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FAQ

The following frequently asked questions are posted to help you better understand the Plan.

Opt Out

Can I opt-out?

If you’re already covered by an equivalent health and dental plan (such as a parent's or spouse’s employee benefit plan, or a plan provided by your band council or through Health Canada), you can opt out during theChange-of-Coverage Period. Only new January students can opt out during the Winter Change-of-Coverage Period and only new May students can opt out during the Summer Change of Coverage Period.

How do I opt-out?

All opt outs are done online through our website here. You will need your student ID number and your date of birth. Opting out online ensures quick processing and allows you to receive an instant confirmation of your opt out

How do I know if my opt-out is complete?

Student who successfully opt-out from the Plan will receive an automated confirmation email once their opt out is complete. If you do not receive an opt-out confirmation email by the end of your Change-of-Coverage Period, please contact our Care Centre.

When do I get my refund?

After your opt out is completed and shortly after the end of the appropriate Change-of-Coverage Period, the Graduate Benefit Plan fee will be credited to your student account.

How do I get my refund?

Students who successfully opt out will have the Graduate Benefit Plan fee credited to their student account. You’re responsible for paying all university fees within the prescribed deadlines. If you don’t pay the Graduate Benefit Plan fee by the appropriate opt-out deadline, you may be assessed late fees and interest. It is for this reason we recommend that you pay all university fees, even if you opt out of the Plan.

Self Enrolment

How can I self-enrol into the Plan?

All self-enrolments are done online through our website here during the appropriate Change-of-Coverage Period. You will need your student ID number and your date of birth. Self-enrolling online ensures quick processing and allows you to receive an instant confirmation of your self-enrollment request.

What kind of proof of eligibility document do you need?

If the university did not bill you automatically but you are eligible for the Plan, you must provide proof of eligibility (“Account Summary”) during the online self-enrollment process.

When will I receive payment instructions for my online self-enrolment?

Once your self-enrolment and proof of eligibility document has been reviewed, you will receive an automated email with payment instructions and a deadline during or shortly after the  appropriate Change-of-Coverage Period.

How long is my self-enrolment valid for?

All self-enrolments for Fall Term students are valid from Sept. 1, 2023 – Aug. 31, 2024. New eligible Winter Term students may enrol themselves in the Plan for coverage between Jan. 1, 2024 – Aug. 31, 2024. New eligible Term 3 students may enrol themselves in the Plan for coverage from May 1, 2024 – Aug. 31, 2024.

Couple & Family Enrolments

Can I enroll my family into the Plan?

Your Plan gives you the option to enrol your family (spouse and/or dependent children) during the appropriate Change-of-Coverage Period by completing an enrolment process and by paying an additional fee, over and above your individual fee as a Plan member through our website here. Common law and same-sex couples are eligible.

Can I enroll all my family members?

Your Plan gives you the option to enrol your dependent children and/or your spouse. You can only cover one spouse at a time.

Will their coverage automatically be renewed next year?

Coverage is only for the current policy year. If you want to cover your dependants in subsequent policy years, you must renew your couple/family coverage during the Change-of-Coverage Period at the beginning of each school year.

Claiming

What are the different ways I can claim?

You can submit your receipts and paper claims directly to Pacific Blue Cross by mail or you can submit claims quickly and easily through Pacific Blue Cross’s  online portal or mobile app. For more information, click here.  

What’s an Explanation of Benefits?

An explanation of benefits (EOB) statement tells you what portion of a claim was paid to the health care provider and what payment you must pay. Once your claim has been processed, you will receive an EOB from your insurer either electronically or by mail.

How do I register for direct deposit?

You can view or print details of your claims and register for direct deposit by registering for an online account with Pacific Blue Cross. Please visit Pacific Blue Cross'sMember Profile (formerly called CARESnet) to register. You’ll be asked to enter your Policy Number and an ID number. The ID number is your 9-digit student ID number.

How do I track and view my claims history?

