Campus Life

Lloydminster Students' Association

Lakeland College Students' Association (LCSA) Benefits Plan

Costs of dental and other health services such as prescriptions are high, expensive and show no signs of going down. For students on a fixed income, those costs can be disastrous.

After a student referendum, the SAs on both campuses joined forces to provide Lakeland students with a mandatory benefits plan. The goal was a reasonable priced insurance program to help students maintain health care quality and ensure costs from medical emergencies don't endanger their studies.

If you have any questions about the LCSA Benefits Plan, go to the SA office on your campus or check out www.mystudentplan/lakeland.
Explaining the benefits plan
Why is the plan mandatory?
With a mandatory plan, the insurance risk is spread over a large number of students, the cost per student is lowered, making the fee affordable. Individual health and dental plans can be as much as 5 times more than the current student fee.

Is this plan the same as my provincial health care?
No. The LCSA student benefits plan is an extended health and dental plan. This supplements, not replaces, your provincial health care coverage.

How do I enrol for coverage?
You are automatically enrolled provided you meet the eligibility criteria.
• you are a member of the SA
• you are a full-time student enrolled in a certificate, diploma or degree program
• you are registered in September, January or March terms
• you live in Canada
• you are under age 70

How do I pay the fee?
Fees are assessed automatically at registration if you meet the eligibility criteria.

When does my coverage begin and end?
Eligible students will receive 12 months of coverage staring the first day of the month your program begins.
How to access your coverage--Your LSCA Care Card
You need to have your LSCA Care Card. You can download it from www.mystudentplan.ca/lakeland/carecards.aspx or pick it up at the SA office on your campus during your coverage year.

The care card provides the correct information needed for pay direct transactions at pharmacies and processing electronic claims at dental offices registered with the insurer's direct payment system.

When you get your card, sign it and fill in your student ID number in the space on the card's front.
What if I already have coverage?
Coordination of benefits
Benefits under the two plans can be coordinated to increase your coverage up to a total of 100% of the actual expenses incurred. For example, following payment from this plan, you can submit outstanding balances to the other plan for consideration.

Waiving the student benefits
If you are an eligible student and have comparable health and/or dental coverage, you may apply to waive benefits. Go to www.mystudentplan.ca/lakeland/opt-out-form to opt out.

Each student is given one opportunity each year to waive benefits for health and/or dental plans. All waiver forms must be completed through the LCSA office and be received by the deadline for that semester. In 2011, the deadline is September 30. There will be no exceptions for students who fail to submit their completed waiver form by the applicable deadline.

When waivers are approved, you will receive a refund cheque. Once your waiver has been accepted it will remain in force as long as you are an eligible student. 

If comparable coverage used to waive the student plan ends, you have 30 days from the loss of that coverage to notify the SA office to be covered by the LCSA Benefits Plan. Confirmation of loss of coverage is also required on reapplication for coverage.

The same applies if family coverage is lost.
Can I add my family to the plan?
Each year you are given one opportunity to purchase family coverage for your spouse* and/or dependents** by completing an application form available at your SA office. You also pay a family coverage fee.

Note:
• All family add-on forms and applicable fees must be received by the applicable deadline (Sept. 30, 2011).
• Your family can only be covered while you are a student on the plan.
• Your optional family add-on is not automatically renewed. You must purchase the coverage each benefit year before the deadline.
• Family add-on fees are non-refundable.

*Spouse
Spouse means the person who is a resident of Canada and who is married to the student, or a person of either sex who has continuously co-habitated with the student for a period of at least one year and who is publicly represented as the student's husband or wife.

**Dependent
Dependent means an unmarried child who is resident of Canada, and entirely dependent on the student for maintenance and support, and who is:
• under 21 years of age
• under 25 years of age and attending a college or university
• physically or mentally incapable of self-support and became incapable to that extent while entirely dependent on the student for maintenance and support while eligible under either of the above age criteria
Health Plan Schedule of Benefits
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Benefit  Reimbursement 
Maximum Benefit
Drug
Based on the National formulary with a generic rider
80%  $3,000 per benefit year 


Supplementary Health Care

Physiotherapist
physician's prescription required
80%  $20 per visit to $300 per benefit year
Registered massage therapist
physician's prescription required
80%  $20 per visit to $300 per benefit year
Speech language pathologist
physician's prescription required
80%  $20 per visit to $300 per benefit year
Psychologist or social worker
physician's prescription required
80%  $20 per visit to $300 per benefit year
Chiropractor
including 1 x-ray exam per benefit year
80%  $20 per visit to $300 per benefit year
Osteopath
including 1 x-ray exam per benefit year
80%  $20 per visit to $300 per benefit year
Naturopath  80% $20 per visit to $300 per benefit year
Dental Accident
pre-authorization required
80%
Ambulance  80%  Limited to $250 per occurrence 
Custom-fitted orthopedic shoes
pre-authorization and physician's prescription required
80%  $150 per benefit year, provided they are not solely for athletic use 
Trusses, crutches, splints & braces
pre-authorization and physician's prescription required 
80%  Braces not solely for athletic use 
Artifical limbs & prosthetics
pre-authorization and physician's prescription required 
80%  Reasonable and customary charges 
Medical equipment
pre-authorization and physician's prescription required; wheel chairs, hospital-type beds & traction kits
80% Wheel chair repairs limited to lifetime maximum of $250
Tutorial
after 15 days confinement due to injury or illness
80%  $15/hour to $2,000 per benefit year
Out-of-country emergency care &
global medical assistance
$100 $2,000,000 in a lifetime
Dental Plan Schedule of Benefits
Benefit Reimbursement Maximum Benefit
Annual Maximum
Services are covered at rates outlined in the 1997 Alberta Dental Association Fee Guide for General Practitioners, plus inflationary adjustments as determined by the insurance carrier.
Should your dentist charge fees in excess of the fee guide, the additional costs are not covered.
 $750 per benefit year 
Diagnostic & Preventive
(exam, diagnosis, x-rays, polishing & scaling)
80% Limited to once per benefit year. Scaling up to 2 units and 1 unit of polishing
Minor Restorative
(fillings, child space maintainers, denture repairs, relining and rebasing)
70%  
Extractions 50% Limited to 2 wisdom teeth per benefit year
Endodontic
(root canals)
20%  
Important! Please submit a pre-determination/pre-authorization to the insurance carrier before specialist services and any dental treament plan of more than $500.
How do I opt out of the plan?
There's an early opt out date of Aug. 3, 2012. This means you won't be charged the mandatory fee. Go to www.mystudentplan.ca/lakeland/opt-out-form before Aug. 3 to opt out of the plan.

If you miss this early opt out deadline, you fill out the same form, but you will be charged the mandatory fee and will receive a refund.

The final deadline for opting out is September 28, 2012.
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