This is only a summary of your PSGIP benefits. It does not describe all the details, such as applicable maximums and exclusions. Certain limitations and conditions apply.

Health benefits
Ambulance	• 100% of the first $50 of eligible expenses per person, per calendar year, and 80% of any excess
Drugs	• 80% of the first $150 of eligible expenses per drug requiring a prescription, and 100% of any excess
Hospital	• 100% of the difference between ward and semiprivate room • 80% of the difference between semiprivate room and private room
Medical services/ equipment	• 80%
Paramedical services	• All paramedical services except massage therapy: up to 20 visits per type of practitioner (6 visits for social workers) per calendar year, to a maximum reimbursement of $800 per calendar year for all practitioners combined • Massage therapy: 80%, subject to a maximum reimbursement of $240 per calendar year
Vision care	• Eye exams: 80%, once every 2 calendar years (every calendar year for persons under 18) • Eyeglasses or contact lenses: 80%, subject to a maximum reimbursement of $160 every 2 calendar years (every calendar year for persons under 18)

Additional benefits may be payable in the event of accidental injury. Also, certain health care expenses are not covered.

Dental benefits
Option 1	• 80% for basic services only
Option 2	• 80% for basic services • 50% for major services (max. $1,000 per person per calendar year) • 50% for orthodontics for you and your dependents (lifetime max. $3,000 per person)

Examples of eligible expenses Basic services Major services • Routine check-ups • Fillings • Teeth polishing/cleaning • Root canal therapy • Dentures • Crowns • Bridges • Inlays/onlays

Certain conditions and limitations apply. Also, certain dental expenses are not covered.

Disability benefits
Benefit equal to 70% of your monthly earnings, indexed annually, to a maximum of $6,000 per month. Long-term disability benefits may be reduced or not payable in certain cases. In addition to your PSGIP coverage, you can also benefit from an early intervention program for ill or injured employees, offered by a professional in the Wellness Works Program.

Travel benefits

Coverage of up to $1 million per emergency above what your provincial plan pays.

Examples of eligible expenses and services Reimbursement at 100% Reimbursement at the same level as in Canada • Hospitalization • Physician services • Referrals • Return home airfare • Return of vehicle • Living expenses for travelling companion • Arrangements for direct payment for physicians’ services, hospitalization, and other insured services • Prescription drugs • Wheelchairs • Crutches • Other eligible expenses under the plan’s health coverage

Certain travel expenses are not covered.