Changes to your Coverage under the PSHCP for Orthotics

May 27, 2020

Your health benefits for orthotics changed on February 1st, 2019.

Since that date, PSHCP coverage for orthotics and repairs to orthotics are subject to a revised reasonable and customary amount of $550 reimbursed at 80% for one pair of orthotics for each eligible dependant, per calendar year. Coverage must be active at the time the expense was incurred and the cost of repairs are eligible only if a pair of orthotics has not been reimbursed the same calendar year.

The PSHCP provides coverage for both off-the-shelf and custom orthotics under the Miscellaneous Expense Benefit of the Plan. To be eligible for reimbursement, a physician, podiatrist or chiropodist must prescribe the orthotics. Prescriptions are valid for three years.

To be eligible for reimbursement, custom orthotics must now be dispensed by one of the following specialists:

•             Podiatrist* 

•             Chiropodist*

•             Pedorthist

•             Orthotist

•             Chiropractor

•             Certified Orthotist (CO) or Technologue professionnel (TP) in Québec

* Orthotics dispensed by a podiatrist or chiropodist do not require a prescription.  

This requirement ensures that your custom orthotics are dispensed by trained specialists with the expertise to design high-quality orthotics that fit you properly. Your claim to Sun Life must indicate the name and credentials of the specialist who dispensed the orthotics.

We encourage members to sign-in to the Plan Member Services website (www.sunlife.ca/pshcp) or the my Sun Life Mobile app and use the Provider Search tool to find an eligible orthotics specialist near you.

If you have questions regarding your coverage for orthotics under the PSHCP, please contact the PSHCP Call Centre at 1-888-757-7427 (toll-free) or 618-247-5100 (in the National Capital Region).

Impacts of the Covid-19 pandemic on the PSHCP - Member Satisfaction Survey  

In response to the COVID-19 pandemic, the Government of Canada implemented temporary changes to the Public Service Health Care Plan (PSHCP), effective March 24, 2020. These changes were designed to help PSHCP members and eligible dependants continue to have access to their health care benefits amid the social distancing restrictions. If you are a member of the PSHCP, please share your level of satisfaction with the information you received about these changes by completing the survey below.

The survey is conducted by SimpleSurvey and will take approximately three minutes to complete. All results are strictly confidential. All data will be stored in Canada on Canadian servers. See our Privacy Policy for more information on the collection and retention of data.

Please take a few minutes to share your views with us!