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Benefit summary
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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.
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You may also want to consult the retiree
checklist for an overview of benefit-related considerations
and action items before you retire.
Note: If you are a retiree of CUPE Local 1145, 1770, 1775 or 3260, the City of Charlottetown,
PEI Business Development, WCB of PEI, or Island Waste Management,
this site applies to you for health, dental and travel benefits
only.
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| Examples
of eligible expenses |
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| Ambulance |
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100% of the first $50
of eligible expenses per person, per calendar year,
and 80% of any excess |
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| Drugs |
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Option 1: 80%
of the first $150 of eligible expenses per drug
requiring a prescription; 100% of the excess |
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Option 2: Same
as option 1 after you have paid the first $200 or
$400 each policy year |
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Option 3: 100%
after you have paid up to $50 per eligible drug
appearing on your prescription |
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| Hospital |
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100% of the difference
between ward and semiprivate room |
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80% of the difference
between semiprivate room and private room |
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Medical services/
equipment,
paramedical services,
private nursing care |
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| Vision care |
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Eye exams: 80%, subject
to a maximum reimbursement of $80 once every 2 calendar
years (every calendar year for persons under 18) |
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Eyeglasses or contact
lenses: 80%, subject to a maximum reimbursement
of $80 every 2 calendar years (every calendar year
for persons under 18) |
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Additional benefits may be payable in the event of
accidental
injury. Also, certain health care expenses are not
covered.

| Dental benefits |
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| Option 1 |
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80% for basic services only |
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| Option 2 |
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80% for basic services |
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50% for major services (max.
$500 per calendar year) |
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| Examples of eligible
expenses |
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| Basic services |
Major services |
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Routine check-ups |
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Fillings |
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Teeth polishing/cleaning |
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Root canal therapy |
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Dentures |
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Crowns |
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Bridges |
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Inlays/onlays |
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| Travel benefits |
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Coverage during the first 180 days of a trip, up to
$1 million per emergency above what your provincial plan pays.
| Examples of eligible
expenses and services |
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Reimbursement
at 100% |
Reimbursement at the
same level as in Canada |
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Hospitalization |
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Physician
services |
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Referrals |
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Return home airfare |
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Return of vehicle |
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Living expenses for companion
travelling with patient |
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Arrangements for direct
payment for physicians services, hospitalization,
and other insured services |
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Prescription drugs |
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Wheelchairs |
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Crutches |
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Other eligible expenses
under the plans health coverage |
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| Death benefits |
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Natural death |
Accidental death |
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| Your death |
| $5,000 (or your basic
life insurance in effect prior to your retirement, if you retired
from the Civil Service before June 1, 1997, with a pension from
the Pension Plan, and you pass away before age 65 ) |
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| If you are under age
65, optional life insurance coverage chosen before retirement
(up to $300,000) |
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| Same amounts as for
natural death |
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| The following amounts,
if applicable: |
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Basic accidental death benefits of
$5,000, if you retired from the Civil Service on or after June 1,
1997 |
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Basic accidental death benefits of
2 x your earnings, up to age 65 ($5,000 afterward), if you retired
from the Civil Service before June 1, 1997 |
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If you are under age 65, optional
accidental death coverage chosen before retirement (up to $300,000)
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| Spouse's death |
$4,000* ($3,500 if you were a permanent, full-time
UPSE employee who transferred from the Civil Service to the
Health Sector on August 1, 1995, and remained an UPSE employee)
PLUS
If you are under age 65, optional life insurance coverage chosen
before retirement (up to $300,000) |
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Same amounts as for natural death
PLUS
If you are under age 65, Optional accidental death coverage
equal to 50% of your optional accidental death coverage (60%
if you have no dependent children)
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Dependent child's
death |
$3,500*
PLUS
If you are under age 65, $10,000 of optional life insurance
coverage |
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Same amounts as for natural death
PLUS
If you are under age 65, Optional accidental death coverage
equal to 15% of your optional accidental death coverage if you
have a spouse
(20% otherwise; maximum $20,000 per child)
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| * |
If you retired from the Health
Sector, this basic coverage will end on the first day of the
month following your 65th birthday. If you retired from the
Civil Service, it will continue for life. |
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