Topics

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Forms

  • 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...

  • Forms and Documents

    *New* 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...

  • 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,...

  • 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...