Do more, see more … online at my Sun Life - RBC · Do more, see more … online at my Sun Life...
Transcript of Do more, see more … online at my Sun Life - RBC · Do more, see more … online at my Sun Life...
www.mysunlife.ca
Do more, see more … online at my Sun Life
One access ID — totally connected> Accesstoyourdrug/medical/dentalbenefits
orpensionaccountwithjustoneaccessID.
> UseyouremailaddressasyouraccessIDtomakesigningineasier.
Secure messagesToobusytocallSunLifewithyourquestions?Sendusasecuremessage.
Drug formularyViewdetailsaboutyourprescriptiondrugplanformulary.
Coverage> Getdetailsofyourdrug,medicalanddentalcoverage.> Lookupdruginformation.
Claims> Submitadental,paramedical,visioncare,coordination
ofbenefitsorhealthspendingaccountclaim.> Printpersonalizedclaimforms.> Viewaclaimstatement.> Viewclaimshistory.
Wellness centre> Completeyourwellnessassessment.> Createandstoreyourpersonalhealthrecord.> Visitthehealthandmedicallibrariestosearch
forinformation.> GethelpwithnavigatingtheCanadian
health-caresystem.
Pay-Direct Drug (PDD) cardPrintyourpersonalizedPPDcardforcontractnumber25364.Seepage9fordetailsonhowtoprintyouroff-formularydrugcardforcontractnumber150090.
Provincial coverageFindoutmoreaboutyourprovincialhealthplan.
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Some people say the best service you can get from anywhere is self-service. That’s why Sun Life Financial created the industry-leading and award-winning my Sun Life website. Just visit www.mysunlife.ca to take advantage of our easy online features. Here’s a quick overview of what you can see and do.
Your home page – This is your starting page when you sign on to my Sun Life.
Your quick view page – This is where you will find all the great features described below.
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www.mysunlife.ca
Paperless claim statementsRegisterforpaperlessclaimstatementsandautomaticemailnotificationwhenyourclaimsareprocessed.
Coordination of benefitsCheckandupdateyourcoordinationofbenefitsinformation.Youcanalsosubmitcoordinationofbenefitsclaimsonline,whereyouandyourspouse/partnerarebothcoveredunderSunLifeplans.
CoverageFindoutthemaximumamountcoveredorthereimbursementlevelforcertainmedicalexpensesanddentalprocedures.
Drug Look UpWonderingifaspecificdrugiscoveredunderyourplan?Here’swheretogo.
Submit most claims onlineNoprinter,nostamps…noproblem.Justsubmityourdrug,dental,paramedical,visioncare,coordinationofbenefitsorhealthspendingaccountclaimonline.
Submit claims on your mobile deviceYoucanuseyoursmartphonetosubmitparamedical,drug,visionanddentalclaims.
Claims summaryViewasummaryofclaimactivitiesforanytimeperiodyouspecify.
Quick viewDisplaysmostrecentclaimpayment,healthspendingaccountbalance,visioncarebalanceandnextdentalrecall.
Personalized claim formsPrintpersonalizedclaimformspre-filledwithyourowninformation.
Pay-Direct Drug cardYourpersonalizedPDDcard–print,cutandcarrywithyou.
Secure messagesHaveaquestion?SendSunLifeasecuremessageonline.
Off-formulary drug coverage (for levels 4 & 5 only)Thiscoveragehasadifferentcontractnumber(150090)andexpandsthenumberofdrugsthatqualifyforreimbursementundertheFlexBenefits.
Printing your off-formulary drug cardPrintyourpersonaloffformularyPDDcard-print,cutandcarrywithyou.
Wellness centreCompleteawellnessassessmentorsearchourcomprehensivehealthandmedicationlibraries.
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All these great features are just a few clicks away
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Paperless claim statements Youcanregisterforourpaperlessclaimstatements.Ifyouprovideyouremailaddress,we’llsendanemailnotificationwhenyourclaimshavebeenprocessedtoletyouknowyourclaimstatementsareavailableonline.
