Faculty and Staff

Supplementary Health Care: Academic Staff

The Supplementary Health Care Plan covers you and your dependents for eligible expenses including paramedical practitioners, charges for prescription drugs and vision care which are not covered by the Provincial Health Care Insurance Plan. In some instances, the Plan supplements coverage provided under the Provincial Health Care Insurance Plan. Benefits are only payable for expenses which are medically necessary.

The University supplementary health coverage is provided through Sun Life.  Visit the Making a Claim page to learn more. Reimbursement of eligible expenses will be based on reasonable and customary charges for the service in the area in which you reside.

Co-ordination of Benefits

There are certain rules that govern the reimbursement of claims when both you and your spouse have benefit coverage with your respective employers. Visit the Co-ordination of Benefits page to learn more.

The following plan details apply to all eligible academic staff.

If you require information on a product or service that is not listed below please contact Sun Life Customer Care Centre at 1-800-361-6212 or via email at askus@sunlife.com.  Coverage details can be found by logging into your Sunlife web access and viewing coverage information.

The following services noted with a * below (e.g., Acupuncture, Chiropractor, Massage Therapy, Osteopath and Physiotherapy services) have a combined annual maximum of $1800 per year per eligible person. Within the combined practitioner maximum, Massage Therapist services are limited to $600 per Insured per year.

Service

Coverage

Accidental Dental
  • Accidental injury to natural teeth only
  • Services performed within 6 months of accident
Acupuncture/Acupressure (performed by registered Acupuncturist)*
  • $75 per visit, included in the combined annual maximum of $1800
  • Practitioner registration number must be provided in order for the claim to be considered for reimbursement
Ambulance
  • Professional ambulance services for Medically Necessary transportation in a licensed ground and/or air ambulance to the nearest Hospital able to provide the Medically Necessary services.
Athletic Therapy
  • 100% of reasonable and customary costs to a limit of $75 per visit included in the practitioners’ combined costs to an annual maximum of $1,800 for all practitioners
  • Practitioner registration number must be provided in order for the claim to be considered for reimbursement
Chiropractic Treatment*
  • $75 per visit maximum reimbursement, included in the combined annual maximum of $1800
  • Practitioner registration number must be provided in order for the claim to be considered for reimbursement 
Diagnostic Tests
  • x-rays
  • laboratory tests
Hearing Exam

 

  • exam is covered if hearing aid purchased

 

Home Nursing (R.N., L.P.N. or R.N.A.)
  • services do not include those of a custodial nature
  • pre-approval by Sun Life required
  • maximum reimbursement of $25,000 per covered person in any three consecutive years
  • Practitioner registration number must be provided in order for the claim to be considered for reimbursement
Hospital Accommodation
  • semi-private or private room
Massage Therapy* Accepted Practitioners:  
  • MTAA - Massage Therapists Association of Alberta
  • NHPC - Natural Health Practitioners of Canada
  • RMTA- Remedial Massage Therapy Association
  • Massage Therapists must have 2200 hours of certification
  • $75.00 per visit, included in the combined annual maximum of $1800, to a limit of $600 per year per covered person
  • Practitioner registration number must be provided in order for the claim to be considered for reimbursement

To view delisted providers, you must log in to mysunlife.ca, click on “Coverage Information”.   On the right hand side select “Delisted providers list” to ensure that the service provider has not been delisted.

Naturopath
  • Accepted Practitioner: AANP - Alberta Association of Naturopathic Practitioners
  • Consultation only - NOT remedies
  • $75 per visit
  • maximum $600 reimbursement per year covered person
  • Practitioner registration number must be provided in order for the claim to be considered for reimbursement
Occupational Therapy
  • $1000 per person per year
Osteopath*
  • $75 per visit, included in the combined annual maximum of $1800
Physiotherapy*
  • $75 per visit, included in the combined annual maximum of $1800
  • Practitioner registration number must be provided in order for the claim to be considered for reimbursement 
Podiatrist/Chiropodist
  • $75 per visit
  • maximum coverage of $600 per year per covered person which includes both office visits and surgery
Psycho-Educational Assessments

Access through Homewood Health Inc. (100% Covered)

Assessments are limited to children listed as dependents under the member's Supplementary Health Care plan. (aged 6-16 yrs)

To arrange an assessment, please contact Homewood Health directly at (780) 428-7587.

Psychological Counselling

Access through Homewood Health Inc.

See Employee and Family Assistance Program

Residential Treatment Programs
  • A physician referral is required,
  • Coverage is for inpatient fees associated with a residential treatment program for addictions, eating disorders, mental illness or other injury/illness requiring short term residential treatment.
  • Services must require the specific skills of a licensed health care practitioner and must not be custodial in nature. This coverage includes Government, non-government and  subsidized facilities as long as they are recognized as a treatment facility.
  • Coverage is 75% up to a total payable limit of $25,000.00 per person within any 36 rolling months for the specified rehabilitation types combined.
  • The maximum period of time available per disability is 180 consecutive days.
Respiratory Therapist
  • maximum reimbursement of $1000 per year per covered person
Speech Therapy
  • 100 % of reasonable customary costs up to a maximum of $1000 per year per covered person
  • Practitioner registration number must be provided in order for the claim to be considered for reimbursement
Vision Care See Vision Care

Product

Coverage

Allergy Test, Supplies and Vaccines 100%
Artificial Limbs / Prosthesis 100%
Birth Control Devices (IUD) 100%
Continuous Glucose Monitoring receivers, sensors and transmitters that are required to operate the Continuous Glucose Monitor receiver

Effective January 1, 2018 - 90% of reasonable and customary charges to a maximum of $4,000 per eligible covered person per year for a person who has been diagnosed by a physician as having Type 1 Diabetes

CPAP Monitor (Constant Positive Airway Pressure) $2000 every 5 years
CPAP Replacement Supplies

Once every 12 months

Glucoscan, Glucometer, Supplies 50% - $1000 maximum
Glasses, Contacts and Laser Eye Surgery See Vision Care
Hearing Aids and Repairs

$2000 per ear per person every 3 years

Hospital Bed (manual) 100%
Inhalers/Inhalators 100%
Insulin Infusion Pump

50% of reasonable and customary charges to a maximum of $1,000 per eligible covered person per every 5 years

Mammary Prosthesis and Support Garments
  • following cancer treatment or traumatic injury
  • maximum reimbursement of $500 per year per covered person

Orthopaedic Shoes and Orthotic Inserts

 
2 custom pairs of orthopaedic inserts @ $500 per pair per person every benefit year

Requires:

  • prescription by physician
  • list of raw materials used
  • explanation of casting techniques

1 pair of orthopaedic shoes per person per calendar year

Requires:

  • prescription by physician
  • list of raw materials used
  • explanation of casting techniques
Ostomy Supplies 100%
Oxygen Administration Equipment 100%
Peak Flow Meter (severe asthma) 100%
Prescription Drugs See Prescription Drugs
Respirator 100%
Splints, Trusses, Braces, Crutches and Casts 100%
  • Brace requires prescription by physician
Tens Unit 50% - $1000 maximum
Vaccinations required for out- of country travel 100%
Walker 100%
Wheelchair and Repairs
(purchase or rental)
100%
  • Pre-approval by Sun Life required
Wigs & Hairpieces
  • following cancer treatment or as a result of medical conditions that result in total baldness
  • maximum reimbursement of $600 per year per covered person

Health Spending Account

Expenses not covered through your Supplementary Health Care Plan as well as coinsurance payments may be eligible for reimbursement through your Health Spending Account