Your SFSS Health Dental Plan by jennyyingdi


									                                                    CHANGE	OF	COVERAGE                                                                              Visit          A	WORD	FROM	YOuR	STuDENT	SOCIETY                                                                                    PROVIDER	NETWORKS                         SAVING	YOu	EVEN	MORE	MONEY
                                                                                                                                                           and follow the 	
                                                                                                                                                    on-screen	instructions                                                                                                                                                                                                                                                                                        2010/2011
                                                                                                                                                    for enrolments or opt outs.
                                                    	                 Enrolment                                                                                                      Welcome	to	Your	Plan!                                                                                                          You’re covered for the insured portion of your Plan regardless of the
                                                                                                                                                                                                                                                                                                                    health practitioner you choose. By consulting a Network member,
                                                                                                                                                                                                                                                                                                                    you will get additional coverage.
                                                                                                                                                                                     To help students pay for the health services they need, a collective health and dental
                                                    The	SFSS	Health	&	Dental	Plan	gives	you	the	option	to	enrol		                                                                    plan has been put in place by your student society. This group Plan is unique in that                                                               Find a Health Practitioner at
                                                    your	family	(spouse	and/or	dependants).	Certain	categories		                                                                     it helps fill the gaps in provincial health care, while offering coverage that is often                             VISION	NETWORK                                                                                                          Simon Fraser Student Society
                                                    of	students	may	also	enrol	themselves.	For	details	on	eligibility,		                                                             3-5 times less expensive than other plans. The coverage includes health,
                                                    visit	Enrolments	must	be	completed	during	                                                                    dental, vision, and travel benefits. It covers the unexpected and provides you with                                 up	to	70%	Off	Contact	Lenses	and	Designer	Glasses
                                                    the	Change-of-Coverage	Period.
                                                                                                                                                                                                                                                                                                                                                                                                                                 Your SFSS

                                                                                                                                                                                     preventive care services to keep you in good health.                                                                Clearly Contacts is Canada’s largest online retailer of contact lenses and eyeglasses,
                                                    Coverage	for	You	and	Your	Family                                                                                                 Since its inception, the Plan has saved its members over a million dollars and has
                                                                                                                                                                                                                                                                                                         offering up to 70% off traditional retail prices. As a Health Plan member, you can
                                                    Enrolment Period for Fall semester
                                                    students: Sept.	1	–	27,	2010		
                                                                                                                                      Enrolment Period for new
                                                                                                                                      Spring semester students
                                                                                                                                                                                     helped thousands of students.

                                                                                                                                                                                     All SFU undergraduate students who are registered for 3 or more credits in
                                                                                                                                                                                                                                                                                                         benefit from an additional 10% off selling prices—just visit
                                                                                                                                                                                                                                                                                                         and enter coupon code STuDENTVISION at checkout.                                                                        Health & Dental Plan
                                                    (full-year coverage)                                                              only: Jan.	6	–	19,	2011		
                                                                                                                                      (Spring coverage is pro-rated                  September or January (except audit and distance education courses) at Burnaby,
                                                                                                                                                                                                                                                                                                         up	to	$175	for	Prescription	Eyeglasses
                                                    Full-year fee for students eligible to                                            for 8 months. Fees are available               Surrey, or Vancouver campuses are automatically covered by the SFSS Health                                          When visiting an optometrist or an optician who is part of the Vision Network, you save
                                                    enrol: $297.00                                                                    on the website under the                       & Dental Plan when paying fees to SFU. This includes international students,                                        at least 30% on prescription eyeglasses. By combining these savings with your Plan’s
                                                                                                                                      Coverage menu)                                                                                                                                                     insured coverage of $100 for eyeglasses, you can save up to $175. Vision Network
                                                                                                                                                                                                                                                                                                                                                                                                                                 Essential	Information		
                                                                                                                                                                                     exchange or study abroad students, Co-op students on exchange, and co-op
                                                    Full-year fee for spouse/partner                                                                                                 students, when paying fees to SFU.                                                                                  members also offer savings on the cost of eye exams and contact lenses.
                                                    or one child: $297.00                                                             Enrolment Period for new
                                                                                                                                                                                                                                                                                                         up	to	$300	in	Coverage	for	Laser	Eye	Surgery
                                                    Full-year fee for family
                                                    (spouse + unlimited number
                                                                                                                                      Summer semester students
                                                                                                                                      only: May	9	–	27,	2011		
                                                                                                                                      (Summer coverage is pro-rated
                                                                                                                                                                                     To minimize paper use and its impact on the environment, this document
                                                                                                                                                                                     provides a basic outline of the coverage available to you through your student
                                                                                                                                                                                     Plan. A complete list of benefits and details is available at
                                                                                                                                                                                                                                                                                                         LASIK MD, a leading provider of laser eye surgery, offers an additional $150 off laser                                  on	the	Benefits	of	Your	
Stay Connected                                      of children): $495.00                                                             for 4 months. Fees are available
                                                                                                                                      on the website under the                       Best of luck for a safe and healthy year.
                                                                                                                                                                                                                                                                                                         eye surgery, so that Health Plan members can get double the coverage, up to $300.
                                                                                                                                                                                                                                                                                                                                                                                                                                 Student	Health	Program
It’s	Your	Plan                                      Opt	Out
                                                                                                                                      Coverage menu)
                                                                                                                                                                                     Ali	Godson	
                                                                                                                                                                                                                                       Diego	Reyeros		
                                                                                                                                                                                                                                       Member Services Officer
                                                                                                                                                                                                                                                                                                         DENTAL	NETWORK

