This fact sheet is intended for general guidance and is not a contract. Unless otherwise stated, all maximums are per insured person per calendar year. Not all the provisions apply to every policy – it is simply for your reference. Includes: acupuncturists, chiropodists, chiropractors, naturopaths, osteopaths, podiatrists, psychologists ($60 per visit, maximum 10 visits per calendar year), physiotherapists, registered massage therapists and speech language pathologists. Available now! Please tell us about the family members you'd like to insure and select your plan. All plans come with Best Doctors consultation service. Sun Life Customer Call Centre. How a Sun Life Financial advisor can help you, Estate and Financial Planning Services (EFPS), Why work with one of our licensed professionals, Register for a my Sun Life Online Account, Contributions, withdrawals and fund changes, Student and new graduate programs overview, Rotational Leadership Development Programs, Co-op and summer internship opportunities, Chartered Professional Accountant (CPA) Pre-Approved Program, You’ve lost your group benefits in the last 60 days or will be losing your group benefits coverage soon, Your current health expenses are low, you’re not concerned about them increasing and you don’t need emergency travel medical coverage, Up to $5.00 paid towards dispensing fee on prescriptions, Over-the-counter medications, even if prescribed by a physician, Space maintainers for children under 12 years of age, Pit and fissure sealant for children under 19 years of age, The maximum per person is $2,000 per fracture or injury, $2,500 annual maximum combined with in-home nursing, $20,000 lifetime maximum combined with in-home nursing, Artificial limbs or other prosthetic appliances, Orthopaedic shoes and orthotics, limited to $150 in a calendar year, Wigs and hairpieces, limited to $100 in a calendar year, Diagnostic laboratory and x-ray examinations, Blood glucose monitor, limited to $150 during a 5-year period. This website provides descriptions of only some of the benefits and limitations of ScotiaLife® Health & Dental Insurance. Eligible expenses limits – lifetime maximum, (not applicable to emergency travel medical and dental). Make well-informed decisions with helpful advice. 60% reimbursement with a $25 per-visit maximum on paramedical practitioner services up to $250 per year per practitioner. Eligible durable equipment includes, but is not limited to, items such as: wheelchairs, to a $1,000 lifetime maximum, $2,500 annual maximum combined with medical equipment and services, $20,000 lifetime maximum combined with medical equipment and services, Paramedical practitioners include: acupuncturists, chiropractors, naturopaths, osteopaths, physiotherapists, podiatrists/chiropodists, registered massage therapists, speech language pathologists, Psychologists: $50 per visit up to $250 per year, $150 maximum every 2 years, including $50 maximum per eye exam, Includes coverage for: prescription eyeglasses, prescription contact lenses, prescription sunglasses and laser eye surgery, No coverage. 60% reimbursement for prescription drugs with a $750 annual maximum. You and your spouse must each be aged 18-74 on the date of application for each of you to be eligible. You must also apply to your provincial government health plan first, then submit a claim to us for the unpaid portion. Public Service Health Care Plan Claim Form (PDF) Sun Life Financial (Member sign-in) Dental care (dependants) Public Service Dental Care Plan; Claim form (PDF) Date Modified: 2020-10-14. Here’s how we can help you. We’re here to support you through COVID-19. 80% reimbursement for diagnostic and preventative dental procedures: oral examinations, recall procedures, (every 9 months) scaling and root planing, routine extractions and for children under age 12, space maintainers. Health Details: Prescriptions, visits to the optician or chiropractor, even a stay in the hospital can add up.SunAffinity Extended Health Care (EHC) & Dental Insurance helps cover these health costs and many more. The extended health care and dental insurance policies are underwritten by Sun Life Assurance Company of Canada, a member of the Sun Life Financial group of companies. We can’t guarantee its availability. Sun Life is responsible for the administration of claims under the Public Service Health Care Plan. A key added benefit of choosing Sun Life for your replacement or personal health plan is that … Sun Life Assurance Company of Canada cannot guarantee the availability of the services, and reserves the right to cancel the services at any time. © Sun Life Assurance Company of Canada, 2019. Health insurance. (“PPACA”). This quote is subject to our approval. Register This page does not form part of your policy. Please refer to the legal Opens in a new window , privacy Opens in a new window and security Opens in a new window pages for information on the use of this site. Personal Health Insurance It is the most basic form of the health and dental choice coverage offered by Sun Life You can get up to 80% reimbursement for prescription drugs, preventive dental care and supplemental healthcare with an annual maximum of $400 and $700 in prescription drugs and dental care respectively. Sun Life and Health Insurance Company Review for 2021. 