SD52 – Senior Management

EXTENDED HEALTH CARE

Insurer: Pacific Blue Cross

Policy Number: 20052

Reimbursement

Flex Choice 1: 20%
Flex Choice 2: 80% to the first $2,000 paid out, 100% thereafter
Flex Choice 3: 100%

Annual deductible

Flex Choice 1: $100 per person or $100 per family per calendar year
Flex Choice 2: $100 per person or $100 per family per calendar year
Flex Choice 3: No deductible

Lifetime maximum

Flex Choice 1: Unlimited
Flex Choice 2: Unlimited
Flex Choice 3: Unlimited

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 maximum of 4 months

Prescription Drugs

Drug formulary

Blue Rx

Pay-direct drug card

Flex Choice 1: Yes
Flex Choice 2: Yes
Flex Choice 3: Yes

Per prescription deductible

$0

Sexual dysfunction

Covered

Oral Contraceptives

Covered

Fertility

Not covered

Smoking cessation

Not covered

Medical Services & Supplies

Medi-assist

Included

Emergency out-of-province reimbursement

100%

Emergency out-of-province maximum

N/A

Hospital

Private or Semi-Private
Flex Choice 1: 100%
Flex Choice 2: 100%
Flex Choice 3: 100%

Private duty nursing (including in-home)

Covered; acute cases as ordered by physician

Hearing aids

$3,500 every 48 months

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

Covered

Orthopedic shoes

$500 per calendar year (adults and children)

Orthotics

$500 per calendar year (adults and children)

Vision Care

Maximum

Flex Choice 1: No vision coverage
Flex Choice 2: $200 every 2 calendar years
Flex Choice 3: $475 every 2 calendar years

Eye exams

Flex Choice 1: No vision coverage
Flex Choice 2: one exam per two calendar years – separate from vision care maximum
Flex Choice 3: one exam per two calendar years – separate from vision care maximum

Prescription sunglasses

Flex Choice 1: No coverage
Flex Choice 2 and Choice 3: Covered

Paramedical Services

Massage therapist

Flex Choice 1: $300 per calendar year
Flex Choice 2: $300 per calendar year
Flex Choice 3: $600 per calendar year

Physiotherapy

Flex Choice 1: $300 per calendar year
Flex Choice 2: $300 per calendar year
Flex Choice 3: $600 per calendar year

Chiropractor

Flex Choice 1: $300 per calendar year
Flex Choice 2: $300 per calendar year
Flex Choice 3: $600 per calendar year

Psychology

Flex Choice 1: $1500 per calendar year
Flex Choice 2: $1500 per calendar year
Flex Choice 3: $1500 per calendar year

Naturopath

Flex Choice 1: $300 per calendar year
Flex Choice 2: $300 per calendar year
Flex Choice 3: $600 per calendar year

Podiatry

Flex Choice 1: $300 per calendar year
Flex Choice 2: $300 per calendar year
Flex Choice 3: $600 per calendar year

Acupuncture

Flex Choice 1: $300 per calendar year
Flex Choice 2: $300 per calendar year
Flex Choice 3: $600 per calendar year

Speech therapy

Flex Choice 1: $1500 per calendar year
Flex Choice 2: $1500 per calendar year
Flex Choice 3: $1500 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

On the earlier of the last day of the month in which the Member’s employment terminates or changes so that the Member ceases to be eligible for coverage under the benefit, or the last day of the month in which the Member retires.

Survivor extension

Yes, to the last day of the month in which the Member died.

Basic Services

Reimbursement

100%

Maximum

N/A

Adult check-up

2 per year

Child check-up

2 per year

Endodontic/Periodontic Services

Reimbursement

100%

Maximum

N/A

Major Restorative Services

Reimbursement

60%

Maximum

No maximum. Only 1 major restorative service involving the same tooth will be covered in a 5 year period.

Orthodontic Services

Reimbursement

75%

Maximum

N/A

Age limit

Covers adults and children

GROUP LIFE

Insurer: Pacific Blue Cross

Policy Number: 79520

Schedule

3 x annual earnings

Maximum

N/A

Termination age

Retirement.

Age reduction

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

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