For additional information, please refer to the PSHCP Directive or the PSHCP Administration Authority Web site; or contact your departmental Compensation services, the Public Service Pay Centre or the Government of Canada Pension Centre. Providing coverage of certain medical services and supplies given or ordered by a physician not reimbursed from the provincial medical plan. It does not contain all details or describe all limits, restrictions or exclusions. Most current and retired PIPSC members and their eligible dependents have access to an extended health care plan designed to supplement public healthcare. Medical services for an emergency or sudden illness within Canada are covered for Island residents with a valid PEI Health Card. 80% of eligible expenses or of stated maximums, if any, Drugs that legally require a prescription, Smoking cessation aids: Lifetime maximum $1,000, Erectile dysfunction drugs: Maximum $500 per calendar year, Eye examination: 1 every 2 calendar years commencing odd years, Eyeglasses or contact lenses: Maximum $275 every 2 calendar years commencing odd years, Elective laser eye surgery: Lifetime maximum $1,000, Physiotherapist: Up to $500 and over $1,000 per calendar year, Psychologist: Maximum $2,000 per calendar year, Massage Therapist, Osteopath, Naturopath or Podiatrist/Chiropodist: Maximum $300 per calendar year per type of practitioner, Chiropractor, Speech-Language Pathologist: Maximum $500 per calendar year per specialty. Previously anyone electing to pay the premiums received coverage of $1,000 for a spouse and $500 for each dependent child OR $2,000 for a spouse and $1,000 for each dependent child. Public service group insurance benefit plans, Public Service Health Care Plan (PSHCP) Special Bulletin, Public Service Health Care Plan (PSHCP) Pensioner Application Form, Public Service Health Care Plan (PSHCP) Directive, Out-of-Province Emergency Medical Expenses, Public Service Health Care Plan (PSHCP) monthly contribution rates, Public Service Health Care Plan Relief Provision, Full-time and part-time employees and employees appointed for more than 6 months or who have completed 6 months of continuous employment, Retired members with at least six years of pensionable service (some exceptions apply, please see, Eligible spouses or common-law partners and dependant children of plan members, including survivors. Federal retirees must apply for the PSHCP. INFORMATION SHEET Public Service Health Care Plan (PSHCP) Relief Provision Application Form What percentage of contributions do retired members pay for their PSHCP coverage?. Investments in quality primary health care will be the cornerstone for achieving UHC around the world. The Public Service Health Care Plan (PSHCP) monthly contribution rates are comprised of two components, the cost associated with the Extended Health Provision and the cost for the Hospital Provision. Public Employees Extended Health Care Plan For Employees and Retirees. You and your employer share the cost of the Extended Health Provision and Hospital Level I coverage under the Hospital Provision. If you choose Level II or III hospital coverage, you are responsible for 100% of the additional expense for this coverage. If you choose Hospital Level II or III coverage, you are responsible for 100% of the additional expense for this coverage. However, as with any health care benefits plan, certain restrictions apply. These components have different cost sharing arrangements. Start of dialog window. In light of the current increase in the spread of the COVID-19 virus, the recent provincial announcement requesting the closure of all non-essential workplaces in Ontario, as well as the Ottawa Public Health’s guidelines regarding social distancing, the offices of the Administration Authority will be closed effective Wednesday, March 25, 2020. Before incurring expenses for a product or service, you should read the related provisions to ensure you understand the parameters of what is … Public Service Health Care Plan Directive This directive is now hosted by the National Joint Council, where it was co-developed by participating bargaining agents and public service employers. These services and products include prescription drugs, vision care, hearing aids, medical aids and supplies, and the cost of some professional services such as physiotherapy. April 2020 Supplementary Coverage Comprehensive Coverage 1. The Public Service Health Care Plan provides coverage for a wide variety of health-related products and services for the majority of Public Service Alliance of Canada federal public service workers. Many plan sponsors are concerned about employees lacking health coverage and may want to ensure they have access to care beyond just COVID-19 evaluation, testing and perhaps limited treatment available through an EAP or on-site health clinic. Health care coverage for you and your