What the plan covers
- 100% semi-private hospital coverage (80% for chronic, convalescent or
rehabilitative hospital).
- 80% of eligible medical practitioners, subject to certain limitations and
restrictions
- 75% of eligible medical services and procedures, subject to certain
limitations and restrictions (except eye exams, see below).
- 100% emergency medical coverage and travel assistance while travelling
outside your province of residence (including outside of Canada). Coverage is
limited to 90 days per trip. If you are travelling on University business
(sabbatical leaves, conferences, etc.), coverage will continue past the first
90 days of your trip, provided you remain eligible for Medicare coverage.
- 100% of the cost of one eye exam rendered by a licensed optometrist or an
ophthalmologist registered under Medicare limited to a maximum of $70 once
every 24 consecutive months.
Out of pocket maximum:
- $400 per year for single coverage.
- $800 per year for family coverage.
100% of expenses once the out of pocket maximum is reached.
There is no deductible under the Supplemental Health
Plan.
Who the plan covers
- Member only, or
- Member plus eligible spouse and children.
Who pays for coverage
Shared equally by you and McGill.
Cost depends on whether you select single or family coverage
If you leave McGill before retirement
Coverage ends.
If you become disabled
Coverage continues while you are eligible for benefits under the McGill LTD
Plan, provided you pay your share of plan costs.
If you die
If you die before retirement, and were under age 65, and you had family
coverage, your spouse and eligible dependent children can choose to continue
coverage under the plan for up to three (3) months, provided they pay both
their share and the University's share of the cost.
If you die before retirement, and are aged 65 and over, and you had family
coverage, your spouse (and eligible dependent children)can choose to continue
coverage under the plan indefinitely, provided they pay their share of the
cost.
If you retire from McGill
Coverage can continue, provided you had coverage prior to retirement.
In the event of your death, your spouse and eligible dependent children can
choose to continue coverage under the plan indefinitely, provided they pay
their share of the cost.