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eProfile for Online Claims Submission
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eProfile for Online Claims Submission
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Booklets & Forms
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Health and Dental Plan Accident Benefits for All Plans Travel for All Plans Student Wellness Programs for All Plans 90% coverage $3,000.00 maximum per Insured, per policy year. $10 dispensing fee maximum:
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Health and Dental Plan Accident Benefits for All Plans Travel for All Plans Student Wellness Programs for All Plans MAXIMUM COVERAGE
BASIC AND PREVENTIVE SERVICES
MINOR RESTORATIVE SERVICES
EXTRACTIONS AND ORAL SURGERY
N/A |
Health and Dental Plan Accident Benefits for All Plans Travel for All Plans Student Wellness Programs for All Plans 100% of all eligible vision care claims are covered
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Part Time Opt In
Student Opt-In
Part Time/Graduate Student Opt-In
Choose Your Plan
Dependent Opt In
Family Opt In
Opt Out
90% co-insurance
$10 Dispensing fee max
Maximum: $3,000
Basic and Preventative: 70%
Minor Restorative: 30%
Extractions (limit 2 wisdom teeth): 30%
Major Restorative: 20%
Maximum: $750
Paramedical Practitioners:
80%, $35 per treatment ($300 maximum)
Orthopedics: 80%, $200 maximum
100% coverage for a general
eye exam, $150 for prescribed lenses
and frames or contact lenses every 24
consecutive months.
- 90% coverage
- $3,000.00 maximum per Insured, per policy year.
- $10 dispensing fee maximum:
- Most prescription drugs or medicines;
- Insulin injectibles;
- Insulin supplies which include syringes, needles and diagnostic test strips, including glucometers, alcohol swabs and lancets, subject to a maximum of $200.00 per Insured per policy year (pseudo din# 910333 must be used for all diabetic supplies);
- Allergy serums;
- All acne preparations including Accutane;
- Preventative vaccines, including Hepatitis B. All immunizations and innoculations not covered under AHCIP are covered by the plan, with the exception of group immunizations or innoculations;
- IUD coverage for Mirena and Kyleena;
- Oral contraceptives and injectable contraceptive Depo-Provera.
- MAXIMUM COVERAGE
- $750
- BASIC AND PREVENTIVE SERVICES
- 70% of one examination and consultation, including any necessary x-rays and diagnostic services at time of exam, during each policy year.
- 70% of one cleaning and one unit of polishing; includes up to 4 units of scaling (above the gum line).
- Fluoride treatments will be limited to one per policy year.
- MINOR RESTORATIVE SERVICES
- 30% of the cost of amalgam, silicate, composite or tooth-coloured fillings and space maintainers.
- EXTRACTIONS AND ORAL SURGERY
- 30% coverage of extractions and residual root removal, limited to two wisdom teeth in any policy, other oral surgery is covered at 20%.
- 80% coverage for eligible expenses, unless otherwise indicated.
- PARAMEDICAL PRACTITIONERS
- 80%, $35 per visit to a maximum of $300.00 each policy year for each type of practitioner listed below:
- Combined services of a clinical psychologist or speech therapist, if recommended by a physician;
- Combined services of a naturopath or a chiropractor;
- Combined services of a certified nutritionist or registered dietitian;
- Services of a registered massage therapist, if recommended by a physician;
- Services of a physiotherapist, if recommended by a physician.
- ORTHOPEDIC SUPPLIES
- Charges for molded arch supports, orthopedic supplies and custom made orthopedic shoes are covered at 80% to a maximum of $200.00, if recommended by a physician, podiatrist or chiropodist;
- Orthopedic supplies as noted above must be dispensed by one of the following
- providers: orthotist, pedorthist, podiatrist or chiropodist.
- Orthopedic supplies must be dispensed by a different provider than the prescriber.
- Orthopedic supplies prescribed or dispensed by a chiropractor other than
- the on-campus chiropractor are not eligible.
- *When submitting your claim be sure to include the following: Your major medical expense claim form, referral pre-dating treatment, original paid in full invoice, gait analysis or biomechanical exam, a description of the raw materials used in the construction of the orthotic.
- AMBULANCE
- A licensed ground ambulance when used to transport an Insured because of emergency or in-patient treatment.
- PROSTHETIC APPLIANCES
- Artificial limbs – lost, repair & replacement
- Artificial eyes - one polishing or one re-making per policy year
- Casts, splints, trusses, braces or crutches, including replacements when medically necessary;
- External breast prosthesis when required to a maximum of $200.00 per individual each policy year.
- MEDICAL SUPPLIES
- Compound serums, colostomy supplies, injectable drugs and varicose vein injections, if medically necessary.
- EQUIPMENT RENTAL
- Wheelchairs, walkers, hospital beds, traction kits for temporary therapeutic use. Repair to a wheelchair will be included up to a lifetime maximum of $250.00.
- OTHER ELIGIBLE EXPENSES
- Charges for oxygen, blood or blood products and the equipment required for its administration;
- Charges for treatment of a sickness by the use of radiotherapy or coagulotherapy;
- Charges for laboratory tests done in a commercial laboratory for diagnosis of a sickness but excluding any tests performed in a physician's office or a pharmacy.
- 100% of all eligible vision care claims are covered
- One general eye exam every 24 consecutive months
- $150 maximum toward standard eye glass lenses and frames OR contact lenses every 24 consecutive months
- $150 should you be prescribed contact lenses for severe corneal astigmatism, severe corneal scarring, Keratoconus (Conical Cornea) or Aphakia. Please refer to your Student Health Plan booklet for further details.
