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怀雅逊大学的“补充医保计划”
[ 编辑:admin | 时间:2014-09-19 13:02:44 | 浏览:932次 | 来源:isbbs | 作者:加拿大小蝌蚪 ]

怀雅逊大学的补充医保计划
1.处方药:凭医生处方,买药的时候只需要出示Green Shield Card,就只需要交20%。
2.物理治疗师:凭医嘱,每次最多$55,每年最多$240
3.按摩:凭医嘱,每次最多$25,每年最多$500
4.心理咨询:每年最多$350
其它详细见下面的解释:
5.speech language pathologist ($250 per benefit year )
6.psychologist or Social Worker (MSW)  ($350 per benefit year)
7.chiropractor, including 1 x-ray examination per benefit year (maximum of $15 per treatment up to $300 per benefit year)
8.osteopath, including 1 x-ray examination per benefit year ($20 per visit up to maximum of $300 per benefit year )
9.naturopath (maximum of $250 per benefit year)
10.podiatrist/chiropodist*, including 1 x-ray examination per benefit year ($20 per visit  up to maximum of $300 per benefit year )
11.acupuncturist ($20 per visit up to a maximum of $300 per benefit year)
12.Dental Accident

ThePlan covers the services of a dental surgeon, including dental prosthesis,required for the treatment of a fractured jaw or accidental injuries to naturalteeth or jaw if caused by external, violent and accidental means, provided theservices are performed within 6 months of the accident. Excluding from coverage are services required in conjunction with such injuries due to acondition that existed before the accident. If a dental accident occurs, the health plan's dental accident provision will pay benefits before the dental plan.

Because dental accidents are payable under the health benefit rather than the dentalbenefit, you will need to complete an Extended Health Claim formand a Supplemental Dental Accident Questionnaire which can be obtained from,and must be filled out by your attending dentist, immediately after theaccident. Treatment related to the accident must commence within six months ofthe accident date and completed within 365 days following the accident. Whenmaking a claim be sure to attach all original receipts to the claim form. Theclaim form can be mailed directly to Green Shield at the address on the form,or dropped off at the Members Services Office, Student Centre lobby. Claim forms are sent out daily!

Ambulance

ThePlan covers licensed ground ambulance or emergency air ambulance services tothe nearest hospital equipped to provide the required treatment when thephysical condition of the patient prevents the use of another means oftransportation. If the patient requires the services of a registered nurseduring the flight, the services and return airfare for a registered nurse arecovered.

A$100 maximum per day at $45 each way is covered.

Trusses, Crutches, Casts, Braces

ThePlan covers the costs of casts, limited to plaster of pairs or fibreglass, andbraces, provided they aren't solely for athletic use. It is recommended that anapplication for pre-approval be submitted to the insurer for this coverage.

Footwear

ORTHOTICS & ORTHOPAEDIC SHOES:

Foreach of these benefits, Green Shield requires these 5 items to submit with amanual claim:

   Doctor's referral note - either a medical doctor, chiropodist or podiatrist - stating the reason they recommend the use of     either shoes or orthotics for your foot deformity

   Biomechanical Examination

   Gait Analysis

   Description of process used to make them - casting     technique, etc.

   Proof of payment made, full original receipt

Orthotics: Coverage is $300 per benefit year

OrthopedicShoes:  Coverage is $750 per benefityear, cannot be for any athletic use

Formore information, click here.

Prosthesis

ThePlan covers the cost of artificial limbs or other prosthetic appliances. It isrecommended that an application for preapproval be submitted to the insurer.

Diabetic Supplies

ThePlan covers the cost of blood glucose monitors at reasonable and customarycharges.

Medical Equipment

ThePlan covers the rental or purchase at the insurer's option, of durableequipment which is required for temporary therapeutic use in the patient's homeand is approved by the insurer. Eligible durable equipment includes, but is notlimited to, items such as:

   wheel chairs

   wheel chair repairs

   walkers

   hospital beds

   traction kits

Itis recommended that an application for pre-approval be submitted to the insurerfor any items that would be claimed under the Medical Equipment Benefit.

Wigs and Hairpieces

Wigsand hairpieces as a result of chemotherapy or radiation treatment.

Tutorial

ThePlan covers the cost of private tutorial services if the student is confined tohome or hospital for a minimum of 15 consecutive school days. At $15 per hourup to $1000 per disability.

Accidental Death & Dismemberment

Thisbenefit is supplied by ACE INA Insurance Policy # SGC10 30 35 38. The basicAccidental Death and Dismemberment plan covers you 24 hours a day, anywhere inthe world, for specified Accidental Losses. The amount specified shall apply toeach insured person per accident, subject to all terms of the policy havingreference thereto. See page 23-25 of our "Benefits Booklet". For moredetails, click here.

TRAVEL INSURANCE

Travelinsurance is part of your health plan benefits but it is supplied to you by a separate company other than GreenShield. It is provided by Global Excel under RSA  (Royal Sun Alliance) .Please visit the Green Shield site and download all materials required underTRAVEL section. www.greenshield.ca/StudentCentre

Thisinsurance covers medical emergencies only, not trip cancellation or lostluggage. You must carry the RSU Care Card, the Global Excel Card and your provincial health card while travelling.

Youmust contact Global Excel prior to receiving any medical treatment.

GlobalExcel collect call from anywhere in world: 1-819-566-1898

PolicyHolder: National Student Health Network

PolicyNumber: 28556323F

CoveragePeriod: 60 days per trip

Travelinsurance is designed to protect you against unforeseen medical emergencies. Itprovides you with 24-hour assistance and allows you and your family to travelwith peace of mind.

Amedical emergency out of the province or outside Canada without travelinsurance can cause considerable financial difficulty and emotional stress, andcan ruin your trip. These are problems that can be easily avoided by havingappropriate emergency medical insurance! Don't risk your financial stability -protect yourself and your loved ones from unnecessary expenses and anxiety. Youcannot predict the future, but you can protect it!

Yourinsurance with the National Student Health Network offers emergency travelmedical and assistance benefits and is complemented by our first rate in-houseassistance and claims administration service, Global Excel Management.

Benefitsavailable under the plan include hospital and physician fees, diagnosticservices, emergency air transportation, interpretation services and directclaims payment capabilities.

CoverageMaximum: $5,000,000 per Coverage Period per Insured Person

CoveragePeriod: 60 Days per Trip

Coveragemaximum and limits are expressed in Canadian dollars

Certainconditions and limitations apply, consult the participant's booklet for details

Theactual wording of the master policy governs all situations

Youcan download important forms and documents for the plan by visiting the Document Centre.


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