You can view or print details of your claims and set up direct deposit by registering for an online account with Pacific Blue Cross. Please visit Pacific Blue Cross'sMember Profile (formerly called CARESnet) to register. You will be asked to enter yourPolicy Number and an ID number. The ID number is your 9-digit student ID number.

Is there a claiming deadline?

Yes, all health and dental claims must be received by Pacific Blue Cross no later than 90 days after the end of the policy year in which the claims were incurred or 90 days after the end of your coverage, whichever is sooner. Full-year coverage for this policy year ends Aug. 31, 2024. For more information and last year’s deadlines, click here.

What's my policy number?

Your policy number for health and dental benefits is 80993(insured by Pacific Blue Cross). Your policy number for travel benefits is 97180 (administered by Blue Cross Life Insurance Company of Canada). 

Prescription Drugs

Which drugs are covered under my Plan?

The SFUGSS Health Plan covers medications listed in the BC Fair PharmaCare Formulary, including most oral contraceptives, insulin and diabetic supplies. The Plan covers most medications legally requiring a prescription. Charges in excess of the lowest priced equivalent generic product are not covered unless your doctor indicates on the prescription “no substitution”.

How do I know if my drug is eligible for coverage?

To find out if a specific drug is covered, contact our Care Centre with both the name of the drug and its Drug Identification Number (DIN).

What is Fair PharmaCare?

Fair PharmaCare is a provincial income-based program, designed to provide fair access to coverage for prescription drugs - the lower your income, the more assistance the government will provide toward your eligible drug costs. For more information please click here.

How do I use my Pay-Direct Card?

By presenting the Pay-Direct Card with your valid student ID card, you can fill your prescriptions at most pharmacies in British Columbia. The pharmacist will be able to process the claim immediately, so you won’t have to pay the full amount up front and wait to be reimbursed.

My drug isn’t eligible for coverage, what next?

This formulary includes the majority of the prescription drugs commonly claimed by SFUGSS students. If your drug is not covered, you can apply for a Drug Exception reimbursement by clicking here.

Studentcare Networks

What are the Studentcare Networks?

The Studentcare Network is composed of different types of health and dental practitioners conveniently located in your area and other regions of Canada. Their commitment to helping students provides you with the option of paying less for their services. Studentcare Network savings work in addition to your insured benefits so that you can save even more money.

Do I have to see a network professional?

You are not limited to Studentcare Network members. You’re covered for the insured portion regardless of the vision care provider you choose. By consulting a member of the Studentcare Vision Network, you will get additional coverage.

Out-of-Province Students

Can I access the Plan benefits if I move to BC but keep my home provincial healthcare?

Yes, students can access their Plan benefits if they have access to any Canadian provincial health-care coverage.

I’m not eligible for PharmaCare because I don’t have the BC Medical Services Plan, how do I remove the threshold?

Students with other provincial health care and international students who are not yet enrolled in BC MSP are not eligible for Fair PharmaCare. However, you must contact our Care Centre so that we can ensure that your prescription drug claims continue to be paid by the SFUGSS Health Plan with no restriction.

Can I use the Plan benefits anywhere in Canada?

Yes, you can use your Plan benefits anywhere in Canada. For more information on how to claim, click here.

Combining Plans & Coordinating Benefits

Can I coordinate benefits with another plan?

Yes, if you are covered by another extended plan in addition to your student Plan (e.g. through a parent's or spouse's employer, or your own employer), you may coordinate the benefits in order to increase your overall coverage, up to 100%.

How do I coordinate benefits with my employee plan?

If you are covered by your employer in addition to a student plan, your employee plan is your primary plan. All claims must first be submitted to your employee plan and then the remaining balance can be sent to your student plan. For step by step instructions, click here.

How do I coordinate benefits with my parents or spouses plan?

If you are covered by your spouses or parents plan in addition to a student plan, your student plan is your primary plan. All claims must first be submitted to your student plan and then the remaining balance can be sent to your spouse’s or parent’s plan. For step by step instructions, click here.

You still have some unanswered questions?
Don't hesitate to contact the Care Center

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