SD37 – Teachers on Call

EXTENDED HEALTH CARE

Insurer: N/A

Policy Number: N/A

Reimbursement

N/A

Annual deductible

N/A

Lifetime maximum

N/A

Termination Age

N/A

Medical referral travel benefit

N/A

Survivor extension

N/A

Prescription Drugs

Drug formulary

N/A

Pay-direct drug card

N/A

Per prescription deductible

N/A

Sexual dysfunction

N/A

Oral Contraceptives

N/A

Fertility

N/A

Smoking cessation

N/A

Medical Services & Supplies

Medi-assist

N/A

Emergency out-of-province reimbursement

N/A

Emergency out-of-province maximum

N/A

Hospital

N/A

Private duty nursing (including in-home)

N/A

Hearing aids

N/A

Other services and supplies (subject to reasonable and customary limits as defined by insurer)

N/A

Othopedic shoes

N/A

Orthotics

N/A

Vision Care

Maximum

N/A

Eye exams

N/A

Prescription sunglasses

N/A

Paramedical Services

Massage therapist

N/A

Physiotherapy

N/A

Chiropractor

N/A

Psychology

N/A

Naturopath

N/A

Podiatry

N/A

Acupuncture

N/A

Speech therapy

N/A

Osteopath

N/A

Christian Science

N/A

DENTAL CARE

Insurer: Pacific Blue Cross

Policy Number: 20037

Annual deductible

N/A

Dental fee guide

PBC Schedule 3

Specialist fee guide

Fee Guide +10%

Termination Age

The last day of the month following the month in which you terminate, retire, or are no longer eligible for coverage. Coverage will continue until October 1 in the event you retire between June 30 and August 31.

Survivor extension

For Dental work already in progress, within 90 days following the employees death an eligible dependent of the deceased employee may have dental work completed that commenced as part of a series of planned dental treatment(s) while the employee was living.

Basic Services

Reimbursement

100%

Maximum

$1,500 maximum per calendar year combined with Endodontics/Periodontics and Major Restorative Services

Adult check-up

2 per Calendar year

Child check-up

Once every 6 months

Endodontic/Periodontic Services

Reimbursement

100%

Maximum

$1,500 maximum per calendar year combined with Basic and Major Restorative Services

Major Restorative Services

Reimbursement

60%

Maximum

$1,500 maximum per calendar year combined with Basic and Major Restorative Services

Orthodontic Services

Reimbursement

75%

Maximum

$5,000/Lifetime

Age limit

Covers adults and children

GROUP LIFE

Insurer: Pacific Blue Cross

Policy Number: 79520

Schedule

Flat $25,000

Maximum

$25,000

Termination age

The last day of the month following the month in which you terminate, retire, or are no longer eligible for coverage. Coverage will continue until October 1 in the event you retire between June 30 and August 31.

Age reduction

N/A

Waiver of premium definition

Matches LTD

Optional life

Available

GROUP ACCIDENT

Insurer: N/A

Policy Number: N/A

Principal sum

N/A

Maximum

N/A

Optional Accident

N/A