                                                                                                                                                                                     Simon Fraser Student Society                      Simon Fraser Student Society                                      80%	to	90%	in	Dental	Coverage
	                                                   If	you’re	already	covered	by	an	equivalent	health	and/or	dental	plan	
                                                    (such	as	a	parent	or	spouse’s	employee	benefit	plan),	you	can	                                                                                                                                                                                       Your Plan covers 60% to 70% of your dental costs and by visiting a Network dentist,
Go	online	to	find	out		                             opt	out	at	and	the	fee	will	be	credited	to	your	                                                                                                                                                                                   you will receive an additional 20% off regular dental services, enabling you to get up to
                                                                                                                                                                                                                                                                                                         90% coverage. Most Network dentists also offer the pay-direct service.
                                                    student	account.	However,	please	note	that	your	student	Plan	
more	about	your	Plan.	                              provides	certain	benefits	not	available	through	other	insurance	
                                                    plans,	such	as	vaccinations,	vision,	and	travel.	You	can’t	opt	out		
                                                    if	you’re	only	covered	by	MSP.	Opt	outs	must	be	completed		                                                                      Your Health & Dental Plan	at	a	Glance                                                                               HEALTH-CARE	NETWORKS                                                                                          
• Deadlines for submitting claims                   during	the	Change-of-Coverage	Period.	
                                                                                                                                                                                                                                                                                                         By combining your Plan’s insured coverage of $30 per visit for health practitioners
                                                                                                                                                                                     Group	Name: SFSS Health & Dental Plan
                                                                                                                                                                                                                                                                                                         with the savings offered by Health-Care Network members, you will pay no more than:                                     1	866	369-8795
• Instructions on how to claim                      Change-of-Coverage	Period                                                                                                        Group	Number	(Health	&	Dental	Benefits): 50171
                                                                                                                                                                                     Insurance	Company	(Health	&	Dental	Benefits): Sun Life Assurance Company                                                                                                                                                                                                   4648056
• Plan coverage details                             Opt outs for Fall semester students		    	                                                          								Sept.	1	–	27,	2010   of Canada (Sun Life)                                                                                                Physiotherapy	Network
                                                    Opt outs for new Spring semester students only                                                               Jan.	6	–	19,	2011   Group	Number	(Travel	Benefits): 7488                                                                                $5 for the initial assessment and subsequent visits
• Links to important documents, such as claim                         Detach this section and use this card in conjunction with your student ID card.                                Insurance	Company	(Travel	Benefits):	Blue Cross
  forms and your travel health passport                                                                                                                                              For	Information: or 1 866 369-8795                                                                Chiropractic	Network
• Network offers to save you even more                                                                                                                                                                                                                                                                   $5 for the initial assessment and nothing for subsequent visits
                                                                                                                                                      Change-of-Coverage	Period:
  money on health-care costs!                   1134 St. Catherine Street West
                                                Suite 700                                                                                                                            Opt outs and enrolments for Fall semester students     	
                                                                                                                                                                                                                                         														Sept.	1	-	27,	2010	                               Massage	Therapy	Network
                                                Montreal, QC H3B 1H4
                                                Toll free: 1 866 369-8795
                                                                                                                                                                                     Opt outs and enrolments for new Spring semester students only				Jan.	6	-	19,	2011                                  Approximately $4 for a 30-minute treatment and $32 for a 60-minute treatment
                                                                                                           If you’re covered, use this card
                                                                                                 in conjunction with your student ID card.                                           Enrolments for new Summer semester students only																			May	9	-	27,	2011
Learn more at
                                                                                                                                                                                                                                                                                                         Need	Help?	Contact	us:
                                                                                                                                                                                     NOTE:	This document is intended as a basic explanation of the benefits available to you through the SFSS
                                                                                                                                            Detach	&	         Health & Dental Plan. It summarizes the important features of your group plan and does not, in itself, constitute
                                                                                                                                                                                     a contract. In accordance with our commitment to sustainability, this document may not be printed and mailed
                                                                                                                                                                  Keep	Your	         in future years. For more information, visit                                                     1134 St. Catherine Street West, Suite 700
                                                                                                                                                             Pay-Direct	Card	                                                                                                                            Montreal, Quebec H3B 1H4
                                                Student’s signature                                                                                                                                                                                                    Need Help ?     Toll-free: 1 866 369-8795                               
                                     HEALTH	COVERAGE                                                                                                               TRAVEL	COVERAGE                                                                                                                           	VISION	COVERAGE                                                                        DENTAL	COVERAGE

