In this section

Supplementary Health Care Benefits

Supplementary Health Care Benefits for Employees

The Supplementary Health Care Plan covers you and your dependents through Sun Life. Eligible expenses include the following:

Health and hospital services
Prescription drug expenses
Paramedical
Vision care
Other eligible medical expenses not covered under Alberta Health Care

Your benefits can only be claimed for expenses that are medically necessary. Reimbursement of eligible expenses are based on reasonable and customary limits charges for the service.

Most expenses, including prescription drugs, are billed directly. Other expenses you pay can be submitted to Sun Life for reimbursement. Visit the Making a Claim page to learn more.

Co-ordinating benefits

When both you and your spouse have benefits from your respective jobs, there are rules and regulations to follow surrounding the reimbursement of claims. Visit the Co-ordination of Benefits page to learn more.

If you require information about 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 Sun Life web access and viewing coverage information.

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

Beginning Alberta Blue Cross Seniors Program coverage

Once you or your spouse turns 65 years old, all medical services must be submitted to Alberta Blue Cross Seniors Program for determination as to whether any portion of the cost will be eligible for reimbursement under their plan. After expenses have been reviewed by Alberta Blue Cross, you are then in a position to submit any residual amount to Sun Life for reimbursement.

In the case of prescription medication, it may be possible for the pharmacist to electronically submit the claim under both Alberta Blue Cross and your Sun Life plan provided by the University of Alberta. If the pharmacist is unable to submit electronically under both plans, it will be necessary to complete an Extended Health Claim Form. Send the completed form along with the receipt from the pharmacy for the portion of the prescription unpaid by Alberta Blue Cross to Sun Life for reimbursement.

To determine dates of next purchase or examination eligibility, please access Sun Life Member Services, my Sun Life Mobile App, Sun Life Customer Care Centre at 1-800-361-6212 or via email at askus@sunlife.com.

Select an option below to view supplementary health care eligibility for Support Staff, Academic Staff and Management and Professional Staff (MAPS).

The following plan details apply to all eligible support staff.

Eligible services

Some services listed below incurred after January 1, 2013 have a combined annual maximum of $2,500 per year per eligible person. Within the combined annual maximum, the amount allowable for each practitioner per person insured is $1,000 per year.

