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Student Health and Dental


Benefit

Maximum

Prescription Drug

Reimbursed at 80%, to a maximum of $3,000 per benefit year. (based on the National Formulary with a generic rider)

Vision

Reimbursed at 100%, to a maximum of $80 for eye exam, $100 for glasses and/or contact lenses, every 24 months.

SUPPLEMENTARY HEALTH CARE

Paramedical Practitioners:
*Physician's prescription required.

Reimbursed at 80%, to a maximum of $20 per visit and an overall plan maximum of $300 per practitioner per benefit year. Registered Massage Therapist*, Physiotherapist*, Chiropractor, Osteopath, Naturopath, Psychologist* or Social Worker*, Speech Language Pathologist*

Dental Accident*
* Pre-authorization required

Reimbursed at 80%, to a maximum of $1,000 per accident.

*Services must be performed within 12 months of accident.

Ambulance

Reimbursed at 80%, to a maximum of $250 per occurrence.

Medical Equipment & Supplies

Prescription & pre-authorization may be required

Not solely for athletic use

Reimbursed at 80%. Including but not limited to: crutches, wheelchair, hospital-type bed, prosthetics, rigid and semi-rigid braces. Custom-made orthopedic shoes limited to $150 per benefit year.

Emergency Travel Assistance

Reimbursed at 100%, to a maximum of $2,000,000 in a lifetime.

Other Insurances

Tutorial, Tuition, Accidental Death & Dismemberment, Critical Illness.

Dental Care

Annual Maximum

$750 per benefit year.

Diagnostic & Preventative

Reimbursed at 90%, Limited to once per benefit year. Scaling limited to 2 units.

Minor Restorative (Fillings)

Reimbursed at 90%.

Extractions

Reimbursed at 75%. Limited to 2 wisdom teeth per benefit year.

Endodontic (Root Canals)

Reimbursed at 20%.

Periodontic

Reimbursed at 50%. Excludes additional scaling

IMPORTANT! Please submit a pre-determination/pre-authorization to the insurance carrier prior to treatment of specialist services and any dental treatment plan exceeding $500.
In the event of any discrepancy between the information herein and our contract with the insurer, the terms of the contract will apply.
All benefits payable through the Student Plan are based on reasonable and customary charges.

 
ON CAMPUS CARE

SAKC Benefits Plan· Room 167 (in the used bookstore)
8115 Franklin Avenue• Fort McMurray, AB T9H 2H7
Phone: 780.791.4801
Email: benefits.sakc@keyano.ca
Twitter: @keyanoplan

 


How to enrol for coverage: Fees for the student plan are assessed automatically by the institution at registration. You are also enrolled automatically should you meet the eligibility criteria for the plan. If you are unsure about whether or not you are eligible, please visit or contact the Students' Association of Keyano College.

New eligible students will be added to the plan(s) during the first 45 days of each semester. Please keep your receipts for eligible expenses incurred during this time period for submission to the insurance carrier upon completion of the enrolment process.

Returning eligible students may continue to access the plan(s) without disruption by using their current myBenefits Card or by submitting claims directly to the insurance carrier.



Accessing coverage: myBenefits Card - Pay-direct claims allow for direct billing of eligible costs between your pharmacy and/or dental office and the insurance company. Pharmacy claims are processed immediately so that students are not out of pocket the full expense at the time of purchase. Dental claims are processed based on the individual dental office's billing practices. These claims are accessed with the myBenefits Card. You can download the Card from mystudentplan.ca or pick one up from the Students' Association of Keyano College.

Electronic Claims - Visit groupnet.greatwestlife.com for access to Member eClaims. More information regarding eClaims can be found by visiting mystudentplan.ca.

Manual Claims - To submit a manual claim, complete an insurance claim form, attach the original receipts and documents, and mail to the insurer. Remember to keep a copy of all original documents for your records. You can download claim forms from mystudentplan.ca or pick one up from the Students' Association of Keyano College.

 


Claim Form Information
Plan Number: 330759
Division Number: Not Applicable Leave Blank
Plan Name: SAKC
Employee Identification Number: Your Student ID
Mailing Address
Great-West Life Assurance Company
Group Claims Department
P.O. Box 4408, Regina, SK S4P 3W7
Claims Inquiries call: 1-800-957-9777

 

 


Waiving coverage: If you are an eligible student and have comparable health and/or dental coverage you may apply to waive benefits. Each student is given one opportunity to waive benefits under the health and/or dental plan(s) each year. All waivers must be completed online or through the Students' Association of Keyano College and must be received within the first 2 weeks from the start of your program. You will not be able to opt out of coverage at any other point during the school year. NO EXCEPTIONS will be made if the deadline is missed. It is the student's responsibility to pay the plan fees, should they miss the applicable opt out deadline.

Approval of your opt out will result in the plan fee being credited. Once your waiver has been accepted, the waiver will remain in force as long as you remain an eligible student.

 


Coordinating Coverage: If you are an eligible student and have comparable coverage you may wish to coordinate the plans. Benefits under the two plans can be coordinated to increase your coverage up to 100% of the actual expense(s) incurred. For example, following payment under this plan you can submit outstanding balances to the other plan for consideration.

 


Adding Family Coverage: Each year, you are given one opportunity to purchase family coverage for your spouse and/or dependent(s) by completing an application form at the Students' Association of Keyano College and paying the family coverage fee. All family add-on forms and applicable fees must be received within the first 2 weeks from the start of your program. Your family can only be covered while you are a student on the plan(s).
Family Coverage MUST be renewed by the Student each benefit plan year. For further details regarding family coverage, visit mystudentplan.ca or stop by the Students' Association of Keyano College.



Loss of Comparable Coverage: If comparable coverage used to opt out of the student plan terminates, or coverage provided to cover eligible dependents terminates, students have 30 days from loss of coverage to notify the Students' Association of Keyano College in order to opt in and be covered under the student plan. Confirmation of loss of coverage is required on re-application.