Extended Health coverage is provided through Pacific Blue Cross (PBC).
DEDUCTIBLE & CO-INSURANCE
For each calendar year, you will be required to pay the first $100 deductible (per family, per calendar year) and 20% of all eligible expenses after that. Once an individual has had $1,000 in claims reimbursed, in a calendar year, all further eligible expenses are covered 100%.
Effective January 1, 2021, the per family annual deductible reduces to $50.
This benefit incorporates the BC Fair Pharmacare program and it is not necessary to mail in forms for reimbursement from either Pacific Blue Cross (PBC) or Pharmacare for prescription drugs. You are required to produce the PBC “Blue-NET” membership card for this convenient direct pay prescription service.
Covered expenses, which are over and above basic MSP coverage, include:
- Prescription Drugs
- Emergency out of Province Medical Expense
- Specialist Services
- Special Nursing
- Private or Semi-Private Hospital Rooms
- Health Professionals
- Wheelchairs, Crutches, Splints, etc.
EMERGENCY OUT OF COUNTRY/PROVINCE COVERAGE
Members travelling outside of the Province should be aware that our Extended Health Coverage is unlimited (except pre-existing conditions and Plan “C”). Therefore, if you plan on travelling in the USA. or other countries, it may not be necessary to purchase additional medical insurance.
Every member should have a “Medex” card which lists telephone numbers for assistance in emergencies when travelling in other countries.
COVID-19 TRAVEL INSURANCE INFORMATION
For further information on Pacific Blue Cross’ Travel Insurance information for Covid-19, please visit https://www.pac.bluecross.ca/covid19/
PACIFIC BLUE CROSS BOOKLETS
- Local 213 Active Employees Pacific Blue Cross booklet
- Local 213 Retired Employees Pacific Blue Cross booklet
COVERAGE AFTER TERMINATION
Members should also be aware that they can convert to an individual PBC extended health plan within 60 days of termination of their group plan. PBC will waive the pre-existing condition under this conversion option. Please refer to the “Termination of coverage” section of the PBC extended health brochure (links above).
CLAIMS, FORMS AND MEDEX CARDS
Medex cards and PBC Claim forms are available at the Welfare Plan Office. In addition, electronic PBC claim forms are on the PBC website and in the Forms Library on this site.
|PBC Group/Policy Number|
|Active Employees (Plan A or B)||183149|
|Retired Employees (Plan C)||149402|
For PBC claims information and online forms use the number above along with the members PBC Number for ID number at:
For information on how to register for PBC’s Caresnet website and mobile app, please refer to this CaresnetBrochure guide.