do more, see more … online at my sun life - rbc · do more, see more … online at my sun life...

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www.mysunlife.ca Do more, see more … online at my Sun Life One access ID — totally connected > Access to your drug/medical/dental benefits or pension account with just one access ID. > Use your email address as your access ID to make signing in easier. Secure messages Too busy to call Sun Life with your questions? Send us a secure message. Drug formulary View details about your prescription drug plan formulary. Coverage > Get details of your drug, medical and dental coverage. > Look up drug information. Claims > Submit a dental, paramedical, vision care, coordination of benefits or health spending account claim. > Print personalized claim forms. > View a claim statement. > View claims history. Wellness centre > Complete your wellness assessment. > Create and store your personal health record. > Visit the health and medical libraries to search for information. > Get help with navigating the Canadian health-care system. Pay-Direct Drug (PDD) card Print your personalized PPD card for contract number 25364. See page 9 for details on how to print your off-formulary drug card for contract number 150090. Provincial coverage Find out more about your provincial health plan. A > C > B > A > A > B > C > D > E > B > C > D > 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. E > 1 A > B > C >

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Page 1: Do more, see more … online at my Sun Life - RBC · Do more, see more … online at my Sun Life One access ID — totally connected > Access to your drug/medical/dental benefits

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.

A>C> B>A>

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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.

E>

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A> B> C>

Page 2: Do more, see more … online at my Sun Life - RBC · Do more, see more … online at my Sun Life One access ID — totally connected > Access to your drug/medical/dental benefits

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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Page 3: Do more, see more … online at my Sun Life - RBC · Do more, see more … online at my Sun Life One access ID — totally connected > Access to your drug/medical/dental benefits

www.mysunlife.ca

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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Page 4: Do more, see more … online at my Sun Life - RBC · Do more, see more … online at my Sun Life One access ID — totally connected > Access to your drug/medical/dental benefits

www.mysunlife.ca

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.

Page 5: Do more, see more … online at my Sun Life - RBC · Do more, see more … online at my Sun Life One access ID — totally connected > Access to your drug/medical/dental benefits

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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Page 6: Do more, see more … online at my Sun Life - RBC · Do more, see more … online at my Sun Life One access ID — totally connected > Access to your drug/medical/dental benefits

www.mysunlife.ca 6

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.

Page 7: Do more, see more … online at my Sun Life - RBC · Do more, see more … online at my Sun Life One access ID — totally connected > Access to your drug/medical/dental benefits

www.mysunlife.ca 7

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.

Page 8: Do more, see more … online at my Sun Life - RBC · Do more, see more … online at my Sun Life One access ID — totally connected > Access to your drug/medical/dental benefits

www.mysunlife.ca 8

Secure messagesWheneveryouaretoobusytocallus,oryouhaveaconfidentialquestion,youcansendSunLifeasecuremessage:

Tosendusasecuremessage:

> SelectSecure messagesatthetopofthemenu.

> Anewbrowserwindowwillopen.

> SelectCreate new message.

> Selectacategoryforyourquestionfromthedrop-downmenu.

> Selectthesecure messagelink.

> TypeyourquestionintotheYour messagebox.

> Ifyouwouldlikeanemailnotificationwhenwehaverespondedtoyou,selectYes(anemailaddresswillberequired).

> SelectSendtosendusthemessagesecurely.

Page 9: Do more, see more … online at my Sun Life - RBC · Do more, see more … online at my Sun Life One access ID — totally connected > Access to your drug/medical/dental benefits

www.mysunlife.ca 9

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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Page 10: Do more, see more … online at my Sun Life - RBC · Do more, see more … online at my Sun Life One access ID — totally connected > Access to your drug/medical/dental benefits

www.mysunlife.ca

PDF5775-E(06-14)cr-rn

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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.