Prorated: Benefit coverage that is prorated refers to a maximum being divided proportionally.

Example 1: 

Psychology sessions are covered up to $180 per hour (for the first hour) and are prorated for sessions under one hour. Examples of shorter sessions are included below:

  • A 30-minute session will be paid out at a total of $50.
  • A 45-minute session will be paid out at a total of $75.

Example 2: 

Group/family counselling is prorated based on both the length of the session and the number of patients attending. Please note that covered members and their dependants are not charged for other individuals in attendance. Examples of prorated group sessions are included below:

  • One person with ASEBP MyRetiree Plan benefits attends a one-hour session with someone without ASEBP benefits. The person with ASEBP benefits will be subject to a maximum coverage of $50 (i.e. 50 per cent of $100) for this one-hour session.
  • Two people with ASEBP MyRetiree Plan benefits attend a one-hour session. Both people will be subject to a maximum coverage of $50 each (i.e. 50 per cent of $180) for this one-hour session.
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