FAQs Archive - Page 6 of 8

Q: What happens when I travel outside my home province?

If you are a member covered for extended health under the PEBT Benefits Program, you are eligible for coverage while travelling outside your home province. Please refer to the extended health section under My Benefits for coverage details. Print off the medi-assist brochure if you will be travelling outside your home province. Call the relevant number for immediate assistance and guidance if a medical issue arises. Please note the following expenses are not covered when incurred out-of-province: Expenses incurred due to elective treatment and diagnostic procedures, or complications related to such treatment. Expenses incurred due to therapeutic abortion, childbirth, or complications of pregnancy occurring within 2 months of the expected delivery date. Expenses for continuous or routine medical care normally covered by the government plan in your province of residence.

Q: What happens when my spouse loses their own benefits plan?

If your spouse loses their own benefits plan and wants to be covered by the PEBT Benefits Plan, the following steps must be taken: You must complete the PEBT Benefits Change Form within 31 days of spouse's benefits plan terminating and provide it to the School District Benefits Administrator. Coverage under the PEBT Benefits Program will be effective the day the spouse's benefit plan is terminated. If the change is made more than 31 days after the effective date, you and any eligible dependents will be treated as a late applicant .

Q: What happens if I lose my spouse or dependent child?

If you lose a spouse or dependent child, the following steps must be taken: You must complete the PEBT Benefits Change Form terminating coverage for your spouse or dependent child and provide this form to the School District Benefits Administrator. If you are making an optional life or optional accidental death claim, the School District Benefits Administrator will provide you with the appropriate claims forms. Termination of coverage will be on the effective date of the change.