It’seasy,fastandenvironmentallyfriendly!Here’showtoregister:
> SelectPaperless claim registrationunder“Takemeto:”(ontherightsideofthescreen).
> SelectRegister.
Whenyouprovideyouremailaddress,youshouldsubsequentlyvalidateitbyrespondingtoanemailthatisautomaticallysenttoyou.
Ifyouneedpapercopiesofyourclaimstatementtosendtoyourspouse’splantocoordinatebenefitsorwantpapercopiesforyourrecords,youcaneasilyprintyourclaimstatementsfromthewebsite.
(Note:Yourclaimpaymentsareautomaticallydepositedtoyour
RBCpayrollbankaccount.)
Coordination of benefits (COB)Doyouoryourfamilyhaveadditionalcoverageunderyourspouse’smedicalordentalplan?Ifso,youcancoordinateyourclaimstobereimbursedupto100percentofyoureligibleexpenses.
TocheckcurrentCOBinformation:
> SelectCoordination of benefitsunder“Takemeto:”(ontherightsideofthescreen)
ToupdateyourcurrentCOBinformation:
> SelectCoordination of benefitsunder“Takemeto:”(ontherightsideofthescreen).
> Selectupdate.
> Selectthestatementthatappliestoyourspouse’scoverageundereachcontractnumber.
> Selectupdate nowwhendone.
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CoverageThecoveragesectionofeachpolicygivesyouquickandeasyaccesstoinformationaboutthecoverageavailableforyouandyourdependentsunderyourFlexBenefitsdrug,medicalanddentalplan.Findoutwhat’seligible,thepercentageofthecostcoveredandthemaximumamountpaidformanycoveredexpenses.
Toseeyourcoveragedetails:
> SelectDrug, Medical or Dentalfrom“Coverage”onthebluemenubar.
> Selectwhomtheinquiryisfor(memberordependent).
> Selecttheexpenseyouwouldlikeinformationabout.Fordentalexpenses,youcanalsosearchbyprocedurecode.
> Selectyour claimstoviewalistoftheclaimsyouandyourdependentshavesubmittedforthatexpense(locatedunder“Limits”formedicalexpensesand“Overallmaximum”fordentalprocedures).
(Note:Somecoverageinformationmaynotbeavailable.PleaserefertoyourFlexBenefitsbookletfordetails.)
Drug Look Up Wonderingifaprescriptiondrugiscovered?Wanttoknowmoreaboutaparticulardrug?UsetheDrugLookUpfeaturetosearchbydrugnameordrugidentificationnumber(DIN).YoucanfindthedrugnameandDINonthecontainerlabelorpharmacyreceipt.
Tosearchforadrug:> SelectDrugfrom“Coverage”onthebluemenubar.
> Selectwhomthedrugisfor.
> Enterthedrugnameordrugidentificationnumber(DIN).
> Selectsearch.
Youcanfindoutmoreaboutadrug(forexample,theconditionordiseaseittreatsandpossiblesideeffects)simplybyclickingonthedrugnameinthesearchresultsscreen.
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New employees/Newly eligible employeesRBCprovidesaweeklyeligibilityfiletoSunLife.OnceyouhaveselectedyourcoverageontheFlexBenefitsenrollmentsystem,itwilltakeuptoaweektobeabletoaccesswww.mysunlife.com.
www.mysunlife.ca
Submit claims on your mobile deviceYoucanalsouseyoursmartphonetosubmitparamedi-cal,drug,visionanddentalclaimsbydownloadingourfreeBlackBerryoriPhoneapplication,my Sun Life Mobile,fromtheAppleAppStoreorBlackBerryAppWorld.AndroidandothersmartphoneuserswithanInternetconnectioncanaccessmySunLifeMobileatm.mysunlife.ca.SimplyputtheURLinyoursmartphone’sbrowserandyou’reonyourwaytofastandeasyclaimssubmission.Tosubmitaclaim:
> Signintomy Sun Life MobileusingyouraccessIDandpassword
> OntheMainmenu,selectmy health and well-being> SelectSubmit a claim,thenchoosethetypeof
claimadconfirmyourpersonalinformation> Identifywhotheclaimisfor> Enterdetailsaboutyourclaim> Readthetermsandconditionsandagreewiththem
ifyouwanttocontinue> Yourclaimwillbesubmittedinstantly.And,inmost
casesyourpaymentwillbedepositeddirectlyintoyourbankaccountwithin48hours.
