Supplemental Health
Ambulance
Your plan covers of 80% of reasonable and customary charges for a licensed ambulance or emergency service that transports the patient 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.
Practitioners
Student benefits are payable after any Provincial Health Care benefits have been exhausted. This plan does not cover user fees. Student specific rates are available for some of the indicated services, information can be found in Select Savings.
The services of the following practitioners are covered at 80% for $20 per visit to a maximum of $300 per practitioner, per benefit year.
• physiotherapist*
• registered massage therapist*
• speech therapist*
• psychologist or social worker*
• chiropractor, including 1 x-ray examination per benefit year
• osteopath, including 1 x-ray examination per benefit year
• naturopath
*physician’s prescription/referral required for indicated services
Medical Equipment & Supplies
It is recommended that an application for pre-approval be submitted to the insurer for any item that would be claimed under the Medical Services & Supplies benefit.
Medical Equipment
Your plan covers 80%, based on reasonable and customary charges for eligible equipment when prescribed by a physician. Eligible durable equipment includes, but is not limited to, items such as:
• wheel chairs (repairs to a lifetime maximum of $250)
• walkers
• hospital beds
• braces, crutches, splints & trusses
• artificial limbs & eyes
• other approved prosthetic devices
Orthopaedics
Your plan covers 80% to a maximum of $150 per benefit year for custom-made orthopaedic shoes, repairs and modifications when required for the correction of deformity of the bones and muscles and provided they are not solely for athletic use and are prescribed by a physician, podiatrist, chiropodist, or chiropractor.
Trusses, Crutches, Splints, and Braces
Your plan covers 80% of reasonable and customary charges for braces, provided they are not solely for athletic use. It is recommended that an application for pre-approval be submitted to the insurer.
Prosthesis
Your plan covers 80% of reasonable and customary charges for artificial limbs or other prosthetic appliances. It is recommended that an application for pre-approval be submitted to the insurer.
Dental Accident
IMPORTANT! Dental Accident Pre-determination: An estimate for all dental accident services MUST be submitted to the health plan insurer. If you go ahead with treatment without a pre-determination being approved, you are doing so at the risk of the expenses being yours.
The plan covers 80%, to a maximum of $1,000 per occurrence for the cost of the services of a dental surgeon, including dental prosthesis, required for the treatment of a fractured jaw or accidental injuries to natural teeth or jaw if caused by external, violent and accidental means. Provided the services are performed within 12 months of the accident but excluding services required in conjunction with such injuries due to a condition that existed before the accident. Implants and treatment related to implants are not covered. If a dental accident occurs, the health plan’s dental accident provision will pay benefits before the dental plan.
In the event of a dental accident, you must complete a Standard Dental Association claim form. When making a claim, be sure to attach all original receipts to the claim form. The claim form can be mailed directly to the insurance company, or dropped off at the Benefits Plan Office.
Select Health Savings
To enhance your existing coverage, select providers have agreed to help students by providing savings on certain plan eligible services. You must present your myBenefits Card at each visit. For further information on participating providers check out the Select Savings tab.