60% reimbursement for supplemental healthcare expenses. Couples start at just $45 a month, $50 for a family of up to five! $2,500 combined maximum (per year) for all expenses listed in each category: The following expenses in this category are subject to the same $2,500 calendar-year limit as outlined above, but have the following lifetime maximums: $5,000 combined maximum (per year) for all expenses listed in each category: The following expenses in this category are subject to the same $5,000 calendar-year limit as outlined above, but have the following lifetime maximums: Up to $1 million (lifetime maximum) of emergency hospital and medical expenses covered during the first 60 days of travel. If we do change the rates, we’ll send you written notice 45 days before the change. An actual policy can have provisions that are somewhat different from those that you've read here. Health insurance is personal insurance coverage that protects your savings from the many healthcare costs not covered by government plans. OMA Health Plus and Dental Insurance policy is underwritten by Sun Life Assurance Company, a member of the Sun Life group of companies. Personal health insurance - Get a quote To provide a quote, we need some information. Waiting periods begin on the date the policy becomes effective. To request a quote for coverage, speak with a licensed financial services consultant 1 at, For information about your My Health Choice plan or to update your information, call. Includes: acupuncturists, chiropodists, chiropractors, naturopaths, osteopaths, podiatrists, psychologists ($60 per visit, maximum 7 visits per calendar year), physiotherapists, registered massage therapists and speech language pathologists. Semi-private hospital: up to $200 per day, up to a maximum of $5,000 per year. Travel assistance, medical assistance, family service and support, for situations that result from a medical emergency. We’re here to support you through COVID-19. Simplify the work of managing your dental practice with Sun Life Direct. If you have higher health expenses, are concerned about increasing costs later or want emergency travel medical coverage, consider either Health Choice B or Health Choice C. Are you entitled to a tax refund for your medical expenses? Health insurance protects you and your family from the financial impact of illness, accidents and disability. Coverage of reasonable and customary dispensing fees up to the coverage maximum. Health Details: Next to group medical coverage, dental insurance continues to be the most popular employee benefit.A strong, effective dental insurance plan can help attract and retain talented employees – and that’s why Sun Life offers comprehensive dental benefits that brighten up any employer group. Travel benefits are underwritten by CUMIS General insurance Company, a member of The Co-operators group of companies. Take advantage of the many self-service options and useful resources on the my Sun Life website. Rental, or purchase at our option, of durable equipment required for use in the patient's home and is approved by us. BEST DOCTORS® and other trademarks shown are trademarks of Best Doctors, Inc. Used under license. There are 4 main types of health insurance: Personal health insurance helps pays for health expenses such as prescription drugs, dental and vision care. Health Coverage Choice Health and Dental Choice A helps cover eligible health expenses that are relatively low. Public Service Health Care Plan Sun Life Member Services. Drug coverage and alternatives at your fingertips. Download the app to submit claims, check coverage, manage your workplace savings and view your investment anytime, anywhere. Sun Health & Dental offers an affordable and flexible option for you and your family. This table provides the highlights but not all the details of the My Health Choice – Extended Health Care and Dental Insurance, Standard or Enhanced plans. Extended Health Care and Dental Plan - Sun Life Assurance Company of Canada is the insurer of this product and is a member of the Sun Life group of companies. Replacement coverage with no questionnaire as long as you enroll within 90 days of being