                                     	                   More	Than	$10,000	in	                                                                                    	                     120	Days	per	Trip		                                                                                                  	             Over	$300	in                                                              	                   up	to	$600	in	                                                                                                             A	Plan	Designed
                                                         Health-Care Coverage                                                                                                           and up to $5,000,000                                                                                                 	             Vision Coverage                                                           	                   Dental Coverage                                                                                                            for	Students	

                                     With	this	collective	approach	to	health	care,	health	benefits	and	
                                     services	are	more	accessible	and	more	affordable	so	that	you	can	
                                                                                                                                                                  You	are	covered	for	up	to	120	days	per	trip	and	up	to	a	maximum	of		
                                                                                                                                                                  $5,000,000	per	incident.	Travel	health	coverage	includes	hospital,		
                                                                                                                                                                                                                                                                                                             Your	Plan	covers	the	cost	of	eye	exams,	new	or	replacement	
                                                                                                                                                                                                                                                                                                             eyeglasses	or	contact	lenses,	and	laser	eye	surgery.	You	can	also	
                                                                                                                                                                                                                                                                                                                                                                                                     You	have	access	to	preventive	care	with	a	plan	that	offers	$600	
                                                                                                                                                                                                                                                                                                                                                                                                     coverage	for	dental	visits	per	policy	year.	Your	Plan	covers	60%		
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Like	You
                                     get	the	treatment	you	need.	                                                                                                 physician,	and	other	services	for	emergency	treatment	of	an	injury	                                                                        get	additional	coverage	through	the	Studentcare	Vision	Network.                         to	70%	of	your	dental	costs.	You	can	also	get	additional	coverage	                                                                             Visit and watch the online
                                                                                                                                                                  or	illness	while	travelling	outside	of	the	province	in	which	you	reside	                                                                                                                                                           through	the	Studentcare	Dental	Network.																																																					                                                   videos to learn more about how you can make the
                                     Prescription	drugs:	80%                                       • Visits to registered dieticians                              (including	international	travel).	Please	note	that	travel	health	coverage	                                                                 $60	per	2	policy	years	for	eye	exams                                                                                                                                                                                                   most out of your Plan.	
                                                                                                   and massage therapists require a                               does	not	apply	to	international	students	(including	uS)	travelling	to	their	                                                                                                                                                                                                                Insured                Dental Network                       Total
                                     Vaccinations:	prescription                                    referral by an MD                                              home	country.	The	travel	coverage	offers	extended	health	benefits	and	                                                                     $100	per	24	months	for	new	or	replacement	eyeglasses	                                                                                            Portion                   Savings                         Coverage                    	
                                     vaccinations listed in the BC Fair                                                                                           does	not	replace	MSP	or	other	basic	health	care.                                                                                           or	contact	lenses
                                     PharmaCare Plan Formulary are                                 For a list of health practitioners                                                                                                                                                                                                                                                                    Preventive	Services                                                                                                                        Watch	the	online	videos.	
                                                                                                                                                                  Trip	cancellation: up to $1,500                                          well as for the first 120 days of their trip and                                                                                                              recall exams, cleanings,                             70%                           20%                           90%
                                     covered at 80%. Non-prescription                              covered by the Plan, visit                                                                                                                                                                                $150	per	policy	year	for	laser	eye	surgery                                                  extraction of impacted teeth
                                     vaccinations are covered at 100%,                                                                per trip for pre-paid, non-refundable                                    for 120 days after the end of their exchange or
                                     up to $150 per policy year.                                                                                                  trip expenses in case of a medical                                       internship as long as they remain covered for                                                                                                                 Basic	Services                                                                                                                                                     My	Privacy.	My	Plan.	
                                                                                                                                                                                                                                                                                                                                                                                                         fillings, oral surgery, endodontics
