Emergency Travel (Out of Province and Out of Country) Coverage is insured by SSQ Insurance Company in collaboration with AXA Assistance. It is provided to those employees and family members insured under the HANS health programs (Medavie Blue Cross). For clarification, this is for emergency medical, it is not for trip cancellation.
Retired members do not have this coverage.
This link will bring you to our Emergency Travel Information Package containing, a cover memo, the benefits information on the HANS website, the claim forms, and letter for travel to Cuba.
We do recommend caution against non-essential travel outside of Canada per the Government’s guidance. Travel advisories are located at https://travel.gc.ca/travelling/advisories
The Travel Advisory levels noted in the below information can be found at https://travel.gc.ca/travelling/health-safety/travel-health-notices
Please check out the below update from SSQ.
As of October 1, 2020, SSQ Insurance will be covering all emergency medical expenses resulting from Covid-19 for those travelling to a country for which the Canadian government has issued an avoid non-essential travel notice (level 3). However, emergency medical expenses are not covered for travel to a country for which an avoid all travel advisory (level 4) has been issued. Reference SSQ
SSQ does not cover the expenses related to Covid-19 testing/isolation. See the following notice from SSQ.
Although the best protection is to limit travel, SSQ Insurance will continue to support policyholders who must travel despite the current advisories.
SSQ Insurance is closely monitoring the evolution of the current situation due to the COVID-19 pandemic. Our policies continue to adjust in accordance with evolving health needs and as new decrees are put into place by various levels of government.
The health and safety of our policyholders remains our top priority, driving our decisions during this pandemic. We recommend that our policyholders comply with the Government of Canada travel advisories, as there is no guaranty to access or quality of medical care abroad.
Please find the following update regarding the various insurance coverages for our policyholders who are currently TRAVELLING:
Accommodation and living expenses are not covered unless indicated in the contract.
This coverage applies 24 hours per day during the course of any trip outside your province of residence or outside Canada, for business or pleasure, subject to a maximum of 60 days per trip. This includes reimbursement of expenses when by reason of Injury, Sickness or Disease, an Insured Person requires medical or surgical treatment and incurs eligible expenses as described in this policy. SSQ Insurance Company will reimburse the reasonable and necessary charges in excess of those paid by MSI for services and supplies received by the Insured Person.
Except for individual limits stated for specific benefits, the maximum reimbursement for expenses incurred as a result of all Injuries caused by any one Accident or as the result of any one Sickness or Disease, will not exceed $5,000,000.
The reverse side of your Health Benefit Card has your policy number and the telephone numbers to call in an emergency while travelling.
Employee/Member coverage may be extended up to 180 days provided that the extension is for business purposes and is approved by SSQ Insurance Company. To request an extension, write to:
SSQ Insurance Company Inc
Halifax Office
P.O. Box 1001
1680 Bedford Row
Halifax, NS B3J 1T0
Advise them of the date of departure, expected date of return, and reason for the trip. Quote your plan number as SSQ #1JM45.
If after reading the following information, you have further questions regarding coverage, you can call SSQ Insurance Company toll free at 1-800-848-0158.
“Insured Person” means you or your insured dependents.
“Injury” means bodily injury caused by an Accident occurring while coverage is in force as to the Insured Person whose injury is the basis of claim and resulting directly and independently in all other causes in loss covered by the policy provided such injury is sustained and for which expenses are incurred during the course of a trip outside the province of residence. In no event shall Injury mean Sickness or Disease howsoever caused unless caused by an Accident.
“Accident” means any unlooked for mishap or untoward event which is not expected or designed.
“Sickness” means an impairment of normal, physiological function and includes illness and infections, occurring while this policy is in force as to the Insured Person whose sickness is the basis of claim and for which expenses are incurred during the course of a trip outside the province of residence.
“Disease” means any unhealthy condition of the body or any part thereof occurring while this policy is in force as to the Insured Person whose disease is the basis of claim and for which expenses are incurred during the course of a Trip outside the province of residence.
“Trip” means travel, undertaken by the Insured Person, which commences on the date of departure from the Insured Person’s province of residence and continues until the return date to this province of Residence, subject to a maximum of 60 consecutive days.
