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Deadline for Health Plan Opt-Out is Jan. 28th

edited January 2009 in General
In case people have been putting this off, like I have, if you're looking to opt out of the SFU Health Plan, you have to have your proof of coverage submitted by the 28th, or else you've missed your chance.

http://ihaveaplan.ca/rte/en/SimonFraserUniversityundergraduatestudentsSFSS_ChangeofCoverage_OptOuts_HowtoOptOut


Looks pretty simple, plus it can all be done electronically.

en_Self-enrolments_SFSS.gif

Comments

  • edited January 2009
    Thank you MB for your services.
  • edited January 2009
    Instead of Opt-Out, I want to ask a question about USING the health plan. My dental appointment is coming up soon and how do I get USE our new health plan. Meaning, do I just tell my dentist that I am a SFU student and they will bill the university or do I get the receipt and reclaim it from SFSS? Also, let say I got injured doing stuff and spend a few day in the hospital, is my stay paid for by SFSS as well?
  • edited January 2009
    Read your coverage.

    What I don't like is proving I have health insurance by giving my health insurance info to this random company.
  • edited January 2009
    It depends on your dentist, they might submit your claim for you;

    but in my experience with Sun Life, you have to pay up front, then send your receipt into Sunlife with a claim form then they reimburse you.

    I already have coverage, but I'm actually not going to cancel this one and milk it for more than I'm going to pay.

    I'm going to take the 60$ for an eye exam, plus the 100$ for glasses, which I will combine with my other private health plan to get some designer prescription glasses worth a few hundred.

    Then I'm going to claim 100+ for a dental checkup, all in all I will be taking 300$ + out of this for about the 200 we pay.

    When I was in college I had to get my wisdom teeth out and ended up getting the full 600$ in dental out of sunlife, when I paid about 120.
  • edited January 2009
    randomuser;45895 said:
    When I was in college I had to get my wisdom teeth out and ended up getting the full 600$ in dental out of sunlife, when I paid about 120.
    Ahh... insurance fraud... :p
  • edited January 2009
    JayDub;45897 said:
    Ahh... insurance fraud... :p
    more like
    Ahh... insurance coverage?
  • edited January 2009
    randomuser;45895 said:
    It depends on your dentist, they might submit your claim for you;

    but in my experience with Sun Life, you have to pay up front, then send your receipt into Sunlife with a claim form then they reimburse you.

    I already have coverage, but I'm actually not going to cancel this one and milk it for more than I'm going to pay.

    I'm going to take the 60$ for an eye exam, plus the 100$ for glasses, which I will combine with my other private health plan to get some designer prescription glasses worth a few hundred.

    Then I'm going to claim 100+ for a dental checkup, all in all I will be taking 300$ + out of this for about the 200 we pay.

    When I was in college I had to get my wisdom teeth out and ended up getting the full 600$ in dental out of sunlife, when I paid about 120.
    But if you already have coverage, wouldn't that cover the $60 for the eye exam, plus the $100+ for the dental checkup anyway? So the only benefit really would be the additional money you're getting from the glasses.
  • edited January 2009
    my other plan isnt 100% in a lot of areas, and neither is sunlife, so combining the plans ill have 100% in everything i need

    with the cost of dental checkups, youre looking at 140-170, at two per year, so id fully claim the sunlife part, then use my blue cross extended to cover what isnt covered by sunlife for the first exam, then blue cross for the second exam as well

    all in all ill be getting out more than i put into it
  • edited January 2009
    I guess I can elaborate more...

    Since sunlife only covers 80% of dental, same with blue cross, I'll need to use both to get 100% coverage. For dental checkups at two a year, we can say 300$ in total is the charge.
    -For checkup number one I won't pay anything out of pocket, but for dental checkup #2 Ill have to pay 20% (25-30$), as sunlife only covers one per year.

    Since both plans are also cheap when it comes to limiting your eye exams, I'll need to use both, since both restrict you to every two years (when youre supposed to get them every 6 months to a year).

    But yeah math wise, bottom line is I break even, but I still need both plans since both are only 80% to get 100% coverage...

    I have some more plans to milk it though, some vaccinations here and there, maybe some periodontal work or fillings (someones god forbid).

    Maybe Ill go for some laser eye surgery B)
  • edited January 2009
    Eye exam every 6 months?

    I have only had one eye exam and that was back in grade twelve when I was doing my pilot testing. They had to check if I had V1 vision (perfect 20/20) or better. They put these crazy eye drops in my eyes which made it so I couldn't focus and my pupils were HUGE! I had to wear sunglasses inside otherwise it would have been just too bright. I ended up getting yelled at, at work (Futureshop at the time) because I couldn't read the computer monitor, thus wasn't able to work as effectively.

    So anyways, I have only had one eye exam and my eyes are perfect 20/20.
  • edited January 2009
    You might have crazy super eyeball cancer and you might not know it.

    Apparently we're all supposed to get them checked for diseases, so the province of BC says...
  • edited January 2009
    you don't actually need to provide any private info to opt out. the policy number field (second last step or something) is optional (just put in all 0s or something), and once you get to the upload proof page, you just need to have a [scan of a] piece of paper that has your name and some sort of indication that you're covered. It could even be as simple as your name and a checkbox beside a heading which says "extended health plan" or "dental plan", the paper doesn't even have to contain a policy number or anything.
  • edited January 2009
    randomuser, instead of having 2 insurance providers to covers your costs, use a family member's coverage lol
  • edited January 2009
    ...I don't have family members coverage, and it wouldn't matter if I did because I took a year off between school which makes you ineligible.
  • edited January 2009
    what i meant was make an appointment with a sibling or one of your parents, and if there vision is fine, some optometrists will transfer the coverage over to pay for your glasses (under the table)
  • edited January 2009
    Interesting scheme, never thought of it, but it won't work in my situation...

    in the end with both plans I have enough with both plans now anyway

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