Replacement Schedule Sunlife Ontario: Advice

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
Hose_Head
Posts: 804
Joined: Wed Mar 12, 2008 6:43 pm
Location: Ontario Canada

Re: Replacement Schedule Sunlife Ontario: Advice

Post by Hose_Head » Tue Jun 04, 2013 7:02 am

Pekoepup wrote:Wow, thanks for all the responses, offers for help and suggestions. I must say that I am quite confused by "health insurance" coverage in Canada. I don't think it was this complicated when I lived in B.C.. growing up. I thought socialized medicine meant everyone would be on a Provincial health plan with the same coverage so I am not understanding Sunlife's role.
In Canada health insurance is covered by our provincial governments. However, this insurance only covers you for doctor's visits, hospital treatments/surgery, and that sort of thing. Coverages vary a bit from province to province but I'm aware of no substantial differences. Premiums for coverage also vary from province to province: in Ontario it's added to our income tax.

Provincial health insurance does NOT cover you for dental care, drugs (except as administered while in hospital), eye care, and things such as cpap, orthotics, eye exams, eyeglasses, wheelchairs, etc etc. Some of us have insurance that covers these items through our employers (it's an employment benefit). These health benefit insurance plans vary from one employer to the next and depend on what coverages the employer has decided to pay for. SunLife is one such provider of this type of health care and dental insurance.

In Ontario, there also is an Assistive Devices Program which is a government insurance that will pay for specified medical devices such as cpap, wheelchairs, and a host of other hardware that is needed for ongoing healthcare. Typically ADP only pays for upfront costs and not for ongoing operational costs. There are strict limitations on what is covered and payments are just a fraction of the total billed costs. (For cpap it's a total of $750, more for apap, bipap, etc). I think some other provinces have similar programs (e.g. Manitoba) but most do not.
I'm workin' on it.

CKPHL
Posts: 1
Joined: Sat Mar 29, 2014 10:44 pm

Re: Replacement Schedule Sunlife Ontario: Advice

Post by CKPHL » Sat Mar 29, 2014 10:51 pm

I used to be covered under Sun Life with my former employer. They indicated to me that I was entitled to a new mask every 6 months, if I remember right... I know that Manulife allows 2 masks per year.