Student Health and Wellness

Group number: 60867
Certificate Number: Student ID
FAQ
Call Centre: 1-866-586-1010
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Student Health and Wellness! mystudentplan provides health, prescriptions, dental, mental health care plus additional benefits for eligible students.

Dental Benefits

The student dental plan can ease the costs of regular check ups, cleanings and a variety of dental procedures to make a plan for your oral health.

All students are automatically enrolled in the Balanced Plan

Ask your dentist to submit a pre-authorization to People Corporation prior to any dental treatment plan exceeding $500.

These are the different treatments and coverages included:

Health Benefits	Balanced Plan	FLEXible Drug & Parameds	FLEXible Vision & Parameds	FLEXible Dental
Dental Coverage	$950 per benefit year	$700 per benefit year	$950 per benefit year	$1,200 per benefit year
Diagnostic & Preventative	80% Coverage	80% Coverage	80% Coverage	90% Coverage
	1 recall (12 months) examination per benefit year.			2 recall (every 6 months) examination per benefit year.
	Complete series of x-rays Maximum 16 films including bitewings in any period of 36 months. Not eligible for dependents under 12 and periapical. Bitewings Maximum 4 films per benefit year. Scaling 2 units per benefit year. Polishing 1 unit per benefit year. Oral hygiene instruction 1 treatment per lifetime. Fluoride Under 19 years of age, 1 treatment per benefit year.
Minor Restorative	80% Coverage	50% Coverage	60% Coverage	80% Coverage
Minor Restorative	Pit and Fissure Sealants Under 19 years of age, 1 replacement per tooth, per lifetime, on permanent molars only Space maintainers and maintenance Under 15 years of age. Amalgam and tooth coloured fillings 1 per tooth in any period of 24 months. Stainless steel and plastic full coverage restorations Under 15 years of age, 1 per tooth in any period of 36 months. Denture adjustments and repairs. Relining, Rebasing and Tissue conditioning 1 treatment in any period of 36 months. Recementation of fixed prosthesis
Oral Surgery	50% Coverage	30% Coverage	30% Coverage	80% Coverage
Oral Surgery	Extractions Maximum 2 wisdom teeth per benefit year. Anaesthesia Eligible when done in conjunction with Oral Surgery Panoramic x-ray 1 in any period of 36 months
Endodontic and Periodontic	50% Coverage
Endodontic and Periodontic	Root canal therapy additional scaling and/or root planing Maximum of 2 units per benefit year.
Major Restorative	15% Coverage
Major Restorative	Crowns Bridges Dentures Replacement of an existing crown, bridge or dentures is an eligible expense if the replacement is required to replace an existing crown, bridge or denture which was installed 5 years before the replacement.

Payment of dental benefits is based on the General Practitioners Dental Association suggested fee guide or the Insurance Reimbursement Rate set by the Canadian Life and Health Insurance Association Inc. (CLHIA) when a fee guide is not available. For services provided by a dental specialist, payment is based upon the General Practitioners Dental Association suggested fee guide.

Alternate Benefit - When there are two or more courses of treatment available to adequately correct a dental condition, reimbursement may be based on the cost of the least expensive treatment, which provides adequate care to the Insured.

Limitations and Exclusions to Dental Benefits

An exclusion is a condition or instance that is not covered by the Dental Plan. It's important to review and understand exclusions to the plan before using your benefits.

Winter Deadline
Submit your online Family Add-On, Opt-Out, or Opt-In applications by January 31^st, 2025

Benefit Cards
Get your Benefits Card on your Benefits App and use it where direct billing is available.

Prescription Search Tool
Find out if your prescription drugs are covered by the student plan.

Plan Claims
Learn more about submitting online or manual claims to get your refund.

Benefits Plan Office

Email: macewanplan@mystudentplan.ca
Phone: 587-881-2169
Address: SA-109A, 10850-104 Avenue NW SAMU Building.
Edmonton, Alberta T5H 0S5, CA

General Inquiries Line

Monday to Friday
from 6:00am to 6:00pm MST
Phone: 1-866-586-1010

Dental Benefits

All students are automatically enrolled in the Balanced Plan

Limitations and Exclusions to Dental Benefits

Benefits Plan Office

General Inquiries Line

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