Extended Health Benefits

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Presentation transcript:

Extended Health Benefits A Brief Overview

Benefits Summary Ambulance Benefit – 100% reimbursement of eligible Expenses Vision Care Benefits – 100% reimbursement of eligible vision care $300 per person during any 24 consecutive month period - 80% of eligible eye expense to a maximum of $100 per person during any 24 month period Dental -80% of basic dental services, 50% major dental services, 50% orthodontics (dependents to age 21, 25 if attending post secondary) Prescription– 80% reimbursement of all eligible expenses up to your Pharmacare deductible (90% if purchased at Costco or Express Scripts Canada Travel Health Benefits – no benefit maximum, 100% of eligible expenses. Includes international travel

Early Intervention Program - The Program is a collaborative initiative between participants and service providers to proactively assist members who are struggling at work with a physical or psychological illness that puts them at risk of a reduction in active employment. Is a self-referral Active while the member is still at work A case manager will work with you to develop supports Educator Assistance Program – counselling services service to members struggling with a wide variety of issues related to work or home, such as stress, anxiety and couple relationships and much more. Paramedical Services – maximum coverage of $850 pp per year, 80% of cost up to a per visit maximum beginning September 1, 2017

Paramedical Services Type of Service Per visit maximum Acupuncturist $85 Athletic Therapist Initial $77.73 Subsequent $52.91 Audiology $115 Chiropractor $50 Clinical psychologist $180 Foot care nurse $45 Massage Therapist $80 Naturopath $170 Occupational Therapist $165 Osteopath Physiotherapist Initial - $73.70 Subsequent $59.35 Podiatrist Initial $72 Subsequent $62 Registered Dietician $145 Speech-Language Pathologist $110

Short Term Disability Group Life Insurance Short Term Disability - The period after the expiry of available sick leave and up to the expiry of the minimum required waiting period (80 working days) for the Manitoba Teachers’ Society Long Term Disability Benefits Plan. Pays 80% of Employee Net Pay Part the Disability Plan: at the onset of health concerns a member can contact the case manager to begin process of support Case Manager for GVSD: Karen Wurr 1-204-934-0382 kwurr@mbteach.org Group Life Insurance Two times your annual salary is automatic but you have the option of 3 times to 7 times annual salary coverage Can be changed without proof of health within 90 days of a life event (birth of child, marriage, end of marriage) Know who your beneficiary is Forms are available at the Division Office

Voluntary Contributions TRAF

What are Voluntary Contributions Optional contributions a member can make to TRAF that are over and above the required contributions to your pension Deposited into a separate account which operates similar to a Registered Retirement Savings Plan (RRSP) Making voluntary contributions this year will reduce your allowable RRSP contribution room next year by the same amount Tax deductible

What are Voluntary Contributions? Voluntary contributions accumulate with interest at TRAF’s fund rate of return This past year saw a rate of return of 7.3% The accumulated contributions and interest can be: Paid as a lump sum (cash, net of withholding tax or RRSP transfer) before retirement, or Used to purchase eligible service, or converted to a monthly annuity at retirement

Investing through TRAF’s investment portfolio gives you access to markets that are not typically available to the average investor You can start or stop contributions at any time You pay $0.08 (today’s fee) on every $100 if you take as an annuity versus $2.50 (average) through another investment firm (eg: Great West Life) Contributions are made through payroll and are automatic each month Enrolling is easy! Visit the TRAF website for more information https://www.traf.mb.ca/

$6000 contributions; $3109 interest= $9109 total available funds $3000 in contributions; $398 interest

Preferred Pharmacy Network Express Scripts Canada Pharmacy and Costco

What is a Preferred Pharmacy Network? A preferred pharmacy network is a group of pharmacies which involves a prescription plan that selects a group of preferred pharmacies (in this case Costco), who are willing to give the plans a larger discount than other pharmacies. 

How Does it Work? Two pharmacies (Costco and Express Scripts Pharmacy Canada) Costco is intended to be for short term prescriptions that need to be filled right away (you don’t need to be a Costco member to fill a prescription), however, can also be used for maintenance prescriptions Express Scripts Canada Pharmacy (ESC), is available in Manitoba and is intended to be for maintenance medications for ongoing conditions. ESC provides: Free home delivery in Canada Auto refills and renewal reminders Online transfer and refill requests On call pharmacists 24/7 Note: ESC will not fill prescriptions that contain narcotics

How do you save? You pay 10% of the cost, instead of the usual 20% Lower dispensing fees than market ESC fills 90 day supplies where appropriate, so you only pay 1 dispensing fee Substitute lower cost alternatives (generic brands) if you and your doctor approve

How do you sign up? Visit member.express-scripts.ca Use VIP Code: MSPE Or call 1-855-550-MEDS (6337) Posters with info are in your staffrooms