family. In March 2020, the Government of Canada announced temporary changes to the Public Service Health Care Plan (PSHCP) to ensure it remained accessible to all members and their dependants during the Covid-19 pandemic. If you and your dependant are covered under more than one group health plan, you may coordinate benefits up to 100% of the actual eligible expenses. Public Service Health Care Plan (PSHCP) Relief Provision Application Form PWGSC-TPSGC 481 E (2014-10) What percentage of contributions do retired members pay for their PSHCP coverage? If you joined the Public Service Health Care Plan (PSHCP) as a retired member on or before March 31, 2015 and are either in receipt of a Guaranteed Income Supplement (GIS) benefit, or have a net income or a joint net income lower than the GIS thresholds, you may be eligible for the PSHCP Relief Provision. Public service health care plan PIPSC members in the following groups are … Public Service Health Care Plan: Benefits Coverage and Plan Provisions: Contributors: Canada. COVID-19: The PSHCP Administration Authority’s offices are temporarily closed. For enquiries, contact us. In order to receive your Public Service Health Care Plan (PSHCP) benefit card and have your claims paid under the PSHCP, you must complete positive enrolment. It covers you for specific dental services and supplies that are not covered under your provincial health care or dental care plan. If you do not, your claims will not be paid. If your completed application is received within 60 days from the date you become eligible for coverage, your PSHCP coverage will take effect on the first day of the month following receipt of your application. Password. You may be asked to show it when you visit a doctor’s office, hospital or health centre. You will pay 25% for the Extended Health Provision of your coverage. All eligible NWT residents should register to get an NWT Health Care Card. If you were a member of the PSHCP as an active member, you may choose to continue your PSHCP coverage. Alternatively, a paper PSHCP Employee Application form (PDF, 95 KB) can be submitted to your departmental Compensation services or the Public Service Pay Centre. If you are approved for the relief provision, it will be applied on the first day of the second month after the pension centre receives your completed application form. The Public Service Health Care Plan is among the National Joint Council Directives included in the collective bargaining agreements of CAPE members, and it is always possible to file a grievance on the interpretation and application of such a directive. In favor of a public insurance plan: Supporters believe that a public insurance plan or plans would lead to more affordable coverage and buy the most health care for the dollar. For over-the-counter smoking cessation aids to be eligible under the Plan, they must be prescribed by a physician AND dispensed by a pharmacist. The document has not been changed and continues to apply. You may also be eligible for subsidized group life insurance coverage. It does not contain all details or describe all limits, restrictions or exclusions. It is a comprehensive plan of medical care insurance designed to cover the cost of physician services for bona fide residents of the province. You will pay 50% of the cost of your Extended Health Provision coverage effective. The list of accepted mental health practitioners was temporary extended to include social workers in all areas across the country, along with psychotherapists/ counsellors. End of dialog window. All BC residents are required to enroll with the Medical Services Plan. If your completed application is received more than 60 days after the date you become eligible for coverage, your PSHCP coverage will take effect on the first day of the fourth month following receipt of your application. --- Government or public plans provide coverage of core health care services such as physician services and hospital acute care. Extended health care. The PSHCP is a voluntary health care plan for federal employees, federal retirees and their eligible dependents. This supplemental plan extends your medical coverage beyond that provided by the Medical Services Plan of BC and other provincial health plans. This is a summary of the Public Service Health Care Plan (PSHCP), which is offered to eligible employees and retirees of the public service (including the Royal Canadian Mounted Police and the Canadian Forces) and participating employers, and members of certain designated groups. To apply, you must complete and submit a Public Service Health Care Plan (PSHCP) online Application on the Compensation Web Applications (CWA). The Public Service Health Care Plan provides coverage for a wide variety of health-related products and services for the majority of federal public service workers. 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