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Extended Health Care

The extended health care plan offers a range of options to supplement coverage provided by your provincial health plan. Through SLB Flex, you will be able to choose the option that provides the level of coverage you need for prescription drugs and other medical services and supplies. If you’re looking for more detailed information on your coverage, please go to Sun Life, or check out the mobile app.
 

Click on the sections below for more information.

The extended health care plan will reimburse your eligible expenses at the percentages shown in the following chart. If you cover dependents, the maximums are per covered person. Unless stated otherwise the plan maximum will reset at the beginning of the plan year. If you're looking for more detailed information on your coverage, please go to Sun Life, or check out the mobile app.
Extended Health Care Option 1 Option 2 Option 3
Reimbursement1
For all eligible expenses
60%
90%
100%
Prescription drugs
Generic substitution unless physical override		 All drugs legally requiring a prescription plus life-sustaining drugs All drugs legally requiring a prescription plus life-sustaining drugs All drugs legally requiring a prescription plus life-sustaining drugs
Deductible (per prescription) Dispensing fee Dispensing fee Dispensing fee
Annual out-of-pocket No coverage No coverage No coverage
Hospital Semi-Private Semi-Private Private
Paramedical services
Physical services2
  • Maximum per speciality
  • Annual combined maximum

$500
$1,000

$750
$1,500

$1,250
$2,500
Holistic services3
  • Maximum per speciality
  • Annual combined maximum
$500
$1,000
$750
$1,500
$1,250
$2,500
Psychological services4
  • Maximum per specialty
  • Annual combined maximum
none
$1,000
none
$1,500
none
$2,500
Vision care
(every 24 months)
Eye Exams		 No coverage

1 Every 24 Months		 $300

1 Every 24 Months		 $500

1 Every 24 Months
Hearing aids
(every 5 years)		 $5,000 $5,000 $5,000
Foot orthotics 
(every 36 months for adults and every 12 months for children)		 $600 $600 $600
Family building5
Fertility drugs
(lifetime maximum)
No Coverage
$5,000
 
$10,000
 
Fertility coverage
(lifetime maximum)		 No Coverage $10,000 $20,000
Gender affirmation6
Lifetime maximum
No Coverage
$10,000
$20,000
  1. Includes but is not limited to ambulance coverage, diabetic supplies, hearing aids, medical equipment. Refer to The SLB Extended Health care Wellness Benefits Policy found on Benefits Central: Forms & Plan Documents https://slb-benefits.seb-admin.com/UsingYourBenefits/Forms-Plan-Documents for full details.
  2. Physical services include Physiotherapist, Athletic Therapists, Kinesiologist, Occupational Therapist, Massage Therapist, Chiropractor, Podiatrists or Chiropodists, Osteopaths.
  3. Holistic services include Naturopaths, Acupuncturists, Dieticians, Homeopaths, Speech Therapists, Audiologists.
  4. Psychological services include Mental Health Practitioners, Clinical Counsellor Clinical Therapists, Marriage & Family Therapists, Mental Health Counsellors, Psychiatrists, Psychoanalysts, Psychotherapists, Psychologists and Social Workers.
  5. Fertility coverage includes IVF, IUI, Pre-implantation genetic testing and cryopreservation including storage cost.
  6. Coverage includes basic surgical procedures not covered under provincial plan and surgical procedures to align feminine or masculine features to the transitioned gender, such as facial bone reduction or cheek augmentation.

Reimbursement rates and maximums: are dependent on the level of coverage chosen for that plan year. The extended health care plan will reimburse your eligible expenses at the percentages shown in the chart. If you cover dependents, the maximums are per covered person. Extended health care services and supplies are subject to Sun Life’s Reasonable and Customary charge limits.

Reasonable and customary charges:
  • Fees and prices normally charged in the regional area where the services or supplies are provided.
  • Charges for services and supplies that represent reasonable treatment, considering the duration of services and how frequently services and supplies are provided.

Did you know that you save on the dispensing fee when you purchase your prescriptions through Costco? You don’t have to be a Costco member to use the pharmacy and you can also order prescriptions online at Costco.

Sun Life is our health and dental provider and you should submit your claims by following these steps:

  • If you haven’t already, register on the Sun Life website.
  • Sign up for direct deposit.
  • Download the Sun Life mobile app on your smartphone.
  • Submit your claims – online, on your phone or by mail.

For our extended health care plan, there is a deductible which is equal to the dispensing fee. With a preferred provider, Costco, the dispensing fee is covered and payable at 100% by Sun Life. Also, you do not need a Costco membership to use the deductible.

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