Toronto Metropolitan Association of Part-time Students (TMAPS)
My Plan Details
Here’s what you need to know about your GSC student health and dental plan…
Opt-Out Info
Have alternate equivalent coverage and want to opt-out of your student health and dental plan? Requests can be made for a limited time only. Certain restrictions may apply. Click the link below for more information.
Opt-In Info
Want to add a spouse or dependent child(ren) to your student health and dental plan? Contact your student association or click the link below.
In-Active Period
You may be in an in-active period each year while GSC collects and updates your enrolment information. Don’t worry. You can still submit paper claims for health or dental services. We will process your claims on file once your information is updated.
Once the enrolment is complete and the in-active period ends, you can sign up for GSC everywhere. Through GSC everywhere, you can:
- Submit claims electronically
- Sign up for direct deposit (to get paid faster!)
- Read your full benefits booklet
- Search for a provider near you
- Connect to the Change4Life® health portal
- Search drugs by DIN to see if coverage eligibility
- And much more!
You can even submit claims right from your mobile device. Just download the GSC everywhere app. Could it get any easier?
You’ll need your GSC ID number to sign up for GSC everywhere online and in the app after the in-active period. Remember, your GSC ID number is your three-letter code school code, your student number and “-00” (example: CSR111222333-00).
Here's a Look at Some of What Your Plan Covers
Your student health and dental plan ensures you can take care of your health and wellbeing during your post-secondary studies by offering a wide range of benefits. Take a look the Schedule of Benefits for the details.
Schedule of Benefits – effective September 1, 2023
HEALTH BENEFIT PLAN
Your Co-pay
- Prescription drugs that are eligible for purchase through PocketPills (eg. Vaccines are not available for purchase through PocketPills): 10%
- Prescription drugs purchased at any other pharmacy: 20%
- All Other Health Benefits: 0%
Prescription Drugs
- $1,000 per person per benefit year including HPV vaccines.
All Other Health Benefits
- $10,000 per covered person per benefit year.
Medical Items and Services
- Gender affirmation (diagnosis of gender dysphoria from a physician (M.D.) or nurse practitioner is required): Reasonable and customary charges, limited to $10,000 lifetime
- Footwear:
- Custom made boots or shoes: Reasonable and customary charges.
- Custom made foot orthotics: $300 per benefit year.
- Diabetic equipment (needles/syringes, testing agents, blood glucose monitors, lancets, auto injector and insulin pen injector): $200 per benefit year combined.
- Braces, casts and crutches: $500 per benefit year for all services combined.
- Optometric eye exams: $65 for one eye exam every 2 years based on date of first paid claim.
- Bra (mastectomy): Reasonable and customary charges.
- Compression Stockings: Reasonable and customary charges.
- Emergency Transportation: Reasonable and customary charges.
- Private Duty Nursing in the Home: Reasonable and customary charges.
Professional Services
- Acupuncturist, Chiropractor, Podiatrist, Registered Massage Therapist (Rx required), Naturopath, Homeopath, Physiotherapist, Speech Therapist: $25 per visit up to 20 visits per benefit year for all practitioners combined.
- Psychologist or Social Worker/Counsellor or Master of Social Work or Psychotherapist: $75 per visit up to $500 per benefit year combined for all services.
- Holistic Nutritional Consultant: included in the overall combined maximum of $500 per benefit year for Psychologist, Social Worker/Counsellor, Master of Social Work or Psychotherapist
Accidental Dental
- Reasonable and customary charges.
TRAVEL BENEFIT PLAN
Trip Duration
- 60 days per trip.
Maximum
- $5,000,000 per covered person per benefit year.
DENTAL BENEFIT PLAN
Fee Guide
- The current Provincial Dental Association Fee Guide for General Practitioners in the province where services are rendered.
Dental Maximum
- $500 per benefit year.
Basic Services and Comprehensive Basic Services
- 35% co-pay.
ACCIDENTAL DEATH AND DISMEMBERMENT
- $10,000.
ADDITIONAL PROGRAMS/SERVICES
As a GSC plan member you have access to these programs/services.
Student Assistance Program
- Your Student Assistance Program (SAP) through Inkblot Technologies provides you with immediate and confidential help for any work, health or life concern. Your SAP coverage provides you and your eligible dependents with up to 5 hours of individual counselling and up to 5 hours of couples counselling. You also have access to advisory services including legal, financial, career, health and life transitions.
Inkblot Technologies provides an easy online intake and digital user experience by using their proprietary matching technology to ensure you find the right counsellor based on your clinical needs. To ensure the fit is just right, your first 15 minutes of counselling do not apply to your 5 covered hours. Visit https://inkblottherapy.com/nshn to get started.
PocketPills
- You and your eligible dependents have access to PocketPills – Canada’s leading digital pharmacy. With PocketPills as your pharmacy, you will enjoy free delivery of your pre-sorted prescription medications and vitamins. Easy-to-open PocketPacks help you remember to take the right medication at the right time. PocketPacks are convenient to bring with you wherever you go. Refer to the Summary of Benefits in your Benefit Plan Booklet for information about any co-pays, deductibles, and maximums that may apply to this program.
For details and to register visit, https://app.pocketpills.com/gsc
For a full description of all products and services, please log in to GSC everywhere for a copy of your booklet.
