Health Plan = 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 students' society. 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
(SGPS Student Plan)
Health Coverage Plus Health Coverage Your Plan1
Prescription Drugs* and Vaccinations at DrugSmart Pharmacy 100% (generic)
80% (brand-name)
annual maximum $5,000
Prescription Drugs* and Vaccinations at all other pharmacies 80% (generic or brand-name)
annual maximum $5,000
Chiropractors** per visit $40
combined annual maximum $600
Osteopaths**
Naturopaths**
Acupuncturists**
Registered Dietitians**
Podiatrists/Chiropodists**
Occupational Therapists**
Physiotherapists/Athletic Therapists**
Massage Therapists**
Psychologists/Psychotherapists/
Social Workers
per visit 100%
combined annual maximum $500
Speech Therapists

Health benefits also covered:

Medical equipment, dental accident services, ambulance transportation, accidental death and dismemberment, etc.
*Please note that the dispensing fee is limited to $7 per prescription or refill.

**Visits to these practitioners are covered at $40 per visit per category of practitioner, to a combined maximum of $600 per policy year for all practitioners. Please note that you need a referral from a medical doctor to be covered for visits to a massage therapist.

Vision Coverage Plus Vision Coverage Your Plan1
Eyeglasses & Contact Lenses every 24 months $150
Eye Exam per policy year $70
Travel Coverage Plus Travel Coverage Your Plan1
Travel Health Coverage per trip 120 days
Medical Incident per lifetime $5,000,000
Trip Cancellation per trip $1,500
Trip Interruption per trip $5,000
Dental Coverage Plus Dental Coverage Your Plan1
Annual Maximum per policy year $800
Preventive Services (checkups, polishing, x-rays) 70%
Basic Services (fillings, oral surgery) 75%
Wisdom Teeth Extractions 50%
Basic and Major Restorative Services (endodontics, periodontics, removable denture adjustments, crowns, bridges, and posts) 10%

Dental benefits also covered:

Fluoride treatments, x-rays, scaling, oral hygiene instruction, etc.

Well-Being Resources Your Plan1
Empower Me2 • 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 Empower Me is available to eligible graduate and professional students at Queen's University.

2 - Please note that Empower Me is not an insurance product. To determine if these products are right for you, for more details, or to contact a licensed insurance representative, visit studentcare.ca.

Additional Information

Group Name: SGPS Student Health & Dental Plan

Plan Administrator: Studentcare

Insurance Company (Health & Dental): Sun Life Assurance Company of Canada

Group Number (Health & Dental): 141012

Insurance Company (Travel): Blue Cross

Group Number (Travel): 97180