Important

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As of May 1, 2026, CanAssistance manages the assistance coordination and claims when you visit a physician or hospital. GreenShield continues to administer health, drug and vision benefits.

Who to Contact

To ensure your claim is processed correctly, please note the following responsibilities:

CanAssistance

• Physician visit, hospital, diagnostic testing
• Travel claims
• Assistance locating a hospital, physician or clinic
• Available 24/7 at 1‑833‑488‑0277

GreenShield‍

• Extended Health Care, Drug, and Vision claims
• Telemedicine services via GreenShield+
• Available from 8:30am to 8:30pm(ET) at 1-888-525-7587
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Summary Of Coverage‍

Here is a summary table of the care covered and to whom claims must be submitted (GreenShield or CanAssistance).

In case of a health issue, please follow these steps:

1. Access GreenShield Telemedicine services on GreenShield+.
2. If you require assistance locating a physician, clinic or CLSC contact CanAssistance at 1-833-488-0277 (available 24/7)

If your symptoms are severe, seek immediatetreatment at the nearest hospital emergency room. If you need to go to theemergency room:

1. Call CanAssistance at 1-833-488-0277 for assistance.
2. At the time of your visit, be sure to present your GreenShield insurance card.
3. Complete all documents requested by the hospital

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How to Submit a Claim

• Physician/Hospital/Diagnostic Testing and Travel claims
  
  • Submit through CanAssistance‍
• Health, Drug and Vision claims
  
  • Submit through GreenShield+

Benefits Summary for physician, hospital and diagnostic testing

Calendar Year Deductible: No Deductible
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Overall Health Maximum: $750,000 per lifetime for all benefits combined including Travel
Benefits
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The following services are subject to the plan limitations and maximums indicated in your
booklet:

• Physician's services in the home, the physician's office, the hospital or institution
• One annual health examination
• Services of specialists certified by the Royal College of Physicians and Surgeons of Canada
• Diagnosis and treatment of illness and injury
• Treatment of fractures and dislocations
• Surgery
• Administration of anesthetics
• X-rays for diagnostic and treatment purposes
• Obstetrical care, including prenatal and postnatal care
• Outpatient psychiatric care up to $5,000 per benefit year
• Use of home renal dialysis to a maximum of $10,000 per lifetime and of home hyperalimentation equipment, supplies and medications where available in a hospital and prescribed by a staff physician of that hospital
• HIV Treatment to a maximum of $10, 000 per lifetime
• Pre-existing medical conditions to a maximum of $20,000 per lifetime

Hospital – Inpatient Basis (Services included in the ward rate)

• The usual and customary charges: standard ward accommodation and meals (room and board) - (up to 3 times the resident rate)
• Private or semi-private accommodation when necessary and certified in writing by the attending physician limited to 60 days per hospitalization for non-mental health reasons and 40 days per episode for mental health reasons
• Necessary nursing services, when provided by the hospital
• Laboratory and diagnostic X-rays procedures
• Drugs prescribed by a physician (except when the hospital visit is solely for the administration of drugs)
• Use of operating and delivery rooms, anesthetic and surgical supplies
• Use of respiratory equipment
• Use of radiotherapy facilities
• Services rendered by any person paid by the hospital
• Occupational therapy, speech therapy and physiotherapy in approved Canadian hospitals when prescribed by a physician as a medