Author Topic: Public Service Health Care Plan PSHCP [Merged]  (Read 68960 times)

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Offline ab136

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Public Service Health Care Plan PSHCP [Merged]
« on: March 12, 2005, 21:47:24 »
As a new member, how does the Cf medical plan work for family members?  What is the cost and are pre-existing medications covered?
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Offline TFC Tech

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Re: Public Service Health Care Plan PSHCP [Merged]
« Reply #1 on: March 12, 2005, 21:59:50 »
Are you Reg or Reserve??

There is a difference between the 2

Offline old medic

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Re: Public Service Health Care Plan PSHCP [Merged]
« Reply #2 on: March 12, 2005, 22:00:26 »
You can read up about it on this link. If you don't find any specific answers, feel free to ask again.

Understanding and Accessing Your Health Care Benefits

http://www.forces.gc.ca/health/services/engraph/health_info_home_e.asp
re-answering vision questions since 2004.

Offline ab136

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Re: Public Service Health Care Plan PSHCP [Merged]
« Reply #3 on: March 12, 2005, 22:00:36 »
Waiting for a Reg. call
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Offline TFC Tech

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Re: Public Service Health Care Plan PSHCP [Merged]
« Reply #4 on: March 12, 2005, 22:01:51 »
Well there you go, all the info you need to start is in the link above.

Offline ab136

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Re: Public Service Health Care Plan PSHCP [Merged]
« Reply #5 on: March 12, 2005, 22:03:00 »
Thanks guys
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Offline ab136

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Re: Public Service Health Care Plan PSHCP [Merged]
« Reply #6 on: March 12, 2005, 22:20:36 »
Can't seem to find anything there.  What I am wondering about is a prescription my wife has now...Imitrex. Just wondering if we might be able to "claim" it; it's about $15 per pill and it's very affective at relieving migraines.
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Offline TFC Tech

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Re: Public Service Health Care Plan PSHCP [Merged]
« Reply #7 on: March 12, 2005, 22:44:56 »
I'm not sure if they will cover that specifically but in your post you mention that you are waiting for a Reg call. This medical and dental plan do not come into effect until 2-3 months after the application is received.  Have you got the booklets yet from your OR?


Offline Michael O'Leary

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Re: Public Service Health Care Plan PSHCP [Merged]
« Reply #8 on: March 12, 2005, 22:48:48 »
CFAO 56-21 -- GROUP SURGICAL-MEDICAL INSURANCE PLAN

http://www.admfincs.forces.gc.ca/admfincs/subjects/cfao/056-21_e.asp

Quote
AUTHORITY

1. Regulations governing the Group Surgical-Medical Insurance Plan (GSMIP) for dependants of members of the Regular Force were approved by Treasury Board Minute 758836 of 17 Jul 78 as the Public Service Health Insurance Directives (PSHID) effective 1 Sep 78.
PURPOSE

2. This order described the benefits available under GSMIP and details the administrative procedures required to effect participation by dependants. It should be read in conjunction with 56-35, Hospital and Health Insurance Plans Within Canada, and 56-27, Hospital Insurance (Outside Canada) Plan.

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Re: Public Service Health Care Plan PSHCP [Merged]
« Reply #10 on: March 13, 2005, 08:52:49 »
So from what I have read, and correct me if I am wrong, the CF medical is a Blue Cross plan?
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Offline Simian Turner

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Re: Public Service Health Care Plan PSHCP [Merged]
« Reply #11 on: March 17, 2005, 21:21:15 »
The CF Medical System uses Blue Cross to assist with the payment for services and supplies to physicians, facilities and suppliers on behalf of CF members.  Blue Cross is not the CF member's insurance provider; they are merely a central agency that the CF uses to pay medical bills.  The CF then pays Blue Cross monthly as bulk claim.  Blue Cross helps track the individual claim back to the home facility responsible for that patient through the billing system.  The providers sign up with Blue Cross for quicker payment.
The grand essentials of happiness: something to do, something to love, something to hope for.  Allan K. Chalmers

Offline ab136

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Re: Public Service Health Care Plan PSHCP [Merged]
« Reply #12 on: March 18, 2005, 07:16:39 »
Thanks Gunner98, just what I wanted to know.
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Offline Simian Turner

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Re: Public Service Health Care Plan PSHCP [Merged]
« Reply #13 on: March 18, 2005, 21:51:53 »
SunLife provides dependent coverage within Canada through the Public Service Health Care Plan, see website:
http://www.tbs-sct.gc.ca/pubs_pol/hrpubs/tb_862/pshcpb-rssfpp_e.asp

Outside Canada info:  http://collection.nlc-bnc.ca/100/201/301/tbs-sct/tb_manual-ef/Pubs_pol/hrpubs/TB_862/CHAP2_3_e.html  or
http://www.tbs-sct.gc.ca/pubs_pol/hrpubs/TB_862/pshcpb-rssfpp2_e.asp#_Toc81106885


Claims for expenses incurred under the Comprehensive coverage provision
If you incur claims under the Comprehensive coverage provision of the PSHCP, you may send your claims directly to World Access Canada at the following address:

World Access Canada
Public Service Health Care Plan
P.O. Box 880
Waterloo ON N2J 4C3

Plan members living or working in the United States may call World Access toll-free at 1â ‘800â ‘363-1835.

Plan members outside Canada in countries other than the United States who are unable to call directly may call the World Access claims line collect at 519â ‘742â ‘1691. The claims line is open from 8:30 a.m. to 4:00 p.m. (EST), Monday to Friday.

Emergency travel assistance benefit
The Emergency travel assistance benefit provides emergency medical and general travel assistance to eligible members who travel outside their province/territory of residence.

If emergency assistance is needed, a 24-hour help line is available. Multilingual coordinators can access a worldwide network of professionals who offer help with medical, legal, or other travelâ ‘related emergencies. Call the 24â ‘hour toll-free number:

1-800-667-2883 in Canada and the United States, or
call collect 519-742-1342 in all other countries.
The grand essentials of happiness: something to do, something to love, something to hope for.  Allan K. Chalmers

Offline ab136

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Re: Public Service Health Care Plan PSHCP [Merged]
« Reply #14 on: March 18, 2005, 22:04:56 »
Thanks Gunner98, your a wealth of information on my topic.  Thanks again for the PM's :salute:
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Offline Chags

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Re: Public Service Health Care Plan PSHCP [Merged]
« Reply #15 on: May 31, 2005, 17:10:45 »
Question for y'all.. 

I just got married a couple months ago  (wow time really flies) and am just about done all the admin that goes along with it..  I got the Public Service Health Care Plan Card in the mail last week..  now is that the card my wife needs when she goes to the hospital (or dentist) or is there another card..  I've heard of some other card that would have her name on it (and dependents)

Any info would be appreciated


Offline wotan

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Re: Public Service Health Care Plan PSHCP [Merged]
« Reply #16 on: May 31, 2005, 17:46:27 »
Howdy Chags,

  The PSHCP card along with her Provincial Health Care plan card is all that is required.  As you add dependants onto your military records (make sure you add them!), they are automatically covered with PSHCP.

  There is also the CF Dental Care plan, but you aren't issued a card for that.  Simply go to your OR and they can provide you with claim forms and an explanation of benefits.  Most dentists that are familiar with the CFDCP will submit the claim on your behalf and simply bill you the remaining portion, but that is their choice.  They may prefer for you to pay up front and for you to submit the claim.

  There is also a Blue Cross card that is available for your use, but it covers only you on lve while outside Canada.  Basically, the card simply provides a contact number to arrange emergency medical and dental coverage while on lve outside the country, but again, I stress that it covers only you.  If you are taking the family out of the country, I would recommend investing in supplementary Blue Cross or similar coverage.

  Other than that, there are no other plans that I am aware of, however, it may vary from province to province.  However, if you have any doubts, consult your OR staff.  Better to ask and be informed than to be silent and miss out on benefits due to you.  Cheers.

You are correct, Madame, I am drunk.  But you are ugly and in the morning I will be sober.

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Re: Public Service Health Care Plan PSHCP [Merged]
« Reply #17 on: May 31, 2005, 17:52:46 »

   There is also a Blue Cross card that is available for your use, but it covers only you on lve while outside Canada.  

Incorrect.   The blue cross card is there for you when you require medical care and DND facilities are not available INSIDE and OUTSIDE Canada.   If you are hurt on the weekend and need to go to the hospital/clininc down the street from your house...the blue cross card will cover you.

