Extended Health

Extended Health benefits are designed to help you pay for specified medical services and supplies, incurred by you and your eligible dependents, when not provided under a government health plan or by a tax supported agency. Some of these covered expenses may include:

• Prescription drugs
• Vision care expenses – eye exams, glasses or contact lenses
• Paramedical practitioner visits such as chiropractors and physiotherapists
• Hospital room charges
• Emergency ambulance
• Out-of-province emergency medical and travel assistance

For a full list of what is covered, please refer to the Extended Health Care section of the Health Benefits Plan Booklet. Coverage information is also available by logging in to your PBC Member Profile or the PBC mobile app.

How to File a Claim

Some claims, such as prescription drug, paramedical practitioner visits or vision care expenses, may be able to be submitted directly to the Plan on your behalf so that you only have to pay your share of the cost.  Present your Member ID card to your pharmacist, optometrist or your paramedical practitioners (such as a physiotherapist) at the time of your next visit.

If you paid the full cost of your expense, you can submit your receipt for reimbursement, either:

• online through your PBC Member Profile (also available on the PBC mobile app)
• using the PBC Standard Health Claim Form - The completed claim form together with receipts should be sent to Pacific Blue Cross
• If you are coordinating the claim payment with your spouse’s health plan, you should include the primary carrier’s payment statement.

Any questions on completing the form can be directed to the Administrator.