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Dental Pre-Authorizations

March 25, 2019

If the total cost of a course of dental treatment is expected to exceed $500, it is suggested that a treatment plan be submitted to Great-West Life prior to commencement of treatment. Great-West Life will review the treatment plan and determine the amount of eligible expenses. Ask your dentist to submit a treatment plan (also referred to as a pre-determination) to Great-West Life to determine your coverage amount. A dental pre-determination of benefits is only valid for 90 days.

Services and Supplies

The Red River College benefits plan includes coverage for certain medical services and supplies provided they are considered reasonable and customary.

Treatment is considered reasonable if it is accepted by the Canadian medical profession, it is proven to be affective, and it is of a form, intensity, frequency and duration essential to diagnosis or management of the disease or injury.

Flex Options 2, 4 and 5 include coverage for other medical services and supplies subject to the applicable coinsurance, internal maximums and reasonable and customary charges.

What is covered under medical services and supplies?

Covered medical services and supplies are described in your Great-West Life benefits booklet and include expenses such as:

  • Cardiac Rehabilitation
  • Medical Appliances – wheelchairs, walkers, oxygen equipment, crutches, etc.
  • Prosthetic and Remedial Equipment

If you have questions about whether a particular service or supply is covered, you can review the details in your benefits booklet or contact Great-West Life for further details.

Are CPAP machines and supplies covered?

The Great-West Life group benefits plan will provide Continuous Positive Airway Pressure (CPAP) machine coverage for the $500 copay amount required by the Winnipeg Regional Health Authority (WRHA) in Manitoba. The plan also covers other eligible accessories and replacement supplies. To be eligible for coverage, you must first apply for the CPAP machine through the WRHA. The initial copayment will include the new CPAP machine and the following supplies:

  • Interface (nasal, full-face or direct)
  • Filters for your equipment
  • Tubing

For more information regarding these types of claims and what documentation is required when submitting a claim, please review Great-West Life’s Benefits NewsLine and/or contact Great-West Life for further details.

The above is a summary of the provisions of the group plan. In the event of a discrepancy between this benefit and the master contract, the terms of the group contract will apply.

Supporting Your Wellness

Red River College has launched the new Employee and Family Assistance Program (EFAP) through Homewood Health effective March 1, 2019.

Your EFAP can help with a variety of situations such as stress, anxiety, life change and transitions, relationship concerns, etc. Your full suite of EFAP services includes counselling, Life Smart Coaching and Online resources.

Click here to review the Homewood Health EFAP resources available to you and to get contact information.