Group Insurance Program - Renewal 2021 - CTSQ

Page created by Scott Robbins
 
CONTINUE READING
Group Insurance Program - Renewal 2021 - CTSQ
Group
Insurance
Program
Renewal 2021
Group Insurance Program - Renewal 2021 - CTSQ
Presentation
Since January 1st, 2019, the Corporation des thérapeutes du sport du Québec is offering a
group insurance program to all certified members. As of May 1, 2021, the beneficiaries will
be covered by SSQ Assurance.

According to the RAMQ law, « vous avez l’obligation d’adhérer à un régime privé, au moins
pour la couverture des médicaments, si vous y avez accès et que vous avez moins de 65 ans ».

IMPORTANTS ELEMENTS

    • Insurance company : SSQ
         • A new beneficiary card will be sent out by mail in the week of May 17, 2021
    • Broker : BFL
    • Program manager : CTSQ
         • For any questions, contact us in the first place

    You will not be allowed to change your subscription module afterward unless
    one of these life vent happens:
              • Birth of a child
              • Adding a partner to your coverage

Coverage period
    • May 1st, 2021, to August 31, 2022
       • Maximum raise of actual premiums of 15 %
    • September 1, 2022, to August 31, 2023
        • Maximum raise of new premium 20 %

                                             2
Module
                                                      Module 1                                 Module 2
         PRESCRIPTION DRUGS
                       Reimbursment      70 % with forced generic clause         80 % with forced generic clause
                 Method of Payment                                           Direct
                   Moderation Ticket                     $7.00                                   $5.00
                    HEALTH CARE
                            Franchise    $50.00 individual                       $25.00 individual
                                         $100.00 other coverage                  $50.00 other coverage
                                                              combined with paramedical franchise
                       Reimbursment                         70 %                                 80 %
                 Method of Payment                                          Payable
                          Nurse Care                                  $10,000.00/civil year
                    Eye Examination                                $100.00/24-months period
                           Podiatrics                                  $300.00/civil year
                         Hearing Aids                              $500.00/48-months period
                          Ambulance                                Reasonable and usual fees
                 Convalescent Home                           Semi-private room for 60 days maximum
                    Lab and Imaging                                    $1,000.00/civil year
           Dentals Following Trauma              Reasonable and usual fees within 12 months of the accident
    Artificial Limb and Eye Prosthesis                                   $5,000.00/gear
                    Breast Prosthesis                              $1000.00/24-months period
Hospital Bed, Wheelchair, Respiratory
                                                                   Reasonable and usual fees
      Aids and Orthopedic Furnitures
                                 Wig                                     $300.00 for life
                         Glucometre                           $250.00 per device/36-months period
                                  IUD                              Reasonable and usual fees
                         NEMS/TENS                                 $800.00/60-months period
                   PARAMEDICAL
                                         $50.00 individual                       $25.00 individual
                            Franchise
                                         $100.00 other coverage                  $50.00 other coverage
                                                               combined with health care franchise
                       Reimbursment                         70 %                                 80 %
                 Method of Payment                                          Payable
                                         $40.00/appointment for a maximum        $60.00/appointment for a maximum
                           Maximum       of $300.00 per civil year for all       of $300.00 per civil year per
                                         paramedicals                            paramedicals

                                         Acupuncturist, audiologist, chiropractior, guidance counsellor, dietitian,
                                         occupational therapist, homeopath, massotherapist, naturopath, speech
        Paramedical Service Covered
                                         therapist, osteopath, physician, physical therapist, podiatrist, psychologist,
                                         athletic therapist, TRP, social worker

                                                        3
Premiums
Payments are accepted only from the 25th of the previous month to the 5th of the month
for which the payment is due. Any late payment will be charged with extra fees of $11.50
for every ten (10) days or tardiness.

It is your responsibility to ensure that the payments are made on due time.

PAYPAL AUTOMATIC PAYMENT*t

You can subscribe to this option by visiting your CTSQ account, under Member Services >
Group Insurance.

                                                      Module 1          Module 2
                                      Individual       $96.62           $117.82
                                        Couple        $195.96           $242.25
                                         Family       $232.63           $284,97

* You have to make sure the credit card linked to the payment is always valid.
t
    Only monthly payments are possible with PayPal.

CHECK

Checks are labelled to the CTSQ.

                                                                  Module 1         Module 2
                                                   IndividuL       $93.21          $113.69
                                 Monthly             Couple       $189.19          $233.91
                                                     Family       $224.62          $275.19
                              Semestrial           Individual      $745.68          $909.52
                   1st payment: May 1st, 2021                     $1,513.52        $1,871.28
                                                     Couple
                2 payment: January 1st,
                 nd

                                        2022          Family      $1,796.96        $2,201.52
                                                   Individual     $1,491.36        $1,819.04
                               Complete              Couple       $3,027.04        $3,742.56
                                                      Family      $3,593.92        $4,403.04

                                                          4
E-TRANSFER**

E-transfers are to be made to direction@ctsq.qc.ca.

                                                                  Module 1             Module 2
                                                 Individual        $94.71              $115.19
                               Monthly             Couple         $190.69              $235.41
                                                    Family        $226.12              $276.69
                            Semestrial           Individual        $747.18              $911.02
                 1st payment: May 1st, 2021                       $1,515.02            $1,872.78
                                                   Couple
              2 payment: January 1st,
               nd

                                      2022          Family        $1,798.46            $2,203.02
                                                 Individual       $1,492.86            $1,820.54
                             Complete              Couple         $3,028.54            $3,744.06
                                                    Family        $3,595.42            $4,404.54

** If a secret question/answer is required for the transfer, you have to use your last name as the answer. Otherwise,
we will not accept the transfer.

ADDITIONNAL INFORMATION

You may watch the virtual meeting done on April 21, 2021.

                                                         5
You can also read