“Residence” means the primary dwelling of which the Insured Person is an occupant and the premises on which it is situated.
“Hospital”, “Convalescent Hospital” or “Nursing Home”, means an institution licensed as a hospital or nursing home (if hospital or nursing home licensing is required where the institution is situated), which is open at all times for the care and treatment of sick and injured persons, has a staff of one or more Physicians available at all times and which continuously provides 24 hours nursing service by graduate registered Nurses. It provides organized facilities for diagnostic and surgery, is an active treatment hospital and not primarily a clinic, rest home or similar establishment. For the purposes of this definition, Physicians and Nurses will not exclude an Immediate Family Member.
“Physician” means a doctor or medicine (other than the Insured Person or an Immediate Family Member) who is licensed to practise medicine by:
“Nurse” means a graduate registered nurse (R.N.) or nurse who is licensed to practice nursing service by a governmental agency having jurisdiction over such licensing. Nurse is neither the Insured Person himself nor an Immediate Family Member.
“Immediate Family Member” means a person at least 18 years of age, who is the son, daughter, father, mother, brother, sister, son-in-law, daughter-in-law, father-in-law, mother-in-law, brother-in-law, sister-in-law (all of the above include natural, adopted or step relationship), spouse, grandson, granddaughter, grandfather or grandmother of the Insured Person.
“Travelling Companion” means a person who is sharing the same booked accommodation with the Insured Person.
“Emergency” means unexpected and not pre-planned.
“Airfare” means the regular fare charged for an economy class seat on a regular flight by a domestic or international scheduled air carrier, which holds an operating certificate issued by Transport Canada or by a similar governmental authority having jurisdiction over such air carrier in the country of its certification.
“Regular Care and Attendance” means observation and treatment to the extent necessary under existing standards of medical practice for the condition requiring such treatment or causing Hospital confinement.
“Fare” means the regular fare charged for:
where each of these carriers must then hold an operating certificate issued by Transport Canada or by a similar governmental authority having jurisdiction over such carrier in the country of its certification.
“Accommodation” means lodging in the vicinity of the Hospital where the Insured Person is confined.
“Motorized Vehicle” means a passenger car, station wagon, van, jeep-type automobile, truck, ambulance or any type of motorized vehicle used by municipal, provincial or federal police forces.
The word “province” will be construed as territory when either the Insured Person’s Residence is located or the treatment is rendered in a territory in Canada.
When by reason of Injury, Sickness or Disease, an Insured Person requires medical or surgical treatment and incurs eligible expenses as described in this section; SSQ Insurance Company will reimburse the reasonable and necessary charges in excess of those paid by MSI for services and supplies received by the Insured Person in accordance with the following:
Hospital, Convalescent Hospital or Nursing home charges for room and board, up to and including the semi-¬private accommodation level, or private accommodation level when recommended by the attending Physician, subject to a maximum duration of 12 months.
Expenses for the services of a Nurse ordered or prescribed by a Physician, provided the Nurse does not ordinarily reside in the Insured Person’s Residence, subject to a maximum of $10,000 per Accident, Sickness or Disease.
Charges for prescription drugs, sera and vaccines, ob¬tainable only upon a written prescription by a Physician or legally qualified dentist and dispensed by a registered pharmacist or Physician, but excluding any charges made for the administration of injectable drugs, sera and vaccines.
Expenses charges for the services of a duly licensed or duly registered physiotherapist for physiotherapy treatment ordered or prescribed by a Physician, provided such physiotherapist does not ordinarily reside in the Insured Person’s Residence and is not an Immediate Family Member.
Expenses for a licensed ground ambulance service or when recommended by a Physician, by any other convey¬ance licensed to carry passengers for hire, to or from the nearest Hospital which is equipped to provide the required treatment, subject to a maximum of $25,000 per Accident, Sickness or Disease.
Up to $1,000 per trip (subject to a maximum of $50 per day) for accommodation and meal costs of any person remaining with the Insured Person when the trip is delayed as a result of any injury or sickness to the Insured Person. The person remaining with the Insured Person must have been traveling with the latter and the return trip must have been avoidably delayed beyond the scheduled date.
