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Plan 9355
Phone Numbers
To be used exclusively for travel-related
emergencies
Canada and USA 1-800-667-2883
(toll-free)
All Other Countries 519-742-1342
(call collect)
Fax 519-742-2581
For general Claims Enquiries
(613) 247-5100 (local calls)
1-888-757-7427 (Toll-free)
The following
benefits are available only to persons residing in
Canada.
The Public Service Health Care Plan covers you and your
dependants for up to $500,000 each in eligible medical expenses
incurred as a result of an emergency while traveling on vacation
or business. This coverage continues for up to 40 days after
departure from your province of residence.
With the Emergency Travel Assistance Benefit, you receive
around-the-world services through World Access, a company that
specializes in providing emergency medical and general travel
assistance for travellers.
If emergency assistance is needed, a 24-hour help line is
available. Multilingual coordinators can access a worldwide
network of professionals who offer help with medical, legal, or
other travel-related emergencies. Call the 24-hour toll-free
number:
- 1-800-667-2883 in Canada and United States
- or call collect 519-742-1342 in all other countries.
The 24-hour help line will also:
- assist you with lost passport or visa
- help you find a local legal advisor
- provide telephone interpretation service
- hold important messages for 15 days
The Emergency Travel Assistance Benefit provides medical
evacuation when suitable care is not available in the area where
the emergency occurred. The coordinators will arrange to have you
or a covered dependant moved to the nearest hospital that
provides the appropriate medical care, or will provide
transportation back to Canada.
Coverage under the Health Care Plan and the provincial health
plan will be verified so that the hospital and/or medical
payments can be paid on your behalf. If hospitalized, contact
the 24-hour help line immediately. Have your personal Health Care
Plan identification number and the Travel Assistance Plan Number
(9355) available.
If payments are made on your behalf, you will be expected to
sign an authorization form allowing World Access to recover the
advance from the provincial health care plan.
Return of Dependent Children
If covered dependent children under age 16 are left unattended
because you or your spouse are hospitalized, the coordinators
will arrange and pay for transportation of these children and an
escort, if necessary, to your home.
Return of Other Family Members
If covered family members are hospitalized, and as a result
not able to return home on the originally scheduled flight,
requiring the family members to purchase new return tickets, you
will be reimbursed for the cost of replacing economy air
fare.
Visit of a Relative
If you or your covered dependants become hospitalized for more
than 7 days while traveling alone, the Emergency Travel
Assistance Benefit will pay for economy air fare, plus meals and
accommodation up to $150 per day, for an immediate relative. This
benefit will also be paid if it is necessary for a family member
to identify the deceased prior to the release of the body.
Meals and Accommodation
If your trip is extended because a covered family member is
hospitalized, the Emergency Travel Assistance Benefit will cover
the additional expenses incurred by accompanying covered family
members for accommodation and meals, up to a maximum of $150 per
day.
The combined maximum payable for Family Assistance Benefits is
$2,500 for one travel emergency.
The coordinators will arrange for the return of a deceased
family member to your province of residence, reimbursing you up
to a maximum of $3,000 towards the cost of the preparation and
transportation of the deceased.
All payments made under the Emergency Travel Assistance
Benefits are subject to the $500,000 maximum.
(See over for exclusions)
No benefit is payable for
- expenses incurred for an emergency that occurs more than 40
days after departure from the participant's province of
residence,
- expenses incurred on a non-emergency basis,
- expenses for the regular treatment of an injury or disease
which existed prior to your or your covered dependant's
departure,
- expenses above reasonable and customary charges,
- expenses incurred under any of the conditions that are listed
as an exclusion under the Extended Health Care Plan.
Assistance services are not available in Afghanistan, Armenia,
Azerbaijan, Bosnia, Cambodia, Croatia, Georgia, Iran, Iraq, Laos,
Lebanon, Liberia, Libya, Mauritania, Moldova, Montenegro,
Mozambique, North Korea, Peru, Serbia, and Vietnam. The list is
subject to change. Conditions such as war, political conditions,
epidemics, and geographic inaccessibility may also interfere or
prevent the provision of assist services.
In the case of conflict between this brochure and the plan
document, the terms of the plan document shall prevail.
You will be responsible for re-paying any expenses that are
paid on your behalf by World Access, that are not eligible for
reimbursement under the provincial health plan or the Extended
Health Care Plan.
If eligible expenses are incurred and World Access has not
made an advanced payment on your behalf, keep a copy of your
receipts and submit a claim for reimbursement to the provincial
insurance plan and to the Public Service Health Care Plan in
Ottawa.
The information contained in this pamphlet is important to you
and your family and should be kept in a safe place, along with
your booklet.
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