Service	Coverage
Accidental Dental	Accidental injury to natural teeth only Services performed within six months of accident
Acupuncture/Acupressure (performed by a registered acupuncturist)	100% of reasonable and customary costs included in the combined annual maximum of $2,500 to a limit of $1,000 per year per covered person 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 included in the practitioners' combined costs to an annual maximum of $2,500 per year, to a limit of $1,000 per practitioner per year per eligible person Practitioner registration number must be provided in order for the claim to be considered for reimbursement
Chiropractic Treatment	100% of reasonable and customary costs included in the combined annual maximum of $2,500, to a limit of $1,000 per year per covered person 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 (registered nurse, licensed practical nurse or registered nursing assistant)	Services do not include those of a custodial nature Pre-approval by Sun Life required Practitioner registration number must be provided in order for the claim to be considered for reimbursement
Hospital Accommodation	Semi-private or private room
Naturopath	Check Sun Life to ensure provider is approved Consultation only - not remedies 100% of reasonable and customary costs included in the combined annual maximum of $2,500, to a limit of $1,000 per year per covered person Practitioner registration number must be provided in order for the claim to be considered for reimbursement
Physiotherapy	100% of reasonable and customary costs included in the combined annual maximum of $2,500, to a limit of $1,000 per year per covered person Practitioner registration number must be provided in order for the claim to be considered for reimbursement
Podiatrist/Chiropodist	100% of reasonable and customary costs included in the combined annual maximum of $2,500, to a limit of $1,000 per year per covered person which includes both office visits and surgery Practitioner registration number must be provided in order for the claim to be considered for reimbursement
Psycho-educational Assessments	Employee and Family Assistance Program Phone: 780-428-7587 (To make an appointment, call 24 hours a day, 7 days a week, 365 days a year) Assessments are limited to children listed as dependents under the member's Supplementary Health Care plan (aged 6-16 yrs)
Psychological Counselling	Employee and Family Assistance Program; Graduate Student Assistance Program Phone: 780-428-7587 (To make an appointment, call 24 hours a day, 7 days a week, 365 days a year)
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 The maximum period of time available per disability is 180 consecutive days Programs for alcohol, drug, gambling and other recognized addictions 50% of cost per covered person to a lifetime payable limit of $5,000 per person for the specified rehabilitation types combined
Speech Therapy	100% of reasonable and customary costs included in the combined annual maximum of $2,500, to a limit of $1,000 per year per covered person Practitioner registration number must be provided in order for the claim to be considered for reimbursement
Vision Exam	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 (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
Constant Positive Airway Pressure (CPAP) Mask	Once every 12 months
CPAP Monitor	$2,000 every five years
CPAP Replacement Supplies (required for operation of the CPAP Monitor)	Any piece of equipment other than a CPAP Mask which may be the same or a different item, once every 12 months Contact Sun Life for a list of eligible supplies
Glucoscan, Glucometer, Supplies	50% of reasonable and customary charge to a $500 maximum per insured every five years
Glasses, Contacts and Laser Eye Surgery	See Vision Care
Hearing Aids and Repairs	$2,000 per ear per person every five 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 five 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	Two custom pairs of orthopaedic inserts at $500 per pair per person every benefit year Requires: prescription by physician list of raw materials used explanation of casting techniques One 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% coverage; brace requires prescription by physician
Tens Unit	50% of reasonable and customary charge to a $500 maximum per insured every five years
Vaccinations required for out-of-country travel	100%
Walker	100%
Wheelchair and Repairs (purchase or rental)	100%; pre-approval by Sun Life required
Wigs and 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

Information on this website is only a summary of the Support Staff Supplementary Health Care Plan Policy and not an official description of the plan. If there is a conflict between the plan text and the website, the plan text will prevail.

The following plan details apply to all eligible academic staff.

Eligible services

Some services listed below are part of a combined annual maximum of $1,800. That means each calendar year, you can claim up to $1,800 in total eligible services combined (not $1,800 for each service). Within the combined practitioner maximum, massage therapist services are limited to $600 per person insured per year.

Service	Coverage
Accidental Dental	Accidental injury to natural teeth only Services performed within six months of accident
Acupuncture/Acupressure (performed by registered Acupuncturist)	$75 per visit, included in the combined annual maximum of $1,800 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 common and reasonable costs to a limit of $75 per visit included in the combined annual maximum of $1,800 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 $1,800 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 (registered nurse, licensed practical nurse or registered nursing assistant)	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	Massage therapists must have 2,200 hours of certification $75 per visit, included in the combined annual maximum of $1,800, 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, log in to My Sun Life and click on “Coverage information.” On the right side, select “Delisted providers list” to check that the service provider has not been delisted
Naturopath	Confirm accepted providers with Sun Life Consultation only - not remedies $75 per visit, included in the combined annual maximum of $1,800 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	$1,000 per person per year
Osteopath	$75 per visit, included in the combined annual maximum of $1,800
Physiotherapy	$75 per visit, included in the combined annual maximum of $1,800 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	Employee and Family Assistance Program Phone: 780-428-7587 (To make an appointment, call 24 hours a day, 7 days a week, 365 days a year) Assessments are limited to children listed as dependents under the member's Supplementary Health Care plan (aged 6-16 yrs)
Psychological Counselling	Employee and Family Assistance Program; Graduate Student Assistance Program Phone: 780-428-7587 (To make an appointment, call 24 hours a day, 7 days a week, 365 days a year)
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 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 $1,000 per year per covered person
Speech Therapy	100% of reasonable customary costs up to a maximum of $1,000 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 (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
Constant Positive Airway Pressure (CPAP) Mask	$2,000 every 5 years
CPAP Replacement Supplies	Once every 12 months
Glucoscan, Glucometer, Supplies	50%; $1,000 maximum
Glasses, Contacts and Laser Eye Surgery	See Vision Care
Hearing Aids and Repairs	$2,000 per ear per person every three 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 five 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	Two custom pairs of orthopaedic inserts at $500 per pair per person every benefit year Requires: prescription by physician list of raw materials used explanation of casting techniques One 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% coverage; brace requires prescription by physician
Tens Unit	50% coverage; $1,000 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

