Extended Health Care and Dental Benefits
Massage Therapist, Chiropractor, Acupuncturist, Physiotherapist, Chiropodist/ Podiatrist, Naturopath, Osteopath, Psychologist/Master of Social Work, Speech Language Pathologist and Speech Therapist
What are the paramedical practitioners, if Registered/Licensed
Out of Country (OOC) Brochure &/or pay direct drug card
What are two documents you should take when travelling
Your spouse/partner must submit personal claims through his or her group plan first
What are the process for Co-ordination of Benefits for spouse/partner
Medical information required to assess a request for a specific list of drugs
What is Prior Authorization
HCSA
What is Health Care Spending Account
1 per 24 months (adult), 1 per 12 months (child under 18)
What are eye exams
Where you will find Personal health Record, Health Library & self- assessments
What is Wellness Now
$5 per prescription
What is the prescription deductible
1 year
What is time frame that a pre-determination is valid for from date provided
Additional coverage available to employees
What is Optional Life
A statement provided to you with details about the Extended Health Care and/or Dental claim submitted
What is the Explanation of Benefits (EOB)
21 and 25
What are the Dependent Child ages
Claims for dependent children should be submitted first to the plan of the parent whose birthday falls earlier in the year
What is the process for Co-ordination of Benefits for dependent children
Where can you find the list of prior authorization drugs
What is Benefits Now for Plan Member, under the forms, listed by drug
In the event of your death the insurance payable to your beneficiary
What is Basic Life Insurance
Where can you find Extended Health Care & Dental maximums and number/$ used
What is Benefits Now for Plan Member or Benefits Now Mobile app
When post secondary education begins and when post secondary education ends
What is when a student eligibility form is required to be completed and submitted to your Benefits Analyst
Rules that determine which insurance company pays first
What is Coordination of benefits
Who completes the prior authorization form
Who is the physician and the plan member
Option for coverage for Extended Health Care and Dental benefits when you retire
What is ContinYou Golden
Prescription drug expenses will be limited to the lowest cost interchangeable drug
What is mandatory generic
Where can you get a pay direct drug card?
What is Benefits Now Mobile app, Benefits Now for Plan Member
What governs Health Care Spending Account claims
What is the Canada Revenue Agency
Submit this in advance for major and/or costly work
What is an estimate/pre-determination
EHC
What is Extended Health Care