Group Insurance Program - Renewal 2021 - CTSQ
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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
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