SD60 – Teachers on Call

EXTENDED HEALTH CARE

Insurer: Pacific Blue Cross

Policy Number: 20060

Reimbursement

N/A

Annual deductible

N/A

Lifetime maximum

N/A

Termination Age

N/A

Medical referral travel benefit

Included;
Maximum for Meals: N/A
Maximum for Mileage: $0.20 per KM
Maximum for Accomodation: $30 per day for 7 days

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: 20060

Annual deductible

N/A

Dental fee guide

PBC Schedule 2

Specialist fee guide

Fee Guide +10%

Termination Age

On the first day of the month coincident with or next following the date of termination of employment

Survivor extension

N/A

Basic Services

Reimbursement

100%

Maximum

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

100%

Maximum

Unlimited

Major Restorative Services

Reimbursement

60%

Maximum

Unlimited. Only 1 major restorative service involving the same tooth will be covered in a 5 year period.

Orthodontic Services

Reimbursement

75%

Maximum

$5,000/Lifetime

Age limit

Dependent children only.

GROUP LIFE

Insurer: N/A

Policy Number: N/A

Schedule

N/A

Maximum

N/A

Termination age

N/A

Age reduction

N/A

Waiver of premium definition

N/A

Optional life

N/A

GROUP ACCIDENT

Insurer: N/A

Policy Number: N/A

Principal sum

N/A

Maximum

N/A

Optional Accident

N/A

OPTIONAL CRITICAL ILLNESS

Insurer: SSQ

Policy Number: 1NS15

Principal sum

$10,000 minimum, in units of $5,000, to a maximum of $150,000. (Guaranteed Issue Amount: $50,000)

Maximum

$150,000 (Active Employees & Spouses); $3,000 (Dependent Children)