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Association générale étudiante du Cégep de la Gaspésie et des Îles (AGECGÎ)

Association générale étudiante du Cégep de la Gaspésie et des Îles (AGECGÎ)

Paramedical and eye care

Details of paramedical and vision coverage

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With coverage for paramedical and vision care, you can reduce the cost of visits to various professionals for eye exams and the purchase of glasses or contact lenses.

 

Our partnership with Groupe Visuel Iris could provide you with additional benefits when you are covered by the Major Plan.

 

Overall maximum of $500 / coverage

 

Acupuncturist
Chiropractor
Osteopath
Massage therapist
Physical therapist
Podiatrist
$40 /visit, combined maximum of $400 /coverage
Psychologist
Psychotherapist
Sexologist
Social worker
$40 /visit, combined maximum of $400/coverage
Eye exam $40 /12 consecutive months
Prescription glasses
Contact lenses
$75 /24 consecutive months

Drug Insurance

Details of drug coverage

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With drug coverage, you can reduce the cost of certain medications.

 

This student coverage does not replace the drug insurance required by the Government of Quebec. Please note that Plan Major is a secondary (2nd) payer for your drug coverage. You must first submit your claims to the RAMQ or another private insurance company.

 

 

Drugs Max. combined of $400 /coverage
Contraceptives listed and not listed on the RAMQ (second payer) list
(Oral contraceptives, hormone-releasing intrauterine devices, contraceptive injections, contraceptive rings, contraceptive patches, contraceptive implants)
70% of costs

Generic drugs in addition to RAMQ, second payer: 70%
Brand-name drugs: 70% of the price of the drug if there is no equivalent on the market // 70% of the price of the cheapest equivalent drug on the market.

Antidepressants listed and not listed on the RAMQ list (second payer) 70% of costs

Generic drugs in addition to RAMQ, second payer: 70%
Brand-name drugs: 70% of the price of the drug if there is no equivalent on the market // 70% of the price of the cheapest equivalent drug on the market.

Vaccines not covered by the RAMQ
(excluding administration fees and allergy shots)
70% of expenses, max. $100 / coverage

Extended Health Benefits

Details of extended health benefits

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Thanks to your supplementary student plan coverage, you can take advantage of several health care services that are not covered by the Régie d’assurance maladie du Québec.

 

This student coverage does not replace the drug insurance required by the Government of Quebec.

 

By maintaining your Major Plan coverage, you can take advantage of special offers from our partners, such as Clinique Virtuelle, Énergie Cardio, and many others. Visit the Discount-Network section for more details.

 

 

Additional fees Max. combined of $500 /coverage
Private room (hospitalization) 70% of expenses, max. $60/day
Ambulance (by land or air) 70% of the costs
X-rays and ultrasounds in private clinics (including maternity ultrasounds) 70% of expenses, up to $250 /coverage
Blood tests (including health checkups) 70% of expenses, max. $150 /coverage
Bra (following a mastectomy) 70% of expenses, up to $200/coverage
Custom-made orthopedic shoes
Open, flared, or straight shoes (modification or adjustment)
Foot orthotics
Rigid or semi-rigid splints
Hernia trusses and casts
Medical corsets
Artificial limbs (excluding myoelectric prostheses)
Artificial eyes
70% of expenses, combined maximum of $400 /coverage
Hearing aids 70% of expenses, max $500 /5-year period
Hair prostheses (following chemotherapy) 70% of expenses, maximum $200 lifetime

Dental Care

Details of dental coverage

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Thanks to your student plan coverage, you could receive up to $500 in dental reimbursement per coverage. For claims made directly to the dental office, you may need to provide the TELUS ADJUDICARE 34 / AUTOBEN digital identifier.

 

It is important to obtain a treatment plan from your treating specialist to confirm coverage for the prescribed procedures, especially if the cost of the procedures exceeds $200. Certain limitations may apply.

 

Save even more thanks to our partnership with Lapointe Dental Centers. With Plan Major coverage, enjoy discounts and preferential rates in our Network Discounts section!

 

 

Overall maximum of $500 /coverage

 

Diagnostic and preventive care
Examination
Cleaning
X-ray
Polishing
75% of the costs
Basic care Max. combined of $400 / coverage ↓
Tooth extractions (including wisdom teeth)
Root canal treatment
Gum treatment
Fillings
(Composite (white) fillings are only covered for front teeth)
75% of the costs

Accident Insurance

Details of accident insurance

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Your plan’s accident insurance covers several situations, such as dental expenses and healthcare in the event of an accident. It also covers ambulance transportation costs and service fees for a chiropractor and physiotherapist.

 

Please note that for claims for care received as a result of an accident, accident coverage always applies secondarily.

