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  • About the PSHCP

    The Public Service Health Care Plan (PSHCP) is one of the largest private health care plans in Canada, providing benefits to over 600,000 Plan members and their dependants.

  • Managing my Coverage

    It is important for Plan members to know the rights and responsibilities that accompany participation in the Public Service Health Care Plan. As one of the largest private health care plans in Canada,...

  • Claims

    The Public Service Health Care Plan provides reimbursement to Plan members and their dependants for eligible expenses as defined under the Plan. There are four ways you can submit a claim: By using...

  • Appeals

    The Appeals process is available to all members of the Public Service Health Care Plan. If you do not agree with Sun Life’s decision about your claim, you may send a letter of appeal to the...

  • Forms and Documents

    PSHCP Relief Provision Click here to apply for the PSHCP Relief Provision (You will be taken to the Public Works and Government Services Canada website)   PSHCP Application Forms To apply to the...

  • About the Administration Authority

    The Federal Public Service Health Care Plan Administration Authority is a not-for-profit corporation that oversees the Plan Administrator’s (Sun Life Assurance Company of Canada) administration and...

  • Partners Committee

    The Partners Committee is a collaborative forum for the resolution of issues regarding the Public Service Health Care Plan through a voluntary commitment to joint problem-solving and...

  • The Plan Administrator

    Sun Life Assurance Company of Canada, the Plan Administrator, is responsible for the consistent adjudication and payment of eligible claims in accordance with the Plan Document, and for service...

  • Who is eligible for coverage

    The Public Service Health Care Plan applies to: federal public service employees;  members of Parliament; federal judges; employees of a number of designated agencies and corporations; veterans who...

  • Joining the Plan

    To join the Public Service Health Care Plan, you must first submit a PSHCP application form to Compensation or your pension office. You can either print the application form appropriate to your...

  • Positive Enrolment

    Positive enrolment is a mandatory step in accessing your benefits under the PSHCP. It requires Plan members to provide information about themselves and their eligible dependants so that Sun Life can...

  • Contributions

    The Public Service Health Care Plan is funded through contributions from: Treasury Board of Canada, Participating employers, and Plan members. Contribution rates are reviewed and amended from time...

  • Amending my coverage

    Plan members are responsible for ensuring that their coverage meets their needs and their Positive Enrolment information is up to date.  Coverage amendments include switching between Single or...

  • Leave Without Pay

    Plan members who have been authorized to go on Leave Without Pay (LWOP) have the option of continuing their coverage under the Plan or opting out for the period of their leave. Plan members going on...

  • Retirement

    As you approach retirement, you may be thinking about what your health care needs will be in the coming years. Plan members who have retired from the federal public service, the RCMP, and the Canadian...

  • Leaving the Plan

    Voluntary cessation of coverage Membership to the Public Service Health Care Plan is optional, unless you are an employee who is posted abroad, in which case membership is compulsory. If you wish to...

  • Survivor benefits

    In most cases, your eligible dependants can continue to receive coverage under the Plan in the event of your death. Surviving dependants must complete a Pensioner Application Form, which they can...

  • Supplementary Coverage

    Supplementary coverage is intended for Plan members and their eligible dependants who live in Canada and are covered by a provincial or territorial health insurance plan. The PSHCP supplements the...

  • Comprehensive Coverage

    Comprehensive coverage is available to Plan members and their eligible dependants who live outside of Canada and who are not covered under a provincial or territorial health insurance plan. Pensioners...

  • Hospital Provision

    The Hospital Provision is available under Supplementary Coverage and Comprehensive Coverage. This provision provides reimbursement for the reasonable and customary charges, up to specified amounts,...

  • Hospital (Outside Canada) Provision

    The Hospital (Outside Canada) Provision is available to members (except pensioners) with Comprehensive Coverage. Eligible expenses include reasonable and customary hospital charges for each day of...

  • 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...

  • How to Submit a Claim

    Claims must be received by Sun Life no later than December 31 of the year following the calendar year in which the expenses were incurred. For example, if you incurred expenses in July 2017, you have...

  • Coordination of Benefits

    Coordination of Benefits is a provision that determines the sequencing of coverage when Plan members and their dependents are eligible for benefits under more than one private health care plan. The...

  • Questions About Your Claim

    If you have any questions about your coverage or the status of your claims, please direct your inquiries directly to Sun Life. If you have questions about claims submitted for expenses incurred...

  • Claims-Related Appeals

    “I don't believe that my claim was processed correctly. What can I do?” Sun Life adjudicates claims according to the provisions outlined in the Plan Document. If you do not agree with the reason your...

  • Coverage-Related Appeals

    You are responsible for ensuring that you have the appropriate level of coverage and that the correct contribution rates are being deducted from your salary or pension cheques. If you believe that...

  • How to Submit An Appeal

    Stage 1 – Preparation of the appeal Prior to submitting an appeal, you should make every effort to resolve the issue with Sun Life or your benefits administrator. To prepare the appeal, you...

  • PSHCP Privacy Statement

    The Public Service Health Care Plan Privacy Statement is also posted on the website of the Treasury Board of Canada. Definitions The following definitions are for roles and terms used in the Public...

  • Website Privacy Notice

    The Federal Public Service Health Care Plan Administration Authority (the Administration Authority) is committed to providing a website that respects the privacy of visitors. This Privacy Notice...

  • Completed Access to Information Requests

    As provided for in the Access to Information Act, federal institutions such as the Public Service Health Care Plan (PSHCP) Administration Authority must reply to information requests formulated by the...

  • Administration Authority

    Member correspondence, appeals, and inquiries that cannot be resolved with Sun Life can be sent to the Federal Public Service Health Care Plan Administration Authority at the following...

  • Sun Life

    Sun Life is responsible for the administration of claims under the Public Service Health Care Plan. If you have any questions regarding your coverage, payment of claims, required documents or other...

  • Allianz Global Assistance

    If you have Comprehensive Coverage, or you have Supplementary Coverage and require assistance while travelling, please contact Allianz directly. Mailing address for Comprehensive and out-of-country...

  • Pension Offices

    Public Service pensioners Mailing address: Public Works and Government Services CanadaGovernment of Canada Pension Centre Mail Facility150 Dion Blvd.PO Box 8000Matane, QC G4W 4T6 Telephone...

  • Out-of-Province Benefit

    The Out-of-Province Benefit is available only to members with Supplementary Coverage. The benefit consists of the following components: Emergency Benefit while Travelling Emergency Travel...