How to use the PSHCP Benefit Card
At participating pharmacies
To obtain the PSHCP Benefit Card, you must complete Positive Enrolment.
The PSHCP Benefit Card is a pay-direct drug card that allows claims for certain products and supplies to be processed at Canadian pharmacies that have registered with the Plan.
When you present the PSHCP Benefit Card, your pharmacy will use it to send the cost of your prescription to Sun Life for processing. Your pharmacy submits the claim to the Plan electronically. Once your claim is processed, the amount paid by the Plan will be shown on your pharmacy receipt. You simply pay the 20% co-payment (unless you have coordinated your benefits with another plan).
You will not receive additional reimbursement by sending the processed pharmacy receipt in as a paper claim.
At participating hospitals
The PSHCP Benefit Card can also be used when you are admitted to hospital. Most hospitals are able to submit claims on your behalf by using the certificate number indicated on your card. Generally, the hospital will ask you to sign an authorization form and pay for the portion of costs not eligible under the Plan. If the hospital does not offer such a service, you must submit a paper claim to Sun Life along with the invoice of charges from the hospital.