Youcantrackyourclaimsinprogressandviewcompletedclaimsbyselectingmy recent claimsfromthemy health and well-beingmenu.
Submit claims onlineClaimingmadeeasy!YoucansubmitclaimsrightovertheInternet,e.g.drug,dental,paramedical,visioncare,coordinationofbenefitsorhealthspendingaccountclaims.Youdon’tneedapaperclaimform–justfillintheinformationonline.Thesystemprocessesyourclaimimmediately,andyoureceiveanonlinenoticetellingyouwhethertheexpenseiscoveredandusuallytheamountanddetailsofyourclaimpayment.
(Note:Youmustberegisteredforpaperlessclaimstatements
tousethisfeature.Pleaserefertopage3forinstructions.)
Tosubmitclaimsonline:
> SelectSubmit a claimunder“Takemeto:”(ontherightsideofthescreen)orselecte-claimsfrom“Claims”onthebluemenubar.
> Youwillbeguidedthroughtheclaimingprocessinafeweasysteps.
Wemayrandomlyauditclaimssubmittedonlinesopleasebesuretokeepyouroriginalreceiptsandsupportingdocumentsfor12months.Ifyourclaimischosenforaudit,wewillaskyoutomailustheoriginalreceipt.
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Claim summaryThisfeatureprovidesasummaryofyourdrugormedicalanddentalclaimsandtheamountpaidbyFlexBenefitsforthetimeperiodyouspecify.
Toviewaclaimsummary:
> SelectDrug claim summaryorMedical and Dental claim summaryfrom“Claims”onthebluemenubar.
> Specifytheperiodyouwouldliketoreview.
> Selectview summary.
Quick viewOnceyousignonmy Sun LifeandselectyourFlexBenefitscontractnumbers,thequickviewpagewillbedisplayed.Youwillimmediatelyseealistofthemostfrequentlyrequestedinformation.Justselectalinkformoredetails:> Most recent claim payment–viewyourlatest
claimstatement.
> Health spending account balance–viewyourdepositandwithdrawalhistory.
> Need glasses/lenses?–checkthedateofyourandyourdependents’lastpurchase,remainingamountandnextpurchasedate.
> Next dental checkup–checkyournextdentalrecalldateforclaimpurposesforyouandyourdependents.
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Personalized claim formsTheclaimformsavailableforyouatwww.mysunlife.caarealreadypre-filledwithyourcontractnumber,memberIDnumber,name,dateofbirthandaddress.Allyouhavetodoiscompletetherest,print,signandsend.
Todownloadyourpersonalizedclaimform:
> SelectPrint claim formfrom“Claims”onthebluemenubar.
> Choosetheformyouneedfromthelist.
(Note:AdobeAcrobatReaderisrequiredforthisfeature.Itis
availablefordownloadfreeofcharge.)
Pay-Direct Drug (PDD) cardUsingyourPDDcardisafastandconvenientwaytoclaimprescriptiondrugs.Participatingpharmaciesnolongerrequireaplasticcardtoswipethroughtheirsystem;simplyprintandshowthispaperPDDcardtoyourpharmacist,whowillinputyourinformationandsubmityourclaimelectronically.
ToprintyourpersonalizedPDDcard:> SelectPrint drug cardunder“Takemeto:”(on
therightsideofthescreen).
> SelectPrintonthebluemenubar.
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Secure messagesWheneveryouaretoobusytocallus,oryouhaveaconfidentialquestion,youcansendSunLifeasecuremessage:
Tosendusasecuremessage:
> SelectSecure messagesatthetopofthemenu.
> Anewbrowserwindowwillopen.
> SelectCreate new message.
> Selectacategoryforyourquestionfromthedrop-downmenu.
> Selectthesecure messagelink.
> TypeyourquestionintotheYour messagebox.