If, as a result of Injury, Sickness or Disease, an Insured Person requires any of the following evacuations:
SSQ Insurance Company will pay the reasonable and necessary transportation expenses actually incurred by the Insured Person including any related medical services and supplies.
SSQ Insurance Company will also pay the reasonable and necessary expenses actually incurred by a medical attendant or one Immediate Family Member, who accompanied the Insured Person, for a round trip Airfare plus Accommodation and board. All covered expenses incurred by the medical attendant or Immediate Family Member are subject to a maximum of $5,000.
The total maximum amount payable under this section will not exceed $1,000,000 as the result of any one Accident, Sickness or Disease.
If, as a result of Injury, Sickness or Disease, the attending Physician certifies in writing that the Insured Person has become disabled and is unable to continue the Trip by means of driving the owned or rented Motorized Vehicle used as a conveyance during the Trip, this program will pay the reasonable and necessary expenses actually incurred for the return of such vehicle by a commercial agency to the Insured Person’s normal place of Residence or the rental agency as the case may be.
The maximum amount payable under this section by SSQ Insurance Company to or on behalf of any Insured Person will not exceed $500 as the result of any one Accident, Sickness or Disease.
In the event of loss of life resulting from Injury, Sickness or Disease is sustained by the Insured Person or if the Insured Person is confined as an inpatient in a Hospital for at least four consecutive days and under the Regular Care and Attendance of a Physician, SSQ Insurance Company will pay the reasonable and necessary expenses actually incurred by:
Reimbursement of transportation expenses under this section is limited to 75% of the cost of the Fare. If transportation occurs in a Motorized Vehicle other than one operated under a license for the conveyance of passengers for hire, then reimbursement of transportation expenses will be limited to a maximum of $0.35 per kilometre travelled.
The total maximum amount payable under this section by SSQ Insurance Company to or on behalf of any Insured Person will not exceed $5,000 as the result of any one Accident, Sickness or Disease.
If, as the result of Injury, Sickness or Disease:
The total maximum amount payable under this section by SSQ Insurance Company to or on behalf of any Insured Person will not exceed $10,000 as a result of any one Accident, Sickness or Disease.
If, as the result of Injury, Sickness or Disease, an Insured Person is confined as an inpatient in a Hospital and under the Regular Care and Attendance of a Physician, this program will pay the reasonable expenses actually incurred by the Insured Person for the rental of a telephone and / or television set up to a maximum of $200 as a result of any one Accident, Sickness or Disease.
If, as the result of Injury, Sickness or Disease, the attending Physician certifies in writing that the Insured Person, due to his medical condition, is prohibited from resuming any travel following discharge from the Hospital where the Insured Person was confined for a period of not less than 7 days, the program will pay the reasonable and necessary expenses actually incurred for board and Accommodation up to a maximum of $1,000 as a result of any one Accident, Sickness or Disease.
Expenses incurred for pregnancy (including complications) or childbirth (including caesarean section which is an abdominal operation of uterine pregnancy), SSQ Insurance Company will reimburse the reasonable and necessary expenses actually incurred including Hospital nursery expenses subject to all limitations, exclusions and deductible amounts and other provisions of the policy.
In the event a loss of life resulting from Injury, Sickness or Disease is sustained by an Insured Person more than 50 kilometres from the Insured Person’s normal place of Residence, SSQ Insurance Company will pay the reasonable and necessary expenses actually incurred for the transportation of the body of the deceased Insured Person to the 1st resting place (including but not limited to a funeral home or the place of interment) in the vicinity of the normal place of Residence of the deceased, including the charges for the preparation of the body for such transportation, subject to a maximum of $15,000.
Yes. Except for individual limits stated for specific benefits, the maximum reimbursement for expenses incurred as a result of all Injuries caused by any one Accident or as the result of any one Sickness or Disease, will not exceed $5,000,000.
The following benefits are excluded from the Maximum Limit of Indemnity:
Yes.
