SD75 – 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: 20075

Annual deductible

N/A

Dental fee guide

PBC Schedule 2

Specialist fee guide

Fee Guide +10%

Termination Age

The earlier of:
– the last day of the month in which the Member reaches age 70;
– if employment terminates prior to age 70 or if the Member retires between September 1st and May 1st, coverage terminates at the end of the month following the month of termination;
– if employment terminates or a Member retires in the month of June, or if the Member attains age 70 between September 1st and June 30th, coverage terminates on September 30th.

Survivor extension

Yes, to a maximum of 24 months

Basic Services

Reimbursement

100%

Maximum

N/A

Adult check-up

2 per calendar year.

Child check-up

2 per calendar year.

Endodontic/Periodontic Services

Reimbursement

100%

Maximum

N/A

Major Restorative Services

Reimbursement

60%

Maximum

N/A

Orthodontic Services

Reimbursement

75%

Maximum

$5,000/Lifetime

Age limit

Covers adults and children

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