SD52 – Exempt Staff

EXTENDED HEALTH CARE

Insurer: Pacific Blue Cross

Policy Number: 20052

Reimbursement

Flex Choice 1 and 2: 80% until $1,000 paid per person, then 100%;
Flex Choice 3: 100%

Annual deductible

Flex Choice 1: $50 per person or $75 per family per calendar year;
Flex Choice 2: $25 per person or family per calendar year;
Flex Choice 3: No deductible

Lifetime maximum

Flex Choice 1 & 2: $100,000;
Flex Choice 3: Unlimited, subject to the terms and conditions of the contract

Termination Age

Retirement

Medical referral travel benefit

Included;
Maximum for Meals: N/A
Maximum for Mileage: $0.20 per KM
Maximum for Accomodation: $30 per day for 3 days

Survivor extension

Yes, to a mximum of 4 months

Prescription Drugs

Drug formulary

Prescription Required

Pay-direct drug card

Flex Choice 1: No;
Flex Choice 2 & 3: Yes

Per prescription deductible

$0

Sexual dysfunction

Covered

Oral Contraceptives

Flex Choice 1 &2: No;
Flex Choice 3: Yes

Fertility

Not covered

Smoking cessation

Not covered

Medical Services & Supplies

Medi-assist

Included

Emergency out-of-province reimbursement

100%

Emergency out-of-province maximum

Flex Choice 1: 60 days;
Flex Choice 2 & 3 : No limit provided MSP coverage is maintained.

Hospital

Flex Choice 1: Not Covered;
Flex Choice 2 & 3: Private or Semi-Private

Private duty nursing (including in-home)

Eligible to a maximum of 720 hours per calendar year

Hearing aids

$3,500 every 48 months

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

Covered

Othopedic shoes

$400 per adult and $200 per child per calendar year when prescribed by a Physician, podiatrist or chiropractor as medically necessary.

Orthotics

Flex Choice 1: $100 per calendar year;
Flex Choice 2: $300 per calendar year;
Flex Choice 3: $500 per calendar year

Vision Care

Maximum

Flex Choice 1: No vision coverage
Flex Choice 2: $200 every 2 calendar years
Flex Choice 3: $400 every 2 calendar years plus $100 every two calendar years for eye exams for persons between the ages 19 and 64.

Eye exams

Flex Choice 3: $100 every two calendar years for eye exams for persons between the ages 19 and 64.

Prescription sunglasses

Included in maximum

Paramedical Services

Massage therapist

Flex Choice 1: $10 per visit maximum for the first 12 visits (under age 65) or 15 visits (age 65 and over) to a maximum of $200 per calendar year;
Flex Choice 2: $10 per visit maximum for the first 12 visits (under age 65) or 15 visits (age 65 and over) to a maximum of $250 per calendar year combined with Physiotherapy;
Flex Choice 3: $500 per calendar year

Physiotherapy

Flex Choice 1: $10 per visit maximum for the first 12 visits (under age 65) or 15 visits (age 65 and over) to a maximum of $200 per calendar year;
Flex Choice 2: $10 per visit maximum for the first 12 visits (under age 65) or 15 visits (age 65 and over) to a maximum of $250 per calendar year combined with Massage Therapy;
Flex Choice 3: $500 per calendar year

Chiropractor

Flex Choice 1: $10 per visit maximum for the first 12 visits (under age 65) or 15 visits (age 65 and over) to a maximum of $200 per calendar year;
Flex Choice 2: $10 per visit maximum for the first 12 visits (under age 65) or 15 visits (age 65 and over) to a maximum of $250 per calendar year combined with Massage Therapy;
Flex Choice 3: $500 per calendar year

Psychology

Flex Choice 1: $200 per calendar year;
Flex Choice 2: $100 per calendar year;
Flex Choice 3: $500 per calendar year

Naturopath

Flex Choice 1: $10 per visit maximum for the first 12 visits (under age 65) or 15 visits (age 65 and over) to a maximum of $200 per calendar year;
Flex Choice 2: $10 per visit maximum for the first 12 visits (under age 65) or 15 visits (age 65 and over) to a maximum of $250 per calendar year combined with Massage Therapy;
Flex Choice 3: $500 per calendar year

Podiatry

Flex Choice 1 & 2: $10 per visit maximum for the first 12 visits (under age 65) or 15 visits (age 65 and over) to a maximum of $200 per calendar year;
Flex Choice 3: $500 per calendar year

Acupuncture

Flex Choice 1: $200 per calendar year;
Flex Choice 2: $100 per calendar year;
Flex Choice 3: $500 per calendar year

Speech therapy

Flex Choice 1: $200 per calendar year;
Flex Choice 2: $100 per calendar year;
Flex Choice 3: $500 per calendar year

Osteopath

N/A

Christian Science

N/A

DENTAL CARE

Insurer: Pacific Blue Cross

Policy Number: 20052

Annual deductible

N/A

Dental fee guide

PBC Schedule 2

Specialist fee guide

Fee Guide +10%

Termination Age

Retirement

Survivor extension

Yes, to a maximum of 4 months

Basic Services

Reimbursement

Flex Choice 1: 80%;
Flex Choice 2 & 3: 100%

Maximum

Flex Choice 1: $2,000 combined with Major Services;
Flex Choice 2 & 3: Unlimited

Adult check-up

As indicated in the Fee schedule/Fee guide

Child check-up

As indicated in the Fee schedule/Fee guide

Endodontic/Periodontic Services

Reimbursement

Flex Choice 1: 80%;
Flex Choice 2 & 3: 100%

Maximum

Flex Choice 1: $2,000 combined with Major Services;
Flex Choice 2 & 3: Unlimited

Major Restorative Services

Reimbursement

Flex Choice 1: 50%;
Flex Choice 2: 60%; Flex Choice 3: 80%

Maximum

Flex Choice 1: $2,000 combined with Basic Services;
Flex Choice 2 & 3: Unlimited

Orthodontic Services

Reimbursement

Flex Choice 1: Not covered;
Flex Choice 2: 50%;
Flex Choice 3: 60%

Maximum

Flex Choice 1: not covered;
Flex Choice 2 & 3: Unlimited

Age limit

N/A

GROUP LIFE

Insurer: Pacific Blue Cross

Policy Number: 79520

Schedule

3 x annual earnings

Maximum

N/A

Termination age

October 1st following the end of the school year in which your 65th birthday occurs, coverage reduces to 1.5 times annual earnings

Age reduction

N/A

Waiver of premium definition

Matches LTD

Optional life

Available

GROUP ACCIDENT

Insurer: AIG Insurance Company of Canada

Policy Number: Basic – N/A | Optional – 9428793

Principal sum

N/A

Maximum

N/A

Optional Accident

Available