Health Coverage
Your extended health coverage runs for as long as you remain an enrolled and eligible student at Southeast Collage. For more information about enrollment and eligibility, please visit the Plan Enrollment section.
Plan Leaflet
Get a summary of eligible expenses and maximum reimbursements of your Health and Dental Plan.
Plan Card
Your Plan Card allows you direct billing with pharmacies and dental offices.
Select Savings
Get a student discount and save money on certain eligible services by visiting one of our members.
The following is the coverage for your Health Plan:
| Health Benefits |
Coverage |
| Prescription Drugs |
80% |
Maximum of $3.000 per benefit year. The maximum amount payable to an eligible brand name drug will be limited to the lowest priced item in the appropriate generic category.
Smoking Cessation products legally requiring a prescription to a maximum of $500 per benefit year.
Vaccinations are covered 100% to a maximum of $150 per benefit year. Administration costs associated with providing the injection are not covered.
Advise your doctor and pharmacist that you are on the Saskatchewan Provincial Formulary.
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 |
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- $50 for one eye examination every 24 months from the initial date of service.The exam must be by an ophthalmologist or optometrist.
- $100 for standard eye glass lenses and frames (single vision or bifocal as required) every 24 months from the initial date of service.
- $150 for laser eye surgery performed by an opthalmologist per benefit year.
- $200 for one pair of eyeglasses following cataract surgery per surgery.
The vision coverage is based on reasonable and customary charges.
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| Paramedical Practitioners |
$40 |
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 to a maximum of $400 and is limited to $40 per visit based on reasonable and customary charges, per practitioner, per benefit year.
Practitioners must be registered and licensed in their field of practice.
Practitioners:
- Athletic therapist
- Chiropractor, including 1 x-ray examination per benefit year
- Licensed dietician*
- Naturopath
- Osteopath, including 1 x-ray examination per benefit year
- Physiotherapist
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- Podiatrist or Chiropodist, including one x-ray exam per benefit year
- Psychologist or social worker
- Registered massage therapist*
- Speech therapist
*physician's prescription/referral required for indicated services.
|
| Hospital |
100% |
Your plan covers 100% of the cost of an upgrade from a public ward to a semi-private room in the province of Saskatchewan.
Other hospital charges incurred during a person's hospital stay are covered to a maximum of $25 per day, for a maximum of 30 days per period of hospitalization.
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| Private Duty Nursing |
100% |
Your plans covers 100% to a maximum of $25,000 every 3 consecutive benefit years for the services of a Private Duty Nurse, when certified in writing as medically necessary by the attending physician.
To establish the amount of coverage available prior to initiating home care, the student required a physician's prescription and submit a pre-autorization to Canada Life.
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| Medical Equipment & Supplies |
100% |
The plan covers reasonable and customary charges for eligible equipment when prescribed by a physician, podiatrist, chiropodist, or chiropractor.
Prescription and pre-authorization is required. Not solely for athletic use.
Eligible durable equipment includes, but is not limited to, items such as:
- Wheel chairs
- Walkers
- Hospital beds
- Iron lung
- Respirator
- Braces, crutches, splints & trusses
- Artificial limbs & eyes
- Orthopaedics - when they are required for the correction of deformity of the bones and muscles.
- Maximum of $500 per benefit year for custom-made orthopaedic shoes
- Maximum of $350 per benefit year for custom-made orthotics shoes
Modifications, repairs and adjustments to custom-made orthopaedic shoes and/or orthotics are covered.
- Prosthesis: The plan covers reasonable and customary charges for artificial limbs or other prosthetic appliances.
Prescription and pre-authorization is required. Not solely for athletic use.
If you cannot find the medical equipment or supply that you are looking for in the list, please call directly to Canada Life at XXXX to know if your plan covers it.
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| Ambulance |
100% |
Your plan covers of 100% 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.
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| Diagnostic Services |
100% |
Your plan covers, based on reasonable and customary charges for diagnostic laboratory and x-ray procedures, including radiotherapy and coagulotherapy, performed in the student's province of residence are covered when coverage is not available under a government provincial plan.
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| Emergency Travel Assistance - Emergency Out of Province Medical and Accidental Death and Dismemberment Coverage |
100% |
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 9429077
You are eligible for this travel coverage when you are:
- an active member of the health plan,
- under the age of seventy (70), and
- are covered under a hospitalization and medical plan of a Canadian province or territory or equivalent.
Spouse and Dependent Children of a person eligible for this coverage who are, under the age of seventy and covered under a hospitalization and medical plan of a Canadian province or territory or equivalent, are eligible if the additional family health coverage was purchases for the current benefit period.
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| Other Insurance |
- |
The student plan also offers the following complementary 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 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 Plan 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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Limitations and Exclusions to Health Benefits
An exclusion is a condition or instance that is not covered by the Health Plan. it's important to review and understand exclusions to the plan before using your benefits.