 

 

Benefits in the event of death or paralysis (following an accident)
Loss of life 10 000 $
Paralysis (Quadriplegia, Paraplegia, Hemiplegia) 20 000 $
Benefits in the event of mutilation (following an accident)
Loss of both hands or both feet 10 000 $
Complete loss of vision in both eyes 10 000 $
Loss of a Hand and Foot 10 000 $
Loss of a foot and complete vision in one eye 10 000 $
Loss of an Arm or Leg 8 000 $
Loss of a Hand or Foot 7 500 $
Complete loss of vision in one eye 7 500 $
Loss of the thumb and index finger of the same hand 3 333 $
Loss of Speech and Hearing 10 000 $
Loss of Speech or Hearing 7 500 $
Hearing loss in one ear 6 667 $
Loss of Four Fingers on One Hand 3 333 $
Loss of all toes on one foot 2 500 $
Loss of use of both arms or both hands 10 000 $
Loss of Use of a Hand or Foot 7 500 $
Loss of Use of an Arm or Leg 8 000 $
Benefits for educational expenses (following an accident)
Services of a qualified teacher (recognized by the Department of Education) $20 per hour, max. $300 per accident
Institutional fee benefit (including internship and training fees) 50% of the costs, up to $500 per session
Benefits related to the reimbursement of paramedical expenses (following an accident) Max. 10 000 $  / accident
Private nursing services $50 per hour, max. $5,000 per accident
Ambulance transport  5 000 $ / accident
Semi-private room (Hospitalization)  5 000 $ / accident
Physical therapist 300 $ / accident
Chiropractor 300 $ / accident
Cost of renting a wheelchair and an iron lung 100% des frais
Hearing aids
Crutches
Splints
Castings
Neck braces
Orthopedic supports
100% des frais
Benefits related to dental care expenses in the event of an accident
Dental expenses incurred for therapeutic purposes 100% des frais, max. 5 000 $ / accident
Age limit 85 ans ou moins

What is considered an accident?

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An accident is defined as an unintentional and unforeseen event caused by an external source. It is important to consult the contract to find out what is covered by accident insurance.

Have you been in an accident and would like to file a claim?

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Firstly, it is important to submit claims to your supplementary health insurance plan (if certain treatments are covered) before submitting a claim to your accident insurance. The Plan Major team is available to assist you with coordinating your benefits. Contact us at student@majorplan.ca.

 

You can then submit your claim by contacting Zurich directly at zurichGroup@crawco.ca.

Travel Insurance

Details of travel insurance

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With this plan, you are covered for medical emergencies abroad and trip cancellations up to $5 million. Your coverage plan covers trips lasting up to 180 consecutive days. In addition, trips must take place during the current coverage period.

 

Your travel passport

The travel passport is an essential document to have when traveling. It provides access to important numbers in case of an incident. (passport available soon)

 

 

Lifetime maximum of $5,000,000

 

Emergency hospitalization (outside the province of residence)
– Semi-private room
– Services and supplies provided
100% of expenses
(reasonable and customary expenses)
Emergency transportation (Ground / Air / Family) 20 000 $ /500 000 $ / 15 000 $
Cancellation / Trip interruption 5 000 $
Identification guarantee 5 000 $
Meals and lodging $3,000 ($150 per day)
Transportation to the bedside of the hospitalized person Round trip in economy class
Return of the traveling companion 10 000 $
Return accompanied by dependent minor children 5 000 $
Vehicle return 5 000 $
MRI medical services (diagnostics) 7 500 $
Dental accidents 5 000 $
Nursing care Max. $50 per shift
Services of a physician or surgeon (duly qualified)
Medications (prescribed by a physician or qualified surgeon)
Services of an anesthesiologist (duly qualified)
Outpatient services (provided by a hospital)
100% of expenses
(reasonable and customary expenses)
Crutches
Hospital beds
Splints
Canes
Sling sleeves
Bandages
Orthopedic devices
Other prostheses approved by the insurer
100% of expenses – Purchase or rental
(reasonable and customary expenses)
Chiropodist
Chiropractor
Osteopath
Physical therapist
Podiatrist
$300 per practitioner
Repatriation / Identification of the body  15 000 $ /  5 000 $
International assistance services Included
Age limit 85 years old or younger
Maximum trip duration 180 days

 

Has something unexpected happened during your trip?

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Zurich quickly at the numbers listed below. Their multilingual agents are available 24 hours a day, 7 days a week.

 

Here are the phone numbers to call for travel insurance assistance → US and Canada (toll-free): 1 877-541-0127; Elsewhere in the world (collect call) 1 416-649-2555

 

Luggage insurance and travel delay insurance

Complete your travel coverage with baggage and travel delay insurance! A real must-have for peace of mind when traveling.

 

Coverage Offered by

 

Health and dental: Assomption Vie
Travel and accident: Zurich