Public Service Health Care Plan PSHCP [Merged]

[PuckChaser]

Dependants are covered under Public Service Health Care Plan. Basically 80% coverage for most things, you can Google the coverage. Dental is under Great West Life, roughly 80% for that as well.

 

[mariomike]

Can my family receive Canadian forces benefits?

Note: OP: Regular/ Reserve: Reserve

See also,

Forces.ca

Health and Dental
http://www.forces.gc.ca/en/caf-community-benefits/health-dental.page

Reserve Dental Care Plan
http://www.forces.gc.ca/en/caf-community-benefits/reserve-dental-care-plan.page

Reserve Dental Care Plan - Frequently Asked Questions
http://www.forces.gc.ca/en/caf-community-benefits/reserve-dental-faq.page

Dependants' Dental Care Plan (DDCP)
http://www.forces.gc.ca/en/caf-community-benefits/dependants-dental-care-plan.page

etc...

 

[sailoraye123]

Hi,

      my wife is civilian and I've been getting pay deductions off my pay for her Medicare, but we haven't been sent a number.. any info? Or how to put a claim in for dental. Eye, or ordinary prescriptions can somebody point me in the right direction

 

[kratz]

Your post has been merged with the answers.

Reply # 1 -perscriptions, ect... and
Reply # 4 - dental.

Follow those two insurance plans.

 

[Jarnhamar]

Will the CAF pay for a dependent  to be seen and screened for adhd. It's not covered by Ohio and starts at like $1200

 

[brihard]

Is the dependent named under the member’s public service health care plan coverage for family?

 

[expwor]

I don't know if this helps but here's the PSHCP Member Booklet and what is/isn't covered
http://www.pshcp.ca/media/38813/pshcp-member-booklet-web-en.pdf
I may be making an assumption the health care plan is the same one Public Servants and retirees have
Pages 35-37 summarize benefits
Also here's contact numbers for Sunlife to ask them 1-888-757-7427 (toll free in North America) and
613-247-5100 in the National Capital Region
Hope it helps

Tom

 

[Jarnhamar]

Brihard yes they are.

Tom thanks ill check the link out.

 

[Occam]

It is covered under PSHCP, under the psychologist benefit.  We had our son tested; the testing was done over several months at the end of one calendar year, and the resulting report was also billed separately in the new calendar year, so we didn't run into any problems with the annual claim limit for the psychologist benefit.  Wasn't planned that way, just kind of worked out like that.

 

[FlyLikeAnEagle]

So, I just got married and need some advice on a few things.

1. When i was at CFLRS they had a civvie/staff come in and talk about how SunLife will provide insurance on military spouses and such. Now, will they cover glasses for my new step daughter and how does it work exactly?

2. When the time is right & I'm done my training, will they fly my wife & step daughter out to my new base (if I leave CFB ESQUIMALT) along with our personal belongings?

3. How does the PAternity leave work? I heard its 80% of your wages from one, 75% from another.

Thanks,
FLAE

 

[dapaterson]

Inform your orderly room of your change of marital status, and that you now have dependants.

Your dependants will now be covered by the PSHCP and PSDCP (health care and dental care) plans.

You will be moved once you reach the OFP.

Paternity leave gets you just over 90% of pay; you'll get both EI and a top- up from the CAF.

 

[dimsum]

Folks who have dealt with Common Law and PSHCP:

My S/O and I have been CL since Aug, but she has a decent med/dent plan right now so I hadn't looked into switching to PSHCP for her.  Someone told me that if you're outside 3 months of eligibility (Nov in this case) then it's an extra 3 months' wait to start?  Also, I'm assuming this process starts at the OR - I'd like to be prepared so what docs would I need to bring them? 

Thanks!

 

[ballz]

Anyone know whether or not our healthcare covers the rabbies vaccines? They are like $750 if you don't have coverage. I have started travelling abroad for leisure and some places, like SE Asia and Africa, are high risk. Not exactly places I want to get an immune globulin, that's if it's even available. I was backpacking in SE Asia last xmas and it was hard to be comfortable with stray dogs everywhere that are always coming up to tourists to get food and stuff.

 

[kratz]

Anyone know whether or not our healthcare covers the rabbies vaccines? They are like $750 if you don't have coverage. I have started travelling abroad for leisure and some places, like SE Asia and Africa, are high risk. Not exactly places I want to get an immune globulin, that's if it's even available. I was backpacking in SE Asia last xmas and it was hard to be comfortable with stray dogs everywhere that are always coming up to tourists to get food and stuff.

PSHCP website drug benefit will cover:

Eligible drugs: Reasonable and customary charges up to 80%

When we were planning our trip to Mexico, the pharmacist was willing to submit each vaccination to PSHCP for payment, prior to administering the injection(s). All of our claims were approved. All total, we saved over $1500 worth of travel vaccinations and will not require boosters for 5 to 8 years for most of them.

So I think rabies could be covered, as it's good for up to 2 years. The best approach is to ask the pharmacist to run it through the system with PSHCP first.

If you are still serving and PSHCP does not cover a vaccination, you will be directed to your MIR, who may or may not approve the vaccination. or our trip, my wife was not approved and we had to pay the full amount ourselves, as it was not required for her duties. *shrug* Based on what we saved in total, we paid for that one vaccination.

** Edit: to add if you are still in the CAF.

 

[kwon]

I have my spouse enrolled under the pshcp. As a serving member am I covered for drugs, vision etc? I know as serving members we have blue cross but can we also use pshcp for drugs for example? Theres a prescription covered by sunlife but not blue cross.

 

[dapaterson]

No.  PSHCP is not for CAF members.

 

[kwon]

Could I ask blue cross to coordinate benefits since the pshcp (I'm a member but not covered) covers a drug but blue cross does not (reference the CAF drug benefit list)?

 

[dapaterson]

No.  Unless you have a spouse with coverage under the PSHCP, it does not cover you.

This suggests you are seeing a physician outside the CAF for medical care who is issuing you prescriptions.  If that is the case, you have the obligation to report those treatments to the CAF medical system.

 

[kwon]

No.  Unless you have a spouse with coverage under the PSHCP, it does not cover you.

This suggests you are seeing a physician outside the CAF for medical care who is issuing you prescriptions.  If that is the case, you have the obligation to report those treatments to the CAF medical system.

No, CAF referred me to a specialist and he is the one who wrote the script. CAF is aware that I'm seeing the specialist.

 

[PuckChaser]

No, CAF referred me to a specialist and he is the one who wrote the script. CAF is aware that I'm seeing the specialist.

Take it to the base pharmacy, it's free.