No benefit is payable for:
- Expenses for which benefits are payable under a Workers' Compensation Act or a similar statute;
- Expenses incurred due to intentionally self-inflicted injuries;
- Out-of-province expenses for elective (non-emergency) medical treatment or surgery;
- Expenses for services and products, rendered or prescribed by a person who ordinarily resides in the patient's home or who is related to the patient by blood or marriage;
- Expenses for which benefits are payable under a government plan;
- Expenses for benefits which are legally prohibited by the government from coverage;
- Any services or supplies received by an insured person in their home country if their home country is not Canada;
- Expenses for drugs which, in the insurer's opinion, are experimental;
- Expenses for dietary supplements, vitamins and infant foods;
- Expenses for contraceptives (other than oral);
- Drugs for the treatment of erectile dysfunction;
- Expenses for drugs if they are used for the treatment of infertility;
- Expenses for the services of a homemaker;
- Expenses for items purchased solely for athletic use;
- Dental expenses, except those specifically provided under eligible expenses for treatment of accidental injuries to natural teeth;
- Utilization fees which are imposed by the Provincial Health Care Plan for the use of a service;
- Expenses for the regular treatment of an injury or disease which existed before the member's or dependant's departure from his/her province of residence;
- Expenses incurred due to civil disorder or war, whether or not war was declared;
- Immunizations and vaccines (except Hepatitis B and Gardasil Vaccine); or
- Any other exclusion identified in the policy contract.
Dental Coverage
Your dental coverage runs for as long as you remain an enrolled and eligible student at Southeast Collage. For more information about enrollment and eligibility, please visit the Plan Enrollment section.
Plan Leaflet
Get a summary of eligible expenses and maximum reimbursements of your Health and Dental Plan.
Plan Card
Your Plan Card allows you direct billing with pharmacies and dental offices.
Select Savings
Get a student discount and save money on certain eligible services by visiting one of our members.
The following is the coverage for your Dental Plan:
The Dental Plan covers up a maximum of $750 per benefit year. Please submit an estimate/pre-autorization prior to any dental treatment plan exceeding $500.
| Dental Benefits |
Coverage |
| Preventative Services |
80% |
- 1 recall examination per benefit year.
- Initial or complete examination, once every 36 months.
- Complete series of x-rays and periapical
Maximum 16 films including bitewings in any period of 36 months. Not eligible for dependants under 12.
- Bitewings
Maximum 4 films per benefit year.
- Panoramic
1 in any period of 36 months.
- Scaling
4 units per benefit year.
- Polishing
1 unit per benefit year.
- Oral hygiene instruction
1 treatment per lifetime.
- Fluoride
Under 19 years of age, once per benefit year.
- Pit and fissure sealants
Under 19 years of age, 1 per molar in any period of 36 months.
- Space maintainers and maintenance
Under 15 years of age, 1 per space per benefit year.
- removal of impacted teeth
- Anaesthesia
Eligible when done in conjunction with a covered dental procedure.
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| Basis Services |
70% |
amalgam, composite, acrylic or equivalent fillings
You are only covered for composite filling in front teeth and pre-molars.
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| Other Basis Services |
60% |
- Extractions and Anaesthesia
Eligible when done in conjunction with oral surgical procedures. Except removal of impacted teeth which is covered under Preventative Services.
- Root canal therapy
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Payment of dental benefits is based on the General Practitioners Dental Association suggested fee guide or the Insurance Reimbursement Rate set by the Canadian Life and Health Insurance Association Inc. (CLHIA) when a fee guide is not available. For services provided by a dental specialist, payment is based upon the General Practitioners Dental Association suggested fee guide.
Alternate Benefit - When there are two or more courses of treatment available to adequately correct a dental condition, reimbursement may be based on the cost of the least expensive treatment, which provides adequate care to the Insured.
Limitations and Exclusions to Dental Benefits
An exclusion is a condition or instance that is not covered by the Dental Plan. It's important to review and understand exclusions to the plan before using your benefits.
No benefit is payable for:
- Any cause for which the insured may apply for and receive protection, exemption or compensation under any Workers' Compensation Act;
- Self-inflicted injuries while sane or insane;
- Services or supplies received outside of Canada;
- Committing or attempting to commit a criminal offence or provoking an assault;
- Any group or policyholder sponsored dental care or treatment;
- Any dental care, treatment or supplies primarily for cosmetic purposes;
- Failing to keep scheduled appointments;
- File transfers, the completion of claim forms or other documentation;
- Any dental treatment for the correction of temporomandibular joint dysfunction;
- Expenses for treatment of root canal therapy, inlays, onlays, crowns, veneers, and bridges started prior to becoming an insured member/dependant under this plan;
- Replacement of mislaid, lost or stolen appliances;
- Expenses for crowns placed on a tooth not functionally impaired by incisal angle or cuspal damage;
- Any charges incurred for other than metal only crowns or pontics, posterior to the second bicuspid tooth;
- Expenses for full mouth reconstructions for vertical dimension correction or to repair or restore teeth damaged or worn due to attrition or vertical wear or to restore occlusion;
- Any services or supplies for implantology, including tooth implantation and surgical insertion of fabricated implants;
- Any dental procedure which is not listed in the descriptions of dental benefits indicated herein;
- Charges that are in excess of the fees stated in the Dental Association General Dentist Fee Guide applicable to this benefit;
- Where coverage for services is provided under any government plan;
- War, insurrection or hostilities of any kind, whether or not the insured was a participant in such actions;
- Participation in any riot or civil commotion;
- Where services would be provided without charge in the absence of this policy; or
- Any other exclusions identified in the policy contract.