Offline Chags

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Re: Public Service Health Care Plan PSHCP [Merged]
« Reply #18 on: June 03, 2005, 15:56:24 »
Thanks for the info wotan..  thats exactly what I needed to hear..

Chags

Offline wotan

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Re: Public Service Health Care Plan PSHCP [Merged]
« Reply #19 on: June 06, 2005, 14:55:36 »
Incorrect.   The blue cross card is there for you when you require medical care and DND facilities are not available INSIDE and OUTSIDE Canada.   If you are hurt on the weekend and need to go to the hospital/clininc down the street from your house...the blue cross card will cover you.

Not to start a p*ssing contest, however when I have the temerity to instruct you as to flight ops, then by all means feel free to instruct me on admin.  Form DND-021(B) is based on an agreement between the CF and Atlantic Blue Cross.  You can identify the fact that it is only for outside Canada use by the fact the front of the card carries, in large, red type the following:  EMERGENCY MEDICAL/DENTAL ASSISTANCE OUTSIDE OF CANADA. 

That said, you are correct that CF members, on lve within Canada or requiring after-hours emergency care may attend civilian facilities as directed.  Cheers.
You are correct, Madame, I am drunk.  But you are ugly and in the morning I will be sober.

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Re: Public Service Health Care Plan PSHCP [Merged]
« Reply #20 on: June 06, 2005, 15:57:45 »
Fair enough, then maybe you will have the temerity to point out where it says "outside canada only" in large red type.........
« Last Edit: June 06, 2005, 16:02:20 by aesop081 »

Offline wotan

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Re: Public Service Health Care Plan PSHCP [Merged]
« Reply #21 on: June 06, 2005, 16:30:28 »
  If that was the DND-021(B), I certainly would.  What you have is the Blue Cross card, for inside Canada only, that advises you to change the alpha character of your SN from whatever it is to an"M" and use that as your medical number.  The number provided (1-877-MED-DENT [1-877-633-3368]) is good only in Canada.

  The outside Canada DND-021(B) provides two separate numbers, 1-800-563-4444 for requirements in the USA and 1-506-854-2222 (use of collect calling is encouraged) for all other locales.  This card was issued to ORs vice directly to the members, about two years ago.  If you haven't received one, I would certainly encourage you, and anyone else, to get one if you are travelling outside Canada on lve.

  Cheers.
You are correct, Madame, I am drunk.  But you are ugly and in the morning I will be sober.

Offline signalsguy

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Re: Public Service Health Care Plan PSHCP [Merged]
« Reply #22 on: July 28, 2005, 21:41:41 »
After muddling through the PSHCP 'guide' (yeah right.) I see that I am covered for up to $200 for eyeglasses or contact lenses, every 2 years starting on odd years. Now since I am reg force and I already get FREE glasses from DND, does this mean that I can go and get contacts or more glasses and and submit a claim for up to $200?

I'm not 100% clear on the way the plan actually works, I signed up for it so that my wife has the coverage. I see that there are many things that I am covered for but I don't understand how to get things like massage therapy etc, since AFAIK I can only go to see my doc at NDMC (or go to MIR)...

Offline Simian Turner

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Re: Public Service Health Care Plan PSHCP [Merged]
« Reply #23 on: July 28, 2005, 22:45:55 »
No, the $200 is only for your family, not you.  Contact lenses unless specifically prescribed (which is almost never) are not paid for by CF.  Normally, massage therapy is only covered  by Veterans Affairs not by CF, except in a limited fashion for experimental cases.

PSHCP does not apply to soldiers, only their families.
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Offline Towards_the_gap

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Re: Public Service Health Care Plan PSHCP [Merged]
« Reply #24 on: April 29, 2008, 17:41:15 »
Very important question here. But after completing the paperwork (application) for PSHCP coverage, how long should it take to get the info pack? I ask because I filled out all the paperwork on 09 Dec 2007 when I enrolled (enrollment date 06 Dec) and yet Sunlife is rejecting any claims so far for my pregnant wifes Chiropractor as they 'do not have any record of me', and I have yet to receive a certificate number, or notice any allotments being taken from my pay, which was also screwed up on enrollment. The medical expenses are starting to add up so this is very worrying.

Many thanks,