Dental Plan = 
Your Health & Dental Plan at a Glance!
To help students pay for the health services they need, a collective Health & Dental Plan has been put in place by your student association. This group Plan is unique in that it helps fill the gaps in provincial health care while offering coverage that is competitively priced. The coverage includes health, dental, vision, and travel benefits. It covers the unexpected and provides you with preventive care services to keep you in good health.
| Available Coverage Types | Your Plan1 (WUSA/GSA Student Plan) |
|---|
| Health Coverage |
Your Plan1 |
|---|---|
| Prescription Drugs and Vaccinations* | 80% per policy year $12,500 |
| Licensed Psychologists/Clinical Counsellors/Psychoterapist/ Masters of Social Work |
per visit 80% annual maximum $800 |
| Chiropractors | per visit 80% annual maximum $400 |
| Physiotherapists | per visit 80% annual maximum $400 |
| Podiatrists/Chiropodists | per visit 80% annual maximum $400 |
| Osteopaths | per visit 80% annual maximum $400 |
| Speech Therapists | per visit 80% annual maximum $400 |
| Naturopathic Doctors | per visit 80% annual maximum $400 |
| Massage Therapists** | per visit 80% annual maximum $400 |
| Registered Dietitians | per visit 80% annual maximum $400 |
| Athletic Therapists | per visit 80% annual maximum $400 |
Health benefits also covered:
Medical equipment, commercial laboratory tests, dental accident services, ambulance transportation, accidental death and dismemberment, etc.
*Dispensing fees for prescriptions or refills are covered up to $8. There is a deductible for each prescription, refill, or vaccination of 20% or $15, whichever is less.
**Please note that you need a referral by a medical doctor to be covered for visits to massage therapists.
| Vision Coverage |
Your Plan1 |
|---|---|
| Eyeglasses and Contact Lenses | every 24 months $125 |
| Eye Exam | per 2 policy years $100 |
| Laser Eye Surgery | per policy year $150 |
| Travel Coverage |
Your Plan1 |
|---|---|
| Travel Health Coverage | per trip 150 days |
| Medical Incident | per lifetime $1,000,000 |
| Dental Coverage |
Your Plan1 |
|---|---|
| Annual Maximum | per policy year $750 |
| Preventive Services (recall exams, cleanings, root planing, extraction of impacted teeth) | 70% |
| Basic Services (fillings, oral surgery, endodontics, periodontics) | 60% |
Dental benefits also covered:
Fluoride treatments, x-rays, scaling, oral hygiene instruction, etc.
 Legal Protection |
Your Program1 |
|---|---|
| LEGAL PROTECTION PROGRAM2 Legal Representation* |
• Fees of lawyers or experts** • Disbursements |
| LEGAL PROTECTION PROGRAM2 Legal Information |
Free legal helpline: 1-833-202-4571 (toll-free) |
 Well-Being Resources |
Your Plan1 |
|---|---|
| Empower Me2 (for undergraduate and graduate students at Waterloo) |
• Confidential support service available 24/7 • Toll-free helpline 1-833-628-5589 |
Notes
1 - To obtain all of the details of your coverage, please visit the website for your student Plan at studentcare.ca by selecting your student association. Please note that the Legal Protection Program is available to full-time and part-time Waterloo students, while Empower Me is available to undergraduate and graduate students.
2 - Please note that the Legal Protection Program and Empower Me are not insurance products. To determine if these products are right for you, for more details, or to contact a licensed insurance representative, visit studentcare.ca.
*A lawyer will take charge of proceedings related to the following areas of law: housing, employment, academic, and human rights, civil mediation between individuals, and small claims support.
**Legal representation includes experts’ fees up to a maximum of $1,000.
Additional Information
Group Name: WUSA/GSA Student Health & Dental Plan
Plan Administrator: Studentcare
Insurance Company (Health, Vision, Travel, Dental): Sun Life Assurance Company of Canada
Group Number (Health, Vision, Travel): 83307
Group Number (Dental): 50149