> Ifyouwouldlikeanemailnotificationwhenwehaverespondedtoyou,selectYes(anemailaddresswillberequired).
> SelectSendtosendusthemessagesecurely.
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Off-formulary drug coverage (for levels 4 & 5 only)ForthoseenrolledinPrescriptionDrugslevels4and5only,theoff-formularydrugscoverageexpandsthenumberofdrugsthatqualifyforreimbutsementundertheFlexBenefitsprogramtoincludedrugsnotcoveredonFormularyB.AseparatePDDcodeisprovidedforOff-formularyprescriptiondrugs(Policy150090).Ifyouhavethiscoverage,someofyourplandetailswillappeardifferentlythandescribedearlierintheguide.
Onyourhomepage,youwillalsoseealinktotheoff-formularydrugplan.Clicktoviewmoredetailsaboutthisdrugplancoverage,toprintadrugcardwiththe150090contractnumberortosubmitoff-formularyclaims.
Printing your off-formulary drug cardYouroff-formularydrugcoveragehasadifferentcontractnumberthanyourusualdrugcoverage.Toprintadrugcardwiththisdifferentcontractnumber,makesureyou’veclickedintothe“off-formularydrugplan”sectionofthewebsitefirst(seeabove),thenfollowtheusualstepstoprintacard:
> SelectPrintdrugcardunder“Takemeto:”(ontherightsideofthescreen)
> SelectPrintonthebluemenubar
Yourdrugcardforcontract25364shouldbesetupasthefirstpayorforyourdrugs.Theoff-formularydrugcardforcontract150090shouldbesetupasthesecondpayorforyourdrugs.IfyourspousealsohasabenefitplanthatincludesaPay-DirectDrugcard,yourpharmacistcansendclaimselectronicallytoallplansatthesametime–tomaketheinitialclaimthroughyourtwoplansandthenclaimtheunpaidbalancefromyourspouse’splan.Thisiscalledcoordinationofbenefits.Ifyouandyourspousebothhavedependentcoverage,youshouldsubmitclaimsfordependentchildrentotheplan/plansoftheparentwhosebirthdayfallsfirstinthecalendaryear.
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Wellness centreLookingforreliablehealthandmedicalinformation?OurWellnesscentreprovidesanswersforyourhealthconcernsandquestions.
Checkoutthesevaluablefeatures:
Wellness assessmentCompletethisshort,privatequestionnairetoevaluateyourhealthandlifestylehabitsandidentifypossibleareasofrisk.Alongwithawellnessscore,you’llreceivepersonalizedtipsthatcanbeusedtodevelopyourownhealthimprovementprogram.
Personal health recordCreateaprivate,onlinerecordofyourhealthinformation,bystoringdetailsofyourmedicalconditions,allergies,pasttestsandprocedures,immunizations,etc.,inonelocationyoucanaccessatanytime.AllyourpersonalinformationiskeptaccordingtoCanadiandataprivacylaws.Youcancreatepersonalhealthrecordsforyourfamilymemberstoo.
Health libraryLookupinformationonanyhealthtopicsandmedicalconditions,includingcauses,symptoms,diagnoses,treatmentsandprevention.
Medication librarySearchinformationonmorethan10,000drugsandtheirproperuse,interactions,sideeffects,dosagesandwhentheyshouldnotbeused.
Canadian HealthCARE GuideNeedhelpnavigatingtheCanadianhealth-caresystem?Finddoctors,clinicsorcommunitysupportgroupsinyourarea,understandwaittimes-andmore.
Toaccessthesefeatures:> SelectWellness centreonthebluemenubar.
> Selectthefeatureyouwouldliketouse.
> AnewwindowwillopenshowingtheHealth&WellnessCompanionandCanadianHealthCARENavigationwebsite.
Note:Don’tforgettoreturntomysunlife.caandsignout.
Questions?Forquestionsaboutanyofthefeaturesdescribedinthisguideorhowtoaccesswww.mysunlife.ca,justcallSunLifeFinancial’sCustomerCareCentreat1-800-305-5905,from8a.m.to8p.m.ET,MondaytoFriday.