Information on this website is only a summary of the Academic Staff Supplementary Health Care Plan Policy and not an official description of the plan. If there is a conflict between the plan text and the website, the plan text will prevail.

Review the Management and Professional Staff (MAPS) Handbook for your eligibility.

Eligible services

Service	Coverage
Accidental Dental	Accidental injury to natural teeth only Services performed within six months of accident
Acupuncture/Acupressure (performed by a registered acupuncturist)	$75 per visit, included in the combined annual maximum of $1,800 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 common and reasonable costs to a limit of $75 per visit included in the combined annual maximum of $1,800 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 $1,800 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 (registered nurse, licensed practical nurse or registered nursing assistant)	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	Massage therapists must have 2,200 hours of certification $75 per visit, included in the combined annual maximum of $1,800, 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, log in to My Sun Life and click on “Coverage information.” On the right side, select “Delisted providers list” to check that the service provider has not been delisted
Naturopath	Confirm accepted providers with Sun Life Consultation only - not remedies $75 per visit, included in the combined annual maximum of $1,800 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	$1,000 per person per year
Osteopath	$75 per visit, included in the combined annual maximum of $1,800
Physiotherapy	$75 per visit, included in the combined annual maximum of $1,800 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	Employee and Family Assistance Program Phone: 780-428-7587 (To make an appointment, call 24 hours a day, 7 days a week, 365 days a year) Assessments are limited to children listed as dependents under the member's Supplementary Health Care plan (aged 6-16 yrs)
Psychological Counselling	Employee and Family Assistance Program; Graduate Student Assistance Program Phone: 780-428-7587 (To make an appointment, call 24 hours a day, 7 days a week, 365 days a year)
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 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 $1,000 per year per covered person
Speech Therapy	100% of reasonable customary costs up to a maximum of $1,000 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
Constant Positive Airway Pressure (CPAP) Monitor	$2,000 every five years
CPAP Replacement Supplies	Once every 12 months
Glucoscan, Glucometer, Supplies	50%; $1,000 maximum
Glasses, Contacts and Laser Eye Surgery	See Vision Care
Hearing Aids and Repairs	$2,000 per ear per person every three 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 five 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	Two custom pairs of orthopaedic inserts at $500 per pair per person every benefit year Requires: prescription by physician list of raw materials used explanation of casting techniques One 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% coverage; $1,000 maximum
Vaccinations required for out-of-country travel	100% coverage
Walker	100%
Wheelchair and Repairs (purchase or rental)	100%; pre-approval by Sun Life required
Wigs and 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

Information on this website is only a summary of the MAPS Supplementary Health Care Plan Policy and not an official description of the plan. If there is a conflict between the plan text and the website, the plan text will prevail.

Supplementary Health Care Benefits for Employees

Co-ordinating benefits

Beginning Alberta Blue Cross Seniors Program coverage

Eligible services

Service

Coverage

Product

Coverage

Eligible services

Service

Coverage

Product

Coverage

Eligible services

Service

Coverage

Product

Coverage

Quick Links

Questions?

Health and Well-being

Environment and Safety

Supplementary Health Care Benefits for Employees

Co-ordinating benefits

Beginning Alberta Blue Cross Seniors Program coverage

Eligible services

Service

Coverage

Product

Coverage

Eligible services

Service

Coverage

Product

Coverage

Eligible services

Service

Coverage

Product

Coverage

Quick Links

Questions?