HEALTH & DENTAL
- Health and Dental Benefit Booklet
- New Coverage for 2012/13
- Health Plan
- Dental Plan
- Pay-Direct Cards
- Health and Dental Plan Claim Forms
- Opting out of the Health and/or Dental Plan (deadline September 28, 2012)
Heath and Dental Plan Benefit Booklet
The Health and Dental Plan Benefit Booklet provides you with a description of the benefits to which you are entitled under the plans, with an explanation of the rules regarding eligibility and the procedures to follow when submitting a claim.
2012/2013 Health and Dental Plan Benefit Booklet
2011/2012 Health and Dental Plan Benefit Booklet
New Coverage for 2012/13
- Acupuncturist ($300 per student year)
- Osteopath ($300 per student year)
- Physiotherapist* ($300 per student year)
- Psychologist* ($1,000 per student year)
- Dietician/Nutritionist ($300 per student year)
- Vaccinations ($1,000 per student year)
- Smoking cessation products ($500 per lifetime)
* Referral Required
Health Plan
Eligibility and Enrolment
All full-time students (registered in 4.0 credits or more during the fall/winter session) are enrolled in the Health Plan. Participation is compulsory for full-time students. Part-time students may join in September or January (whichever month studies begin). Family coverage is also available.
Fees and Payment
Full-time students (registered in 4.0 credits or more) will be automatically charged for the Health Plan with their tuition fees. Part-time students can join the plan in the month their studies begin. Full-time and part-time students may add family coverage (spouse or dependents).
Full-time students $158
Part-time students $235
Full-time students with family coverage $390
Part-time students with family coverage $585
Part-time students who would like to opt into the plan or add family coverage can submit a request online:
Add Coverage
Dental Plan
Eligibility and Enrolment
All full-time students (registered in 4.0 credits or more during the fall/winter session) are enrolled in the Dental Plan. Participation is compulsory. Part-time students may join in September or January (whichever month studies begin). Family coverage is also available. Part-time students or students wishing to add family coverage should visit the Student Centre, 51 McCaul Street before the end of the month (September 30 or January 31) in which their studies begin. Coverage is from September 1 (or January 1) until August 31.
Fees and Payment
Full-time students (registered in 4.0 credits or more) will be automatically charged for the plan with their tuition fees. Part-time students can join the plan in the month their studies begin. Full-time and part-time students may add family coverage (spouse or dependents).
Full-time students $174
Part-time students $260
Full-time students with family coverage $430
Part-time students with family coverage $645
Part-time students who would like to opt into the plan or add family coverage can submit a request online:
Choosing a Dentist
Students can visit ANY dentist of their choice. When visiting your dentist you will need to present their Pay-Direct Card. Standard claim forms are also available at any dental office or can be found below and must be mailed to the address indicated on the form.
While students can visit ANY dentist of their choice, the following dentists have offered to waive the 20% co-insurance on those services that are covered at 80% (i.e., minor restorative and scaling):
Dr. Randy Fisher, 2345 Yonge St., Suite 202, 416-932-2222
Dr. Hodzic, 87 McCaul Street, 416-977-2000
Dr. Lu, 105-250 Dundas Street West, 416-916-8811
Pay-Direct Cards
Pay-Direct cards can be obtained by visiting the SBTA website and printing off a card. Students should present the card at their pharmacy when picking up prescriptions or when visiting their dental office. Please note, some providers will require payment up front and students will have to submit claim forms and receipts for reimbursement from the insurance company. Please be advised that there is a blackout period for pay direct access during the first part of September when the eligibility list is determined and uploaded. Students who pay for services to the service provider directly can submit a claim form for reimbursement.
Print your Pay-Direct Card
Health and Dental Plan Claim Forms
Students who have paid for services that are covered under the plan can submit a claim with receipts to the insurance company. Claim Forms can be downloaded from the links below and submitted for reimbursement:
Health Plan Claim Form (PDF)
Dental Plan Claim Form (PDF)
Mail to:
Plan Administrator
100-61 International Blvd.
Rexdale, ON M9W 6K4
Opting out of the Health and/or Dental Plan
Full-time students may opt out of the Health and/or Dental plan provided that they demonstrate coverage under another plan (see below) and complete an online Waiver Request. Students must submit a Waiver Request each academic year. The deadline is September 28, 2012. This deadline is strictly observed.
Waiver Process
All fees, including the health and dental plan fees, must be paid by August 31, 2012, to the Finance Office as per the published fee schedules. Health and Dental Plan waiver requests must be submitted by the September 28 deadline. Upon approval, students who opt out of the health and/or dental plan will receive a credit towards the second installment of fees (if outstanding) in October. Students who have paid fees in full for the year will receive a refund by cheque in October.
The deadline is September 28, 2012.
Refund Information
Full-time students who waived one or both plans by the September 28, 2012, will have refund cheques issued for accounts paid in full for the complete academic year or a credit applied to their student account for those with an outstanding balance. Refunds or credits will be applied in November.
Last Modified:10/18/2012 10:30:13 AM
