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Does the Public Service Health Care Plan reimburse 100% of my costs? For Extended Health Care Benefits, the Plan generally reimburses you 80 % of eligible expense(s). For some services or products, however, there are annual maximum eligible expenses. For example, psychological services can be reimbursed to a maximum of $5000 per year.
The Government of Canada as employer and Plan sponsor is responsible for the Public Service Health Care Plan. As Plan sponsor, the Government of Canada assumes full liability for the payment of all costs related to the operation of the Plan and the payment of claims.
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Dec 6, 2023 · The Sun Life PSHCP (Public Service Health Care Plan) provides comprehensive coverage for a wide range of health care services. However, there are some exclusions that are not covered by this plan: Experimental or investigative treatments: The plan does not cover treatments that are not proven to be effective or approved by recognized medical authorities.
- Plan Governance: How Does The PSHCP Work?
- New Contract Awarded to Administer The PSHCP
- PSHCP Benefits While on Leave Without Pay
As the current plan administrator, Sun Life delivers PSHCP benefits to employees, pensioners and their dependants on behalf of the Government of Canada. This is done under a contract between the Government of Canada and Sun Life. The Government of Canada pays Sun Life for the PSHCP service delivery and the Employer's share of the cost of claims rei...
Following a competitive procurement process, the Government of Canada has awarded the next contract to administer the Public Service Health Care Plan (PSHCP) to the Canada Life Assurance Company (Canada Life). The new contract won't take effect until July 1, 2023, following a comprehensive transition period. Until then, continue sending your PSHCP ...
Your employer may authorize leave without pay (LWOP) for various reasons. To maintain PSHCP coverage, you will generally be required to pay only the PSHCP employee contributions, depending on the purpose of your LWOP. The table below outlines the different scenarios where LWOP may be applicable, and the required contributions for each.
health insurance plan and any other third-party sources of health care assistance for which you have a legal right. 2. Comprehensive Coverage (if you live outside Canada) The PSHCP provides coverage for you and your eligible dependants if you are deployed or posted
To receive your Public Service Health Care Plan (PSHCP) benefit card and have your claims paid under the PSHCP, you must complete positive enrolment. If you do not, your claims will not be paid. If you were a PSHCP member before retirement or experienced any life changes, you will need to update your positive enrolment information.
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The Public Service Health Care Plan provides coverage for a wide variety of health-related products and services. However, as with any health care benefits plan, certain restrictions apply. Before incurring expenses for a product or service, you should read the related provisions to ensure you understand the parameters of what is covered by the ...
