 per benefit year. |
80% Coverage. Maximum of $500 per benefit year. |
80% Coverage. Maximum of $600 per benefit year. |
80% Coverage. Maximum of $400 per benefit year. |
Student benefits are payable after any Provincial Health Care benefits have been exhausted. This plan does not cover user fees.
The services of the following practitioners are covered based on reasonable and customary charges, per practitioner, per benefit year.
Practitioners must be registered and licensed in their field of practice.
Practitioners:
- Acupuncture
- Chiropractor, including 1 x-ray examination per benefit year
- Naturopath
- Osteopath, including 1 x-ray examination per benefit year
- Podiatrist/Chiropodist, including 1 x-ray examination per benefit year
- Physiotherapist or Athletic Therapist
- Registered Massage Therapist
- Speech Language Pathologist*
*physician's prescription/referral required for indicated services.
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Psychologist or Social Worker |
80% Coverage. Maximum of $600 per benefit year |
Medical Equipment & Supplies |
The plan covers 80% of reasonable and customary charges for eligible equipment when prescribed by a physician, podiatrist, chiropodist, or chiropractor.
Prescription and pre-authorization may be required. Not solely for athletic use.
Eligible durable equipment includes, but is not limited to, items such as:
- Wheelchairs and wheelchair repairs (lifetime maximum of $250)
- Walkers
- Hospital beds
- Traction kits
- Trusses, Crutches, Splints, and Braces
- Diabetic Supplies: Maximum of $150 during a 5-year period for blood glucose monitors
- Hearing Aids: maximum of $500 during a 5-year period for hearing aids and repairs, excluding batteries.
- Orthopaedics: Maximum of $150 per benefit year for custom-made orthopaedic shoes when they are required for the correction of deformity of the bones and muscles. Modifications, repairs and adjustments to custom-made orthopaedic shoes are covered without a prescription.
- Prosthesis: The plan covers reasonable and customary charges for artificial limbs or other prosthetic appliances.
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Ambulance |
80% Coverage. Maximum of $250 per occurrence. This coverage is applied after the provincial deduction.
The plan covers a licensed ground ambulance or emergency air service that transports the patient (student) to the nearest hospital equipped to provide the required treatment when the physical condition of the patient prevents the use of another means of transportation.
If the patient requires the services of a registered nurse during the flight, the services and return airfare for a registered nurse are covered.
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Emergency Travel Assistance - Emergency Out of Province Medical and Accidental Death and Dismemberment Coverage |
Provides coverage of up to a maximum of $5 million per insured person per coverage period for certain expenses incurred as a result of an emergency while travelling on trips that originated from your Canadian province or territory of residence. It is important to remind you that this coverage is not available in the province where you attend the school or in your country of origin. Your coverage period is 180 days per trip. Coverage is subject to the terms and conditions provided in the Benefits Booklet.
This insurance product is underwritten by AIG Insurance Company of Canada. If you are travelling, download the Travel Medical Assistance Card.
Policy Number: SRG 9429054
Classes of Eligible Persons:
A Class of Eligible Participants who are individuals:
- who are covered by a Government Health Insurance Plan (GHIP) of a Canadian province or territory or equivalent;
- who are under the age of seventy (70);
- who are members of one (1) of the following classes of Participants:
- Class I: Domestic Undergraduate Students; and
- Class II: Foreign Undergraduate Students
Spouse and Dependent Children of a person within a Class of Eligible Participants who are covered by a Government Health Insurance Plan (GHIP) of a Canadian province or territory or equivalent, are eligible if additional family health coverage was purchased for the current benefit period.
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Other Insurance |
The student plan also offers the following complimentary insurances:
These insurances are only applicable to the student. Family members added to the plan are not eligible.
Your plan provides coverage for the loss of life or limb and for paralysis caused by an accident. The amount of your life benefit is $5,000. Please contact the health and dental plan office for a complete schedule of losses.
Your plan provides coverage for a Critical Illness benefit of up to $5,000 which is paid upon diagnosis of a covered illness or injury and survival after 30 days, 365 days for paralysis and a 90-day waiting period for Cancer applies. This benefit is limited to students who are under age 65. For further details on this benefit, download your Critical Illness Brochure. The forms necessary for submitting a Critical Illness claim are available from the Benefits Plan Office.
Your plan provides coverage for Tuition Insurance and covers a student who has left school and medically cannot continue studies, as a result of death or severe and prolonged disability. The student must be enrolled in the Health Plan and must be under the continuous care of an appropriate specialist for a period of at least 60 days prior to applying for this benefit. The student will receive a benefit up to a lifetime maximum of $10,000 in accordance with any tuition, and ancillary fees paid by said student to cover:
- Tuition for courses the student was unable to complete.
- Mandatory, non-negotiable/non-refundable fees, which will be amortized to the point of disability.
- Book allowance of up to $1,000 (receipts required).
Please contact the Student Benefits Office regarding Tuition Insurance Claims as it falls within a specific category of claims which involve specialized claim forms that will be supplied to you.
Your plan covers 80% up to $15/hour to a maximum of $2,000 per benefit year for private tutorial service if the student is confined to home or hospital for a minimum of 15 consecutive school days.
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