In response to the COVID-19 pandemic and the limited availability of most medical practitioners, some administrative requirements of the Public Service Health Care Plan (PSHCP) were paused during the spring of 2020. As we are slowly getting back to normal, certain requirements will resume.
As of July 1, 2021, eligible expenses submitted under the Miscellaneous Expense Benefit should have a valid prescription on file. To be eligible for reimbursement, the expenses must be prescribed by a physician, as it was standard practice before the pandemic. For medically necessary private duty and visiting nursing services as well as existing drug exceptions, Sun Life may request an updated prescription or additional information before processing a claim. Visit Sun Life’s PSHCP Member Services Website to confirm if your prescription is still valid before incurring an expense. Check the validity of your prescription by visiting the Benefits Section of the Sun Life PSHCP Member Services website.If you are sending in a paper claim, make sure to sign it as it will be declined and returned if you omit this requirement.
Other temporary changes implemented to the PSHCP in 2020 to help you and your eligible dependants access health care benefits while minimizing social interaction with health care professionals during the COVID-19 pandemic, are still in effect and will remain until indicated otherwise.
If you have questions regarding your PSHCP coverage, contact the PSHCP Call Centre at 1-888-757-7427 (toll-free) or 613-247-5100 (in the National Capital Region).