This program does not cover loss (fatal or non-fatal) or expenses caused or resulting from:
This program does not cover any of the following supplies or services or costs thereof:
The following limitations to the coverage provided under this policy will apply:
Yes. When recommended by the attending physician and approved by MSI, SSQ Insurance Company will pay for the following eligible benefits for which medical services are not available in Canada. Payment will be made at the reasonable and customary amount for charges in excess or provincial government health care allowances up to a lifetime maximum of $500,000.
All hospital charges for medically necessary services, less the amount allowed under the provincial government health care plan, such as:
Customary charges of physicians and surgeons for services rendered, less the amount allowed under the provincial government health care plan.
Charges for licensed ambulance services required to transport a stretcher patient to and from the nearest hospital able to provide essential care. Charges for air transport are included to a maximum of up to 3 economy seats on a regularly scheduled flight.
Charges for travel expenses of an accompanying Registered Nurse or qualified medical attendant (not a relative) when medically necessary and approved by SSQ Insurance Company.
SSQ Insurance Company is a worldwide medical assistance network for travelers. It provides services 24 hours a day, seven days a week. Telephone, telex and facsimile services are available for travelers in distress to call from anywhere in the world. This service is included in the plan. Among the many valuable services SSQ Insurance Company offers are:
Prior to departure on a trip, please obtain a claim form from your employer. A separate travel assistance card is no longer required. For your convenience, your Emergency Travel policy number and telephone numbers to call in an emergency while travelling are on the reverse of our health benefit card.
If expenses are incurred while travelling, please make sure the claim form is completed by yourself, and authorized by your employer.
Since this program pays for expenses in excess of MSI coverage, you should submit your claim to MSI first to determine if they cover any of the expenses incurred. Any expenses not covered by MSI should then be submitted to:
SSQ Insurance Company
Halifax Office
P.O. Box 1001
1680 Bedford Row
Halifax, NS B3J 1T0
If SSQ Insurance Company is the only payer of incurred expenses, please submit original receipts or invoices when filing your claim. Quote plan number SSQ #1JM45.
In the case of a claim, written notice of injury or sickness must be provided to SSQ Insurance Company within 30 days after the date of the Accident or onset of a sickness, and written proof of loss must be furnished to them within 90 days after the date of such loss.
Failure to furnish such notice or proof within such time shall not invalidate, nor reduce, any claim if it can be shown not to have been reasonably possible to furnish such notice or proof, and that such notice or proof was furnished as soon as was reasonably possible, but in no event later than one year after the date of the Accident or sickness.
Your coverage will end on the earliest of the following dates:
Coverage for any dependent will end on the earlier of the following dates:
In the event of your death, your surviving spouse and dependents may maintain health coverage for up to one year, without premiums. Please note Health coverage for surviving spouse and dependents does not include the emergency out of country benefit.
Members of the Health Association Nova Scotia Extended Health Plan are covered by SSQ Insurance Company in case of a medical emergency outside Canada. Effective May 1, 2010 Cuba has made it mandatory for visitors to have health insurance coverage from providers who have been approved by the Cuban government. The below information has been provided by SSQ Insurance Company.
Effective May 1, 2010 Cuba has made it mandatory for visitors to have health insurance coverage from providers who have been approved by the Cuban government.
To meet this requirement, travelers are required to have travel insurance which covers medical expenses. The insurance should be taken out in Canada and persons traveling to Cuba who do not have medical insurance will be required to purchase a Cuban medical insurance policy upon arrival.
Although the Cuban government has not indicated the exact documents required for proof of insurance, based on recent discussions with the Canadian Consulate, we understand that the following documents will be acceptable:
SSQ Insurance Company – GESA Assistance in Mexico, is the provider of emergency assistance benefit for Cuba and is listed as an approved carrier through Mexico. For more information click here.
Health Association Nova Scotia reserves the right to review the employee benefits program and to modify, amend, discontinue, and/or make exceptions to the program. All information is subject to change. This document provides a information around the key benefits available to you under the Health Association Nova Scotia Single Group Benefits Plan. In the case of a discrepancy, the contracts will prevail.
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© Copyright Health Association Nova Scotia 2023.
© Copyright Health Association Nova Scotia 2023.