- Life Insurance
- A death occurring as a result of an accident will pay $7500.
- Accidental Medical Expense
- Hospital charges
- Services of a nurse
- Services of a physiotherapist or chiropractor when recommended by a physician
- Services of a chiropodist, podiatrist, osteopath or speech therapist
- Transportation by an ambulance up to $1,000
- Medical equipment
- X-rays
- Accidental Dental Expense
- Injury coverage to a maximum of $2,000.
- Emergency Taxi
- Licensed taxi covered to a maximum of $50.
- Rehabilitation
- Training for special occupation covered to a maximum of $5000.
- Repatriation
- Transportation of the body of the deceased to the city of residence, covered to a maximum of $2,000.
- Tutorial
- Tutorial services at $20/hour up to $2,000.
- Eyeglasses & Contact Lenses
- Eyeglasses and contact lenses repair, replacement and purchase to a maximum of $100.
- Home Modification & Vehicle Modification
- Alterations and modifications to your home and vehicle are covered to a maximum of $10,000.
- Hearing Aids
- Covered to a maximum of $3000.
- Family Benefits
- All students may obtain coverage for their spouse and dependant children. You may enroll your family using your Visa online or by certified cheque or money order through the mail.
- Students must have received treatment from a qualified physician/dentist within 30 days from the date of an accident.
- Completed claim form must be filed directly to Industrial Alliance Insurance and Financial Services Inc. within 90 days from the date of the accident, and no later than 1 year.
- Accident Coverage Outside of Canada
- When travelling outside of Canada you have Accident coverage limited to $10,000.00 as the result of any one accident:
- services and supplies rendered by a hospital while the Insured is confirmed as a resident in-patient in standard ward or semi-private accommodation
- services of a physician or anaesthetist
- services of a nurse
- diagnostic x-ray examination by a physician
- transportation by a licensed ambulance: rental of crutches, splints, trusses or braces (excluding the expense of brace or similar device used for non-therapeutic purposes or used solely for the purpose of participating in sports or other leisure activities).
- Reimbursement under this provision shall not duplicate payment provided by any other part of the policy. Insurance commences on the date of departure of an Insured from the province of residence and terminates upon the date of return to the province of residence.
- Travel Coverage Outside of Canada
- Coverage for Emergency Injury or Sickness
- Lifetime Maximum: $5,000,000
- Trip Duration
- 120 Days maximum
- 180 Days maximum (eff. Sept 1/22)
- Emergency Out of Province Coverage and Assistance is provided by AIG Travel Insurance.
- Global Excel
- For emergency assistance call 1-877-207-5018
- Outside North America, call collect: +819-566-3940
- Medical Assistance
- YOU MUST contact Global Excel prior to receiving any medical treatment. If you do not, you may receive inappropriate or unnecessary medical treatment, which may not be included in your coverage.
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The importance of self-care and a healthy balance in mental and physical well-being for students is extremely important today, especially for those arriving to join a new community, experience different environments and meet new peers. It often means facing challenges and dealing with new pressures. WeSpeakStudent wants you to that there are helpful resources in your local community ready to support you.
Community Resources - The Family Centre
- Anyone aged 18 or over can access counselling. Children under 18 can talk to a therapist with their parents’ consent. Parents must talk with the therapist first.
- 10 AM - 7 PM Monday to Thursday
- 10 AM - 3 PM Friday and Saturday
- https://www.familycentre.org/counselling
- Canadian Mental Health Association (CMHA)
- Provides a single point of access to adult addiction and mental health community-based programs
- Distress line 780-482-HELP (4357)
- Access 24/7 — 780-424-2424
- https://alberta.cmha.ca/
- Elizabeth Fry Society
- Suite 900 10242 105 Street Edmonton, AB T5J 3L5
- Phone: (780) 421-1175 or Toll Free 1-866-421-1175
- https://www.efrynorthernalberta.com/
- City of Edmonton Counselling Services
- Speak privately with a professional social worker on various concerns such as daily life stressors, problems with family, parenting stress, abuse, or violence in the family.
- 780-496-4777
- Edmonton Addiction and Mental Health Intake
- Intake therapists provide adults with personal assistance through scheduled telephone or in person appointments at which time their needs are determined and referral to either community or services available at the Edmonton Mental Health Clinic or to another Addiction & Mental Health Service are arranged.
- 780-342-7600
- https://www.albertahealthservices.ca/amh/amh.aspx
- Addiction Helpline, Alberta Health Services
- The Addiction Helpline is a toll-free confidential service that provides alcohol, tobacco, other drugs, and problem gambling support, as well as information and referral to services. The Addiction Helpline operates 24 hour a day, seven days a week and is available to all Albertans. Interpreter Services available in 180 languages.
- 1-866-332-2322 (24 hours), across Alberta
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24/7 Phone & Online Resources
Mental Health First Response Line – 519-336-3445 or 1-800-307-4319
Distress Line – 519-336-3000 or 1-888-347-8737
Good 2 Talk (17-25 years old) – 1-866-925-5454, www.good2talk.ca
Connex Mental Health Helpline – 1-866-531-2600, www.mentalhealthhelpline.ca
Kids Help Phone (under 20 years old) – 1-888-668-6868, www.kidshelpphone.ca Kids Help Phone Resources