Vous êtes sur la page 1sur 2

the ease of

claiming at your fingertips

All you need to know

About coverage changes

Quick Claiming & Reimbursement

What if Im already covered?

Five Easy Steps:

1. Your parents insurance plan could stop covering you completely


if youre a part-time student over 21, or a full-time student over 25.
2. Most plans dont offer coverage for vaccinations, travel, or vision,
but your student Plan covers those benefitsand for much less!
Your student Plans travel coverage alone is a great deal. See for
yourself at www.ihaveaplan.ca/travel.
3. You can combine plans to maximize your overall coverageup to 100%.

What if I want to change my coverage?


You have the ability to manage your coverage so that it works
for you. Visit www.ihaveaplan.ca during the appropriate
Change-of-Coverage Period to use the secure, online opt-out
or enrolment system, and follow the detailed instructions.

You can enrol your family (spouse and/or dependent


children) each year by paying an additional fee,
over and above your fee as a member of the Plan.
Common law and same-sex couples are eligible.

add unlimited
dependants for

Download
the App

how can i save even more money?


Discover what the Networks can do for you.
Get access to special offers on health-care services when
visiting professionals from the Dental, Vision, Doctor, Psychology,
Massage Therapy, Chiropractic, and Physiotherapy Networks.
Here is an example of an average DENTAL claim made using a Studentcare
Networks practitioner:

Enrol loved ones for less

add one
dependant for

1. Create a profile.
2. Take a picture of your receipt
with your device.
3. Send it to your insurer via the
Search
ihaveaplan
application.
to download now!
4. Wait only 5 days for your claim
to be processed!
5. Receive a refund by direct deposit soon after.

$382.50
for
full-year coverage*
$637.50 maximum
/ person for
full-year coverage*

* Family enrolment fees for coverage from Jan. 1 - Aug. 31, 2016
for new Spring semester students, and from May 1 - Aug. 31, 2016
for new Summer semester students, are available at www.ihaveaplan.ca.

Your Enhanced
Dental Plan
Coverage

Using the
Studentcare
Dental Network

Total
Coverage

80%

20%

100%

Youre covered for the


insured portion of your Plan
regardless of the health
practitioner you choose.

However, by consulting a
Network member, youll get
additional coverage.

to
pay

Keep more money


in your pocket!

Exclusive savings from our Vision Network Partners


COVERAGE OPTIONS & OPTING OUT
The choice is always yours if you wish to choose a different level
of coverage, mix and match portions of the Enhanced Plan and
the Basic Plan, or opt out of the health portion, the dental portion,
or the Plan in its entirety.
Its an easy 3-STEP process:
1. Use the secure, online opt-out processing system at
www.ihaveaplan.ca to choose your level of coverage.
2. If youre opting out, upload proof of your alternative health
and/or dental coverage (such as a copy of your benefits card
or a letter from your parents or spouses employer) OR
choose the Basic Plan, a lower level of coverage for a
lower price, with no proof of coverage required.
3. Receive a credit to your student account or a cheque for the difference
in Plan fees shortly after the end of the Change-of-Coverage Period.

when can i change my coverage?


Opt outs, coverage levels, and enrolments for new and returning
Fall semester students: Sept. 2 - 21, 2015
Opt outs, coverage levels, and enrolments for new Spring semester
students only: Jan. 4 - 18, 2016
Enrolments for new Summer semester students only: May 5 - 20, 2016

Vancouver
Studentcare
Vision Network
Only $75
for select prescription
eyeglass models
(frames and lenses)

$75 off
select prescription
eyeglass models
$60 eye exams

$50 eye exams

$50 off per eye on


Standard LASIK
$100 off per eye on
Advanced Custom Wavefront

10% off selling prices with


coupon code Studentcare15

And more!

Dentists, Physiotherapists, Massage Therapists, and Chiropractors.

Online Psychology
Studentcare is proud to introduce the Online Psychology Network. Access mental
health treatment from the comfort of your home. Visit ihaveaplan.ca/talkitout.

NEED HELP?

www.ihaveaplan.ca / 1 866 369-8795


Student Health & Dental Plan Office
Maggie Benston Centre, Room 2240
Find more information about your Plan and extend your coverage by
looking up a Studentcare Networks practitioner at www.ihaveaplan.ca.

ihaveaplan_info-guide_sfss_09-15

3 reasons to stick with your student Plan:

INTRODUCING
THE PLAN
TO YOUR FAMILY

your plan on the Go

2015/2016
coverage by
students for students

your sfss
ENHANCED student
health & dental
plan
Welcome to being a student: one of the craziest adventures youll
ever have. From running to class while downing coffee, to playing
hard and working even harderno matter which challenges you
face, this Plan has got you covered so you can make the most out
of your educational experience.

A Plan for your everyday adventures!

all you need to know

detailed HEALTH & DENTAL

What are you waiting for?

about your plan

PLAN benefits

Visit www.ihaveaplan.ca to make the most out of your Plan!

what is a health and dental plan?


The Plan is a valuable service offered by your student society, the
SFSS, to provide its members with the extended health and dental
coverage they need beyond provincial health care and other basic
health-care programs. It is administered by Studentcare, the leading
provider of student health and dental plans in Canada.

WHY A GROUP PLAN?