                                                                                                   Other	health	benefits:                                         emergency.                                                               the applicable policy years. You must notify                                                                                                                  (root canal), periodontics                           60%                           20%                           80%                                               Helps pay for health-care
                                     Health	practitioners	                                         Medical equipment, diagnostic                                  Trip	interruption: up to $5,000 in                              before leaving on an                                                                                                                    (gum treatment)                                                                                                                                                    costs, while giving you
                                     (physiotherapists,	chiropractors,	                            services, dental accident, ambulance,                          case of a medical emergency for each                                     exchange.                                                                                                                                                     Major	Restorative                                                                                                                                                  complete control.
                                     massage	therapists,	etc.):	                                   home nurse, tutorial benefit,                                  trip you take during the policy year.                                    Anywhere	in	the	world: in addition to                                                                                                                         crowns, bridges, posts                           Not	Covered                       20%                           20%
                                                                                                   and more...                                                                                                                             travel health coverage, your health and dental
                                     • $30 per visit, $400 per category of                                                                                        Exchange/internship	students:
                                                                                                                                                                  students who are paying fees to SFU                                      benefits can be used anywhere in the world.                                                                                                               Visit	for complete details.
                                     practitioner per policy year                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           Next	Stop:	Dream	Trip
                                                                                                                                                                  and who are leaving on a recognized                                      Before	leaving: if you’re planning to travel,
                                     For	a	complete	list	of	benefits	and	details,	visit                                                        academic exchange or participating in                                    download a Travel Information Brochure                                                                                                                                                                                                                                                                                           Discover the value of
                                                                                                                                                                  an internship as part of their studies can                               at for complete                                                                                                                                                                                                                                                                                                your Travel Plan.
                                                                                                                                                                  benefit from travel health coverage for the                              details on benefits, coverage, and telephone                      Already Covered by Another Plan?                                                        use	Your	Pay-Direct	Card	
                                                                                                                                                                  duration of the exchange or internship, as                               numbers for emergency assistance.
                                                                                                                                                                                                                                                                                                             Weigh	the	Costs	and	Benefits                                                            for	Prescription	Drugs
                                                                                                                                                                  Similar	travel	plans	can	cost	over	$500.	Visit	to	compare.
                                                                                                                                                                                                                                                                                                             Your student Health & Dental Plan may provide better value:                             By presenting the Pay Direct Card with your valid student ID card, you can fill
                                                                                                                                                                                                                                                                                                                                                                                                     your prescriptions at most Canadian pharmacies. The pharmacist will be able to                                                                                         Almost	unstoppable
                                     Everything You Need to Know                                                                                                  Policy Year & Student Fee                                                           Cover the ones you love. See
                                                                                                                                                                                                                                                                                                                                                                                                     process the claim immediately, so you won’t have to pay the full amount up front
                                                                                                                                                                                                                                                                                                                                                                                                     and wait to be reimbursed.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Coverage for accidents
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            and everyday things.
                                                                                                                                                                                                                                                                                                                 • Being enrolled as a dependant      • Most plans also have limited
                           	                                                                                                           55¢	per	Day                                                                         ‘Enrolment’ on the other side.
                                                                                                                                                                                                                                                                                                                 in a parent or spouse’s employee     vision coverage and don’t cover                Use of this card authorizes the following to collect, use, and disclose information for the purposes of

