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Human
Resources
Pensions and Benefits

Foreword

General

Commencement

Contributions

Available coverage

Extended health provision

Hospital provision

Basic health care provision

Hospital (outside Canada) provision

Summary of maximum eligible expenses

Plan provisions

For more information

Glossary

Notes

Other Related Documents
Alternate Format(s)
InstructionsRTF (505 Kb)
Printable Version

Public Service Health Care Plan - Benefits Coverage and Plan Provisions

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Table of Contents

Foreword
General

Purpose of the Public Service Health Care Plan (PSHCP)
Management of the PSHCP
PSHCP Trust
Financial management
Administration of the PSHCP

Commencement, amendment and termination of coverage

Eligibility
Effective date of coverage
When joining the Plan
When acquiring a dependant
When increasing the level of coverage under the Hospital provision
Termination of coverage
Voluntary cessation of coverage
Involuntary cessation of coverage

Contributions
Available coverage

Supplementary coverage
Comprehensive coverage
Employees and members of the CF or RCMP posted outside Canada
Employees and members of the CF or RCMP on loan to serve with an international organization or on an authorized educational leave without pay outside Canada
Pensioners residing outside Canada
Eligibility for coverage
General exclusions and limitations

Extended health provision

Drug benefit
Eligible expenses
Exclusions
Vision care benefit
Eligible expenses
Exclusions
Medical practitioners benefit
Eligible expenses
Exclusions
Miscellaneous expense benefit
Eligible expenses
Exclusions
Dental benefit
Lower cost alternative
Accidental injury
Oral surgical procedures
Exclusions
Out-of-province benefit
Emergency benefit while travelling
Eligible expenses
Emergency travel assistance services
Official travel status
Referral benefit
Exclusions

Hospital provision

Eligible expenses
Exclusions

Basic health care provision

Eligible expenses
Exclusions

Hospital (outside Canada) provision

Eligible expenses
Exclusions

Summary of maximum eligible expenses
Plan provisions

Claims
Appeals
Payment of benefits
Deductible amount
Co-payment
Overpayments
Claims to provincial/territorial programs
Co-ordination of benefits

For more information

About the PSHCP Trust
About PSHCP claims or benefit information
About where to send your claims
Claims for expenses incurred under the Comprehensive coverage provision
Emergency travel assistance benefit
About how to complete your claim form
About the claims or coverage appeal process
About your PSHCP monthly contributions and pay or pension deductions
How to contact your Pension office
About the Plan Document

Glossary
Notes

 
 
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Date Modified:  2001-07-01 Top of Page Important Notices