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Generally, you can continue to be covered under the Public Service Health Care Plan (PSHCP) when on leave without pay. However, depending on the length of your leave and the type of leave, you may be required to pay the full cost of your coverage (i.e. the employer and employee monthly contributions combined).
- Update: Improvements and changes to the Public Service Health ...
For certain gender-affirming care not covered by...
- Public Service Health Care Plan frequently asked questions
Find answers to your general questions about coverage,...
- Update: Improvements and changes to the Public Service Health ...
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As previously announced, effective July 1, 2023, changes will come into effect for all Public Service Heath Care Plan (PSHCP) members. The PSHCP is currently administered by Sun Life Financial. Following a competitive procurement process, which was unrelated to the new PSHCP changes, Canada Life Assurance Company will begin processing PSHCP claims as of July 1, 2023, which aligns with the effective date of the Plan changes below.
The PSHCP is negotiated at the PSHCP Partners Committee, comprised of Employer, Bargaining Agent and pensioner representatives. Improvements that modernize the PSHCP were the result of successful negotiations amongst all parties and responds to the needs of a diverse Canadian public sector workforce, its retirees and dependants, while respecting the publicly funded nature of the benefits members receive.
Further details have now been included to explain how improvements and changes will be administered as of July 1, 2023.
For all services and products where the maximum reimbursement amount will increase, the increase will come into effect on July 1, 2023. This means that the increased reimbursement will only apply to items or services incurred on or after July 1, 2023.
For example, effective July 1, 2023, the benefit for massage therapy services increases from $300 to $500 annually. If a plan member submitted claims for $300 in massage therapy services incurred before July 1, 2023, they will be eligible to submit claims for another $200 after July 1, 2023, for services incurred after that date.
Additional information and examples are included in the ‘Details’ column in the table below.
•PSHCP Improvements
•PSHCP Changes
The PSHCP Directive is currently being updated to reflect the above changes. It will be available effective July 1, 2023. At that time, should there be any discrepancy between this information in this Information notice and that contained in the PSHCP Directive, the PSHCP Directive applies.
Effective July 1, 2023, plan members can speak with the new plan administrator, Canada Life, regarding any details surrounding these plan changes.
Find answers to your general questions about coverage, eligibility and more under the Public Service Health Care Plan (PSHCP). Public Service Health Care Plan benefit card frequently asked questions. Find answers to your questions about the Public Service Health Care Plan (PSHCP) benefit card, positive enrolment and how to make a claim with ...
As you approach retirement, you may be thinking about what your health care needs will be in the coming years. Plan members who have retired from the federal public service, the RCMP, and the Canadian Armed Forces, as well as members of the Veterans Affairs client group, are eligible to receive coverage under the PSHCP, provided they receive a public service pension.
The PSHCP is a voluntary plan that reimburses plan members for eligible health care expenses after plan members have taken advantage of their provincial/territorial health-care coverage. PSHCP coverage includes things like prescription drugs, medical devices and equipment, and services from providers like massage and physiotherapists.
For the first 180 days of the updated plan, starting July 1, 2023, previously covered prescribed brand-name drugs will still be reimbursed at 80 per cent of their cost. After this legacy period, all prescription drugs covered under the PSHCP will be reimbursed at 80 per cent of the cost of the lowest-priced alternative generic drug unless an exception is completed by the prescriber, sent to ...
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The Public Service Health Care Plan (PSHCP) The PSHCP provides reimbursement for all, or part of the expenses paid in full, for eligible services and products. Unless otherwise specified, eligible services and products must be prescribed by a physician, nurse