                                                                                                                                                                                                                                                                                                                 benefit plan usually requires your   vaccinations which may be                      underwriting, administration, audit, paying claims, and patient safety: Sun Life Assurance Company of
                                                                                                                                                                  If you are automatically enrolled, the cost of the Plan is part of your student fees.                                                          family member to pay additional      mandatory for your academic
                                                                                                                                                                                                                                                                                                                                                                                                     Canada (Sun Life),, any person or organization who has relevant personal information
                                       • Get complete coverage details                                                                                            You’re responsible for verifying if you are automatically covered by checking your                                                                                                                                                 about me, my spouse, or dependants including: the pharmacy through which this card is used, health-care
                                                                                                                                                                                                                                                                                                                 costs to have you covered.           program.                                       practitioners, institutions, investigative agencies and insurers, and any person performing services for Sun Life.
                                       • Find a Network member                                                                                                    tuition statement or by visiting                                                                                                                                                                                If I am a spouse or a dependant, my claims information will be shared with the Plan member for the purposes
                                                                                                                                                                                                                                                                                                                                                                                                     of claims payment and benefits management. To review Sun Life’s privacy policy, visit                                                                  Health-Care	Networks
                                       • Fill in claim forms electronically                                                                                             Full-year	coverage:	$198.00	(Sept. 1, 2010 – Aug. 31, 2011)                                                                              • Coverage under most parents’       • You may want to check your                                                             Detach this section and use this card in conjunction with your student ID card.                                              How to save even
                                       • Change your coverage                                                                                                           The breakdown is $78.05 for Health and $119.95 for Dental coverage.                                                                      plans ceases once you are no         current coverage. By combining                                                                                                                                                                                        more on your
                                                                                                                                                                                                                                                                                                                 longer a full-time student or        both plans, you can maximize your                                                                                                                                                                                     health-care costs.
                                       • request assistance and answers to your questions.                                                                              Spring	coverage:	$132.00	(Jan. 1 – Aug. 31, 2011)                                                                                        when you turn 26.                    overall coverage—up to 100%—
                                                                                                                                                                        The breakdown is $52.03 for Health and $79.97 for Dental coverage.                                                                                                            and eliminate out-of-pocket costs!                                                        SFSS                                                 Sun	Life	Assurance	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     Company	of	Canada
                                                                                                                                                                                                                                                                                                                                                                                                                                                HEALTH & DENTAL PLAN
                                                                                                                                                                                                                                                                                                                 • Most private plans offer                                                                                                     Pay-Direct Card
                                     OuR	ENVIRONMENTAL	COMMITMENT	ON	PAPER                         Every ton of rolland Enviro 100 Print paper used in place
                                                                                                   of virgin paper helps our environment in the following ways:                      SFSS Health & Dental Plan: $198.00                                                                                          limited to no travel coverage.       The Member Services Centre is                                                             Group number: 50171                                  Information for the pharmacist:
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     Please access the «ASSUrE» system and enter

                                     This document contains 100% post-consumer fiber,
                                     Certified EcoLogo, Processed Chlorine Free and FSC recycled   »» Saves the equivalent of 17 mature trees                                                                                                                                                                    Your student Plan covers you         there to assist you. Give us a call at                                                                                                         in the following information: Carrier no 16,
                                     Manufactured using biogas energy                              »» reduces solid wastes by 490 kg
                                                                                                                                                                                                        Employee Plan *: $619.00                                                                                 for 120 days per trip and includes   1 866 369-8795 if you would like                                                                                                               group number 050171, student ID number:        There are even more videos online at
                                                                                                   »» reduces the quantity of water used by 46,352 litres

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     0 (9-digit student ID number) 01
                                                                                                   »» reduces air emissions by 1,076 kg                                                                                                                                                                          coverage for trip cancellation and   more information on combining plans.
                                                                                                   »» reduces natural gas consumption by 70 m3 by
                                                                                                      using biogas                                                                                           Private Plan *: $906.00                                                                             trip interruption. Similar travel                                                   Detach	&	
                                                                                                                                                                                                                                                                                                                 plans can cost over $500.
                                                                                                                                                                            * This comparison comes from research conducted by and represents the average cost for equivalent plans.                                                                                           Keep	Your	
                                                                                                                                                                                                                                                                                                                                                                                                     Pay-Direct	Card	                                                                     
                                                                                                               Need Help ?                                                                                                                        Need Help ?                                                                    Need Help ?

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