Health
Health
Coverage

Prescription Drugs*

All SFU undergraduate students who are registered for


3 or more credits in September or January at Burnaby, Surrey,
or Vancouver campuses are automatically enrolled in the Enhanced
Health & Dental Plan when paying fees to SFU. This includes eligible
international students, exchange or study abroad students, Co-op
students on exchange, and Co-op students, when paying fees to SFU.
Certain exceptions exist. Please check your student account to confirm
if you have been charged the Plan fees.

Prescription
vaccinations

If you dont fit into one of these categories, you may be eligible to enrol
yourself in the Plan. Go to ihaveaplan.ca to find out more about enrolment.

Massage Therapist

Psychologist

Enhanced Plan

Physiotherapist

Naturopath

ANNUAL FEE

Dental Plan
Only
ANNUAL FEE

$168.60

f u l l-

ANNUAL FEE

ra

ap

JAN
ua
rua ry
r
mar y
ch
april

of

feb

e
av
w.ih

RA
LL

af

or s

elf-

YOU

winter 2016
combined fee

$170.00

R ADVE
NTURES

july

ve

ww

FO

Dental Plan
Only
winter 2016 FEE

august

o
rc

visit

may
jUNE

yea

$255.00

Health Plan
Only

$112.40

winter 2016 FEE

enro

l m e n t f e e s.

Vision
Coverage

$57.60

Looking for a different level of coverage?


Try the Basic Plan for $198 or mix and match portions of the Enhanced
Plan and the Basic Plan. Visit www.ihaveaplan.ca for more details.
If youre eligible, the Enhanced Plan fee for coverage from Sept. 1 - Aug. 31 will
be automatically included in your tuition and other fees. New Spring and Summer
semester students pay a pro-rated fee for coverage until Aug. 31.

$275

most medications legally requiring


a prescription are covered. See
ihaveaplan.ca for more details.

100% 100% $150


mUST BE LISTED IN Fair PharmaCare
Plan Formulary. See ihaveaplan.ca
for more details.

80% 100%

$350

in coverage

basic
plan

enhanced
plan

Eye Exam

$60

$60

Eyeglasses And
Contact Lenses

$75 $150

laser Eye surgery

$150 $150

$20

80%

$400
$500

must be a licensed psychologist,


licensed psychological associate,
registered clinical counsellor, or
have a Masters degree in Social Work.

$20
$20
$20

$35
$35
$35

$400

A referral by a medical doctor


is needed for visits to a massage
therapist.

$400

One x-ray per policy year is


included in this overall maximum.

$400

$20

$35

$200
$400

up
to

Travel
Eligible
every:

amount
covered

per
trip

120

Medical Incident

per
incident

$5M

Trip Cancellation

per
trip

$1.5K

Trip Interruption

per
trip

$5K

travel
Coverage

travel health
coverage

days

enhanced

COMBINED
Ber
SEPTEM
Ber
OCTO
er
EMB r
NOV
e
EMB
DeC

$1,000

70% 80% $3,000

$86.40
enhanced
Health &
Dental Plan

details

BASIC

Health Plan
Only

per day

n.c

up to

Per
POLICY Year

enhanced

Chiropractor

la

up to

Vision

enhanced

Eligible
every:

policy
yearS

24

months

details

the eye exam must be


performed by a licensed
optometrist.
Receipts must include the
prescribed strength, or provide
the detailed prescription.

policy
year

BASIC

HOW MUCH DOES IT COST?

70

enhanced
plan

$10,000

in coverage

enhanced

non-Prescription
vaccinations

only

basic
plan

basic

over

BASIC

The Plan is a collective approach to health care, which allows individual


fees to be much lower than the cost of private health coverage.

Whos covered?

More
than

Osteopath

$20

$35

$400

One x-ray per policy year is


included in this overall maximum.

Registered Dietician

$20

$35

$400

A referral by a medical
doctor is needed for visits
to a registered dietician.

Podiatrist/Chiropodist

$20

$35

$400

Speech Therapist

$20

$35

$400

One x-ray per policy year is


included in this overall maximum.

what Other health services are covered?

DIAGNOSTIC SERVICES, Home nurse, tutorial benefit,


dental accident, ambulance, and more.
* Register for Fair PharmaCare to maximize your overall drug coverage,
have the appropriate deductible assigned to you, and avoid an interruption in
claims processing once you reach the $525 threshold. To register, please call
1 800 663-7100.

WHat is THE group number?


Health, vision, and dental benefits insured by Desjardins Financial
Security Life Assurance Company: Group Number Q1112
Travel benefits administered by Blue Cross: Group Number 97180

$5,000,000
in coverage

details

Visit ihaveaplan.ca to find out


how you can extend coverage for
a student exchange/internship.

Up to $1,500 per trip for pre-paid,


non-refundable trip expenses
in case of a medical emergency.
Up to $5,000 per trip in case
of a medical emergency.

basic

Dental
dental
Coverage

Preventive Services
recall exams,
cleanings, extraction
of impacted teeth

Basic Services

Fillings, oral surgery,


endodontics (root canals),
periodontics (gum treatments)

Major
Restorative

crowns, bridges, posts

insured portion
basic plan

$600

enhanced

$700

up
to
in coverage per policy year
insured portion
enhanced plan

studentcare
dental network
savings

total
coverage
BASIC

70%

80%

20%

90%
100%
enhanced

BASIC

60%

70%

20%

80%
90%

enhanced
BASIC

not
covered

not
covered

20%

20%
20%

enhanced

Visit www.ihaveaplan.ca for complete details.

Vous aimerez peut-être aussi