Hello,
I did a search in here but couldn't find anything pertaining to this subject so if there is one, feel free to merge and I'll pick up any nuggets in there.
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I am interested to know what is available for both the mbr & dependants, as a "Class A", or a "B <180"
AFAIK, whenever you're on duty and something happens, the mbr is always covered correct, and tmt is done at the Mil facility?
This is more for when you're on "Class A", or a "B <180" contract, and if Class A, when you're not 'on duty'.
MEDICAL COVERAGE ENTITLEMENT:
(I'm hoping entitlements are the same, whether you're on a 180+ Class B or Less, it's just the difference of employee-paid rate vs self-paid? Correct?)
Dependants:
PSHCP is available as self-paid option ($90'ish?) for Dependants, confirm? Does this then cover the mbr as well? Or do we use our Blue Cross card? If not, what do we use?
From the PSHCP Booklet:
(b)
Class A and Class B Reservists are eligible to join the Plan on the following dates:
(i)
if engaged for a period of less than 180 days, the date of eligibility is the
date taken on strength;
For Class A, What is the date taken on strength when there's no contract? Would it be just the first day you were no longer on your Class B? So say your 365 Class B ended Jan 1st, then date taken on strength would be Jan 2nd?
Mbr:
Do we go to any civvy clinic and submit claims just as we do for dependants? Or thru PositiveEnrollment if you have that set up? Do we have coverage under PSHCP or BlueCross or...?
DENTAL COVERAGE:
I haven't found any suggestion that there is a self-paid avenue. I remember reading awhile ago that GWL is activated & available 24/7 for Reservists & Dependants so long as they're, Reservists. A/B> OR <180, C. That's for Dependants, but I don't know about the mbr. Curiously, when you log-in it has always shown my name with entitlements for all the years, but of course I've always gone through the Dent U, so never claimed anything through there. I'm assuming it's just set up permanently, for whenever I wouldn't be on a B <180 that I can claim benefits just the same?
Does anybody know if the benefits would be any different than for dependants, that is for the mbr? Should be identical no?
So, for the mbr, does one just submit as for dependants, the receipts from any civvy Dentist? Take to the OR, have them stamp it and fire off?
If it turns out there is no PSHCP nor Dental while Class A or B<180, does anybody have any recommendations for alternative Med/Dent providers?