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.
Reimbursement*
- For all eligible expenses
|
60% |
90% |
100% |
Prescription drugs
Generic substitution unless physical override
- Deductible (per prescription)
- Annual out-of-pocket
|
All drugs legally requiring a prescription plus life-sustaining drugs
Dispensing fee
No coverage |
All drugs legally requiring a prescription plus life-sustaining drugs
Dispensing fee
No coverage |
All drugs legally requiring a prescription plus life-sustaining drugs
Dispensing fee
No coverage |
| Hospital |
Semi-Private |
Semi-Private |
Private |
Paramedical services
Physical services**
- Maximum per paramedical service
- Annual combined maximum
|
$500
$1,000 |
$750
$1,500 |
$1,250
$2,500 |
Holistic services***
- Maximum per paramedical service
- Annual combined maximum
|
$500
$1,000 |
$750
$1,500 |
$1,250
$2,500 |
Psychological services****
- 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 building*****
- Fertility drugs(lifetime maximum)
|
No Coverage |
$5,000
|
$10,000
|
- Fertility coverage(lifetime maximum)
|
No Coverage |
$10,000 |
$20,000 |
| Gender affirmation******
|
No Coverage |
$10,000 |
$20,000 |
* Includes but is not limited to ambulance coverage, diabetic supplies, hearing aids, medical equipment. Refer to The SLB Extended Health Wellness Benefits Policy found on Benefits Central: Forms & Plan Documents https://slb-benefits.seb-admin.com/UsingYourBenefits/Forms-Plan-Documents for full details.
** Physical services include Physiotherapist, Athletic Therapists, Kinesiologist, Occupational Therapist, Massage Therapist, Chiropractor, Podiatrists or Chiropodists, Osteopaths.
*** Holistic services include Naturopaths, Acupuncturists, Dieticians, Homeopaths, Speech Therapists, Audiologists.
**** Psychological services include Mental Health Practitioners, Clinical Counsellor Clinical Therapists, Marriage & Family Therapists, Mental Health Counsellors, Psychiatrists, Psychoanalysts, Psychotherapists, Psychologists and Social Workers.
***** Fertility coverage includes IVF, IUI, Pre-implantation genetic testing and cryopreservation including storage cost.
****** 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.