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LINK 1

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The essentials – prescription drugs, vision care and extended health care benefits like registered specialists and therapists as well as preferred hospital accommodation.

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A Few Details

  • Basic coverage for prescription drugs
  • For those who recently lost or will lose employee benefits within 90 days
  • Provides coverage for pre-existing conditions
  • Includes coverage for vision care, professional services, and registered therapists
  • Emergency medical travel coverage
  • No coverage for dental care
Value
Your Total Monthly Premium
Potential Benefit Value of this Plan, Per Year
Per Person
Prescription Drugs
500
Dental (first year)
0
Vision (first year)
200
Registered Specialists and Therapists
3300
Subtotal of benefits available in the first year
[$00,000]

Coverage

Expand all [+]
Prescription Drugs

Prescription Drugs

GreenShield Insurance plans offer coverage for generic prescription medications that are approved for use in Canada, have a DIN, require a prescription by law and have been prescribed by an authorized medical practitioner. Brand name prescription medications may be covered if no generic equivalent exists. Smoking cessation products and drugs for the treatment of obesity, infertility and erectile dysfunction are not covered.

Quebec residents must be covered by the RAMQ (Régie de l’assurance maladie du Québec) plan. Prescription drug claims must be submitted to RAMQ first. When RAMQ reimburses a portion of the drug cost, unpaid balances (including co-payments and deductibles) will be co‑ordinated so that you may be reimbursed up to 100% of the eligible expense incurred. If the drug is not covered by RAMQ, the standard co-pay applies.

Maximums:

‍Pays 80% up to

Year 1: $500

Year 2: $650

Year 3+: $800 per person per year

Dental

Recall Frequency

Basic Services

Basic Services

include coverage towards:

  • Preventive cleaning
  • Routine examinations, x-rays
  • Fillings and extractions
  • Flouride treatment for children

Comprehensive Basic
Services

Comprehensive basic services

Include coverage towards:

  • Endodontic treatment – root canal therapy
  • Periodontal treatment – scaling and root planing, occlusal adjustment, equilibration
  • Denture repairs, rebasing, relining

Major Services

Major Services

include coverage towards:

  • Crowns and onlays
  • Dentures
  • Bridgework

Orthodontic Services

Orthodontic Services

include coverage towards:

  • Straightening teeth and correcting the bite
Vision

Prescription Eyeglasses, ‍Contact Lenses, Laser Eye Surgery

‍

Maximum:

$150 per person every 2 years

Eye Examination

Maximum:

$50 per person every 2 years

Extended Health Coverage

Professional Services and Registered Therapists

Chiropractor, Physiotherapist, Chiropodist / Podiatrist, Dietitian, Naturopath, Osteopath

‍

Maximums:

$20 per visit

$300 per person per practitioner every year
‍

Massage Therapist, Acupuncturist

‍

Maximums:

$20 per visit

15 visits per person per practitioner, per year

‍

Speech Therapist

‍

Maximum:

$300 per person per year

Accidental Dental

Maximum:

$2,500 per person per year

Ambulance Transportation

Includes land and air

Hearing Aids

Maximum:

$300 per person every 4 years

Medical Services

Diagnostic tests and x-rays, dialysis equipment, laboratory tests

‍‍

Maximum:

$2,000 per person per year

Medical Items and Home Support Services (in-home nursing)

Extended Health Care

Medical Items include diabetic supplies (like blood glucose monitors and lancets), custom made boots or shoes, custom made foot orthotics, mobility aids (like canes, crutches, walkers, wheelchairs), prosthetics, aids for daily living (like hospital style beds, IV stands, a trapeze, a bedpan), braces, casts, catheters and ostomy supplies, compression stockings, respiratory/cardiology items like breathing and heart monitors for infants, compressors and oxygen.

Separate maximums for Medical Items and Home Support Services

‍

Maximum:

$1,500 per person per benefit category, per year

‍

CPAP, BiPAP, APAP and/or AMP machines and supplies are eligible for coverage.

Travel

Multi-Trip Emergency Medical Travel Coverage Out-of-province or Country

‍

Maximums:

10 days per trip

$5,000,000 per person per year

Optional Hospital Accommodation

This benefit is automatically included. It pays for the difference in cost between standard ward charges and semi-private and/or private accommodation in a public general hospital in your province/territory of residence.

‍

Maximums:

$200 per person per day

30 days per year

Preferred Hospital Accomodation

Maximums:

This benefit is automatically included. It pays for the difference in cost between standard ward charges and semi-private and/or private accommodation in a public general hospital in your province/territory of residence.

‍

Maximums:

$200 per person per day

30 days per year

Care

Telemedicine

GreenShield Telemedicine

4 virtual visits per family every year with a licensed general health care practitioner, available 24/7, 365 days a year

Mental Health Services

Psychologist / Psychotherapist / Registered Social Worker

‍‍

Maximum:

$600 per person per year, combined

‍

GreenShield Mental Health

4 hours of virtual counselling (2 hours for individual therapy, 2 hours for couples therapy) per person per year; additional therapy is eligible for coverage under the Psychology benefit

Pharmacy

GreenShield Pharmacy makes it easy for you to access all your pharmacy services from the comfort and privacy of home. Book a clinical consultation with our pharmacists, receive refill reminders, access to your medication information online and get free delivery of your prescription medications anywhere in Canada.

‍

* Pharmacy services in Quebec provided by Medzy | Pharmacie Sonia Boutin Inc.

Additional plan details

  • This plan is specially designed to cover pre-existing conditions you may have.
  • Multi-trip emergency medical travel coverage (up to 10 days per trip).
  • Semi-private and/or private hospital accommodation is a benefit that’s automatically included. It’s added protection against the unexpected.
  • No waiting period. Once your application is approved, your coverage will begin on the first day of the following month.
  • Get instant access to your benefits with the GreenShield pay-direct benefit card.
  • File a claim, review your coverage and locate a nearby health practitioner from anywhere, any time with GreenShield+
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LINK 4

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LINK 3

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