Health & Dental

Health & Dental

NOTICE: As of September 1, the policy number has changed and the new plan number is: 59355. Please ensure you have the correct plan information when showing your benefits card to a provider.

All full-time students paying Students’ Association fees have Health & Dental coverage, unless they have already opted out. Not sure if you’re eligible?

Details

Students can now FLEX their benefits in order to tailor them more for your individual needs. View the different options and the form to FLEX here.

The Health & Dental plan costs approximately $116 per semester, and is assessed and paid along with your tuition fees.

For all students under the SAMU Health & Dental plan who do not want to to FLEX, our default plan option covers you for:

-80% of prescription drug costs, up to $3,000 a year (Remember, this only applies to the generic brand of pharmaceuticals, so make sure to tell your pharmacist! Check if it is covered here).

-80% of supplemental health costs (massage, psychologist, and physio). Some conditions apply.

-100% of one dental exam per year, if you visit a dentist listed under the plan. 70% of one dental exam per year, if you use an alternative dentist. More information here.

-$750 maximum in dental coverage per year. Need more Dental specifics?

-100% for vision care to a maximum of $100 for glasses or contact lenses every 24 months, as well as a maximum of $60 every 24 months for an eye exam.

-plus other benefits.

Opt Out

You have the option to opt out of the plan if you already have comparable insurance (say, you’re covered under your parents’ or spouse’s insurance provider.) Keep in mind that once you opt out, you will not be covered by SAMU’s Health & Dental plan, unless you opt back in.

The opt out period ends on September 30, 2016. If you forget to opt out in time, you are obligated to pay for health and dental coverage all year. Luckily, opting out is easy and can be done online.

Once you’ve opted out, you will be reimbursed within 4-6 weeks.The refund will be processed by the Macewan Fee office, all inquiries can be directed to acctrec@macewan.ca. After opting out you will not be charged again.

Opt out online now!

Opt Back In

You may only opt back in at the beginning of the next school year – or if you lose your alternative coverage. Remember, you have to opt back in within 30 days of losing your alternative coverage.

Opt back in now!

Benefits Card & Claims

Why print off a Benefits Card?

Well, you will only have to pay the co-pay portion of your claim at the time of service. That means you don’t have to front the cash for your coverage and wait for reimbursement, and you can use your money on your terms.

Print your BENEFITS CARD now!

If you do go to a clinic where the care card isn’t applicable, or if you’ve had an appointment prior to printing you benefits card, there are other ways to make a claim.

Insurance claims can be mailed in using the Health Claim Form or Dental Claim Form. Remember to include all receipts with the forms. Claims can also be made online.

Still Unclear?

Let’s be honest, insurance can be daunting. If you’re having trouble understanding the SAMU Health & Dental plan you can read more about it at mystudentplan.ca or check out the Frequently Asked Questions.

And, if you just want to talk to an actual person, you can contact Harrison MacDonald at the Student Benefits Plan Office, weekdays from 9am – 4:30pm, at 780.497.4675. You can also go see him in person at the City Centre Campus, Room 6-108; he’d be happy to help.

E-mail Harrison MacDonald at macewanplan@mystudentplan.ca

Students at the satellite campuses can visit their Students’ Association offices for assistance.

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