SD60 – Teachers

EXTENDED HEALTH CARE

Insurer: Pacific Blue Cross

Policy Number: 20060

Reimbursement

80% until $1,000 paid per person per calendar year, 100% thereafter

Annual deductible

$50

Lifetime maximum

N/A

Termination Age

Coverage will terminate on June 30th following the date the Member attains age 75, or earlier 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 7 days

Survivor extension

Yes, to a maximum of 24 months

Prescription Drugs

Drug formulary

Blue Rx

Pay-direct drug card

Yes

Per prescription deductible

$0

Sexual dysfunction

Covered

Oral Contraceptives

Covered

Fertility

$20,000 per lifetime

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

Private duty nursing (including in-home)

$20,000 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

$500 per calendar year

Orthotics

$500 per calendar year

Vision Care

Maximum

$550 every 24 months

Eye exams

1 every 24 months – separate from vision care maximum

Prescription sunglasses

Covered

Paramedical Services

Massage therapist

$900 per calendar year

Physiotherapy

$900 per calendar year

Chiropractor

$900 per calendar year

Psychology

$900 per calendar year

Naturopath

$900 per calendar year

Podiatry

$800 per calendar year

Acupuncture

$900 per calendar year

Speech therapy

$800 per calendar year

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

The first day of the month or immediately following the earlier of five years from the date of retirement or the attainment of age 66; or, August 31st following attainment of the normal retirement age, currently 65 but never to exceed age 70

Survivor extension

Yes, coverage will continue to the last day of the month in which the Member dies.

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

N/A

GROUP LIFE

Insurer: Pacific Blue Cross

Policy Number: 79520

Schedule

3 x annual earnings

Maximum

$400,000

Termination age

Earlier of age 70 or retirement

Age reduction

N/A

Waiver of premium definition

Matches LTD

Optional life

N/A

GROUP ACCIDENT

Insurer: AIG Insurance Company of Canada

Policy Number: Basic – 9428792 | Optional – 9428793

Principal sum

Matches Life Benefit

Maximum

$500,000

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)