covered by previous employer group plan. Sun Life. Sign-in help For more information about Best Doctors, call 1-877-419-2378 or visit bestdoctors.com/canada. www.pshcp.ca/coverage/extended-health-provision/dental-benefit.aspx Restorative dental care is available on Health Choice B and Health Choice C as part of the optional dental benefit. Unlimited ground ambulance. There are 4 different types of health insurance products that provide the protection you need at each stage in life. For current information about our health and dental insurance – visit the Canada Life website Opens a new website in a new window. A combined lifetime maximum of $250,000 applies to all benefits excluding dental. For example, to include dental coverage, you must have been covered for dental under your group benefits plan. All annual or lifetime maximums are per person and based on a calendar year (January 1 to December 31). To find an advisor near you, enter your postal code: © Sun Life Assurance Company of Canada. If there are any inconsistencies between the content on this page and your policy, the terms of your policy will apply. You and your family members included on the application are within 60 days of leaving a group benefits plan that had similar health coverage. All representations about the services of Best Doctors are those of Best Doctors Inc., and not Sun Life Assurance Company of Canada. Sun Life is the administrator of the Public Service Health Care Plan (PSHCP), Pensioners’ Dental Services Plan (PDSP) and the public service Disability Insurance (DI) Plan. By signing in, you agree to these terms and conditions. Survey for Active Members Updates to Your Health and Dental Benefits The Group Benefits Plan consists of the Health and Dental Plan and the Group Life Insurance Plan with Sun Life Financial. Sign-in help 50% reimbursement for restorative dental care: endodontics (root canal) and periodontics, crowns (and repairs), onlays, restorations, dentures (and repairs/adjustments), bridgework, surgical services, major oral surgery and anaesthesia, drug injections, lab procedures. In New York, group insurance policies are underwritten by Sun Life and Health Insurance Company (U.S.) (SLHIC) (Lansing, MI) under Policy Form Series 15-GP-01. For maximums with a multi-year period (e.g., every 2 years), the period begins on the date the first expense under that maximum is made. Health Plan – Standard Health and Dental Plan – Standard Health and Dental Plan – Enhanced; Eligible expenses limits – lifetime maximum (not applicable to emergency travel medical and dental) $250,000: $250,000: $300,000: Prescription drugs: 80% reimbursement, up to $1,000 per year Submit claims Submit health and dental claims and see your claims statements and claims history. To request a quote for coverage, speak with a licensed financial services consultant1 at. $5,000 per year ($25,000 lifetime maximum), Splints, trusses, braces or crutches: $300, Orthopedic shoes, orthopedic alterations and orthotics (prescription required): $200, Blood glucose monitor: $250 every five years. Sun Life Financial. All rights reserved. These plans can go through changes and updates from time to time and it is important to keep informed about how these changes may effect you. ScotiaLife® Health & Dental Insurance coverage is subject to certain limitations, restrictions and exclusions. How do I … A calendar year is January 1st to December 31st. Register Universal life insurance is a type of permanent insurance. If you have higher health expenses, are concerned about increasing costs later or want emergency travel medical coverage, consider either Health Choice B or Health Choice C. Best Doctors will provide an in-depth medical review of your case and/or information about resources within or outside of Canada, including availability, referral process and cost. If you or your covered Family Members have coverage for dental benefits under another plan, Sun Life will coordinate benefits with the other plan in accordance with standard insurance industry practices. ® BEST DOCTORS and other trademarks shown are trademarks of Best Doctors, Inc. Used under license. For security purposes, a password will be sent separately to you by mail. You are in Canada when you complete and submit the application, You and your family members are residents of Canada and have, Quebec residents must also have and continue to have group drug coverage provided by an employer, through membership in an order or association or through the Régie de l’assurance maladie du Québec (RAMQ). Dependent children aged 21 to 24 must be full-time students. A pre-existing condition is a medical condition where symptoms have appeared or required medical attention, hospitalization or treatment (this includes changes in medication or dosage) during the 9-month period before you leave your province. If you have any questions regarding your coverage, payment of claims, required documents or other inquiries, please contact the Sun Life Call Centre. Common support questions. Sun Life has a Customer Call Centre that provides information directly related to your benefits, claims submitted and status of your claim. (Note that a 1-year waiting period applies to restorative dental care.). Emergency travel medical is available on. Coverage maximums are per insured person and per calendar year, unless otherwise stated. Sun Life’s health protection plans are here to make this possible by providing you the best care should an illness strike, allowing you to live a full and brighter life with your loved ones. If you’re age 18-74, you have 60 days after your workplace or retiree group coverage ends to replace it with My Health Choice. By signing in, you agree to these terms and conditions. This dental plan does not provide coverage for pediatric oral health services that satisfies the requirements for “minimum essential coverage” as defined by the Patient Protection and Affordable Care Act. now. To be eligible for benefits under Health Coverage Choice, each family member indicated above must have had supplementary health, prescription drug and dental benefits … Read more here. 1Best Doctors isn’t part of the policy. Your dependent children can also apply for their own My Health Choice coverage once they’re no longer eligible under your plan due to their age or student status. Other questions or scenarios that Sun Life can assist with are: How do I update or change my dependents? Up to $50 every two calendar years (every calendar year for dependents under age 18). Read examples of text that can appear in a policy. Life insurance plans for your health protection needs: SUN Fit and Well Coverage until age 100 There are 3 plans available. Please read your policy carefully before you travel. Each Plan is completely separate and has different contact information, even though they are administered by the same company. ScotiaLife Health & Dental Insurance is underwritten by Sun Life Assurance Company of Canada (Sun Life). Top of Page. Read more here. Welcome to Sun Life Direct. Your policy includes exclusions and limitations of coverage. Focus on what you care about most: your patients. If you are pregnant at the time of application, we will pay for up to 2 days of hospitalization due to pregnancy. Once registered: When we issue a policy it governs the legal relationship between us and the client. May 27, 2020 – A new Sun Life survey has found that a majority of Canadians feel the COVID-19 pandemic is having a negative impact on their mental health; this is supported by independent Teladoc Health research. A strong, effective dental insurance plan can help attract and retain talented employees – and that’s why Sun Life offers comprehensive dental benefits that brighten up any employer group. For contact information for: Convalescent hospital: up to $20 per day, for a total of 180 days. To help Clients navigate their mental health issues, Sun Life is offering Mental Health Navigator from Teladoc Health to complement the resources available through Sun Life's … 1 Registered as a financial security advisor in Quebec. In all states except New York, group dental insurance policies are underwritten by Sun Life Assurance Company of Canada (Wellesley Hills, MA) (SLOC) or by Union Security Insurance Company (USIC) (Kansas City, MO) and administered by SLOC. Available for applicants up to age 74 and renewable for customers age 75 and over. To be eligible for this coverage, you must be insured under the government healthcare plan in your province or territory of residence and apply within 60 days of when your group coverage terminates. Maximum of $700 per year for all eligible dental services. Here are some guidelines: * Emergency travel medical does not cover any pre-existing condition. All rights reserved. This coverage ends when you reach age 80. Warning for Sun Life shareholders about Obatan LLC offer. Sun Life Financial - Dental insurance. $300 per practitioner, up to a maximum of $650 for all services combined per year. A valuable service available to you, your spouse, dependent children, parents and parents-in-law at any point during the policy’s lifetime. Note: SunAffinity insurance coverage, including EHC and Dental Insurance, isn’t available in … Sun Life can help you determine which plan you should claim from first. Certain provisions may apply. The following items have a $2,500 annual maximum and $20,000 lifetime maximum combined with medical equipment and services: *Private duty nursing includes services of registered nurses, registered practical nurses or registered nursing assistants. There are 3 plans available for you, your spouse and your dependent children. Extended Health Care and Dental Insurance | Sun Life. ScotiaLife® Health & Dental Insurance is underwritten by Sun Life Assurance Company of Canada. my Sun Life Mobile. My Health Choice is available for new applicants from the ages of 18-74, and is renewable for customers 75 and over. This dental plan does not provide coverage for pediatric oral health services that satisfies the requirements for “minimum essential coverage” as defined by the Patient Protection and Affordable Care Act. We may change rates each year. Warning for Sun Life shareholders about Obatan LLC offer. Sun Life Financial Health (and Dental) Insurance Health Coverage Choice. This coverage is second payor to any government-sponsored health coverage. Take advantage of convenient online services for payments and estimates — and get the word out to new patients about your practice. A person not covered under a group benefit plan or through RAMQ is not eligible for coverage, Your dependent children are under age 25. You are on a Sun Life Financial website. Flexible dental plans with brighter choices Next to group medical coverage, dental insurance continues to be the most popular employee benefit. Public Service Dental Care Plan Great-West Life Groupnet; To access the my Sun Life Mobile app for the PSHCP, you must first have registered to the Sun Life Member Services website. No coverage. Sun Health & Dental - Good Health, Good Life. There’s no medical exam and you can get coverage for you, your spouse and your dependent children. © Sun Life Assurance Company of Canada. That covers doctor visits, specialists, X-Rays, diagnostic centers and preventative medicine. A sample policy is available by request from a Financial Services Consultant by calling 1-877-893-9893. These plans don’t cover expenses that government health plans cover. my Sun Life my Sun Life Mobile. My Health Choice - Extended Health Care and Dental Plans, How a Sun Life Financial advisor can help you, Estate and Financial Planning Services (EFPS), Why work with one of our licensed professionals, Register for a my Sun Life Online Account, Contributions, withdrawals and fund changes, Student and new graduate programs overview, Rotational Leadership Development Programs, Co-op and summer internship opportunities, Chartered Professional Accountant (CPA) Pre-Approved Program, Drugs and drug supplies must be prescribed in writing by a dentist or physician and obtained from a pharmacist. PlanDirect: Health Insurance for Individuals and Retirees As Canadians, we are fortunate to have universal health care, but without group benefits, or upon retirement, some services like dental, drugs, health benefits, and travel insurance may not be covered. It may be withdrawn at any time. Health Details: You see, in addition to life insurance, Sun Life Financial is also known for its vision, dental, and accident insurance.Our detailed review below focuses on Sun Life Financial and their life insurance so you can get a better idea of what this popular company is all about. An individual plan starts at just $40 dollars a month. $300 per practitioner, up to a maximum of $500 for all services combined per year. now. Offers economical health and dental coverage Health Coverage Choice Health and Dental Choice A helps cover eligible health expenses that are relatively low. Other: reasonable and customary for diagnostic services; casts, stockings, surgical brassieres, stump socks; radiotherapy or coagulotherapy; oxygen, plasma and blood transfusion; artificial limbs, eyes, and other prosthetics. Semi-private hospital: up to $175 per day, up to a maximum of $5,000 per year. Learn more about eligibility requirements for this plan. A nine-month pre-existing condition* limitation will apply to this coverage. Wigs (required as a result of alopecia, chemotherapy, or radiation therapy): $350, Splints, trusses, braces or crutches: $500, Blood glucose monitor: $300 every five years, Wigs (required as a result of alopecia, chemotherapy, or radiation therapy): $500. Coverage is subject to certain exclusions and limitations which are described in the individual policy issued. My child is attending University. Five plans to choose from, three with dental and two without. Maximum of $750 for all eligible dental services in the first calendar year of coverage; combined maximum of $1,000 per calendar year in subsequent years. Services: * Dependants age 21 to 24 must be full-time students. Here’s how we can help you. Air ambulance to a maximum of $5,000 per incident. 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