Benefits.

Extended Health Care

The University plan covers 100% of the reasonable and customary costs of services and supplies not covered under the Provincial Health insurance including:

Prescription drugs

• 100% limited to the cost of the lowest-priced generic drug, unless otherwise specified by your physician

Vision Care

• $350 per adult every 24 months for prescription eyeglasses, contact lenses, or vision correction surgery, and every 12 months for dependents under 12;
• 100% of cost for eye examination every 24 months;
• $200 lifetime maximum for non-surgical treatment of keratoconus + eyeglasses/contacts necessary as a result of surgical procedure or treatment of keratoconus

Dental Care

Based on prior year’s dental association fee guide in the province where the expense is incurred

• 100% of costs for preventive dental services (e.g., routine examinations, X-rays, basic dental procedures) up to $2,500 per person, per calendar year
• 67% of costs for restorative services (e.g., crowns, bridgework, dentures) up to $2,500 per person, per calendar year
• 67% of costs for orthodontic services up to $2,500 per person, per lifetime (Orthodontics are not covered under the retiree Dental Plan)

Paramedical Services

• Psychological Services including psychologists, and counselling services provided by counsellors with a Master of Social Work, psychotherapists, psychoanalysts, marriage and family therapists, occupational therapists, or clinical counsellors provided they are licensed and registered by a recognized provincial governing body as defined by the benefits provider; up to $2,000 per calendar year
• Physiotherapist - 100% with physician's prescription, referral or letterAcupuncturist - $300 per year;

Services of the following licensed, registered paramedical practitioners, as long as no portion of the service is covered under Provincial Health Insurance, to a combined calendar maximum of $2,500 per calendar year; subject to a per visit maximum of the lesser of i) Insurer’s Reasonable and Customary per visit maximum, or ii) $75.

• Chiropractors, osteopaths and naturopaths, For expenses to be covered, the osteopath must be a Doctor of Osteopathy, a physician with additional qualifications in osteopathy. An osteopath with only a Diploma in Osteopathic Manual Practice (DOMP) is not covered.
• Podiatrists or chiropodists, 
• Acupuncturists,
• Massage therapists,
• Speech language pathologists, This benefit is not payable ifthe service is available for you or your family through a program offered by the Ministry of Health or other organization with government funding. Contact Sun Life in advance of incurring an expense, to determine if coverage is available (physician’s prescription, referral or letter required).

Equipment and Other Medical Items

• Orthotics - one pair every 24 months;
• Orthopaedic shoes - 100% of reasonable and customary cost of one pair per adult (16+years) per year, and limited to  total charges less the average cost of shoes up to $75 per person under 16 years per year;
• Hearing aids - $300 per person in any 5-year period (excluding cost of batteries);
• Trusses, crutches or braces - 100% of cost
• Blood glucose monitors - $150 per person per 5-year period
• Elastic support stockings (physician or podiatrist prescribed) - 2 pairs up to $250 per year.

For more equipment and medical items covered see the Group Benefits Booklet.
For access to health and dental claims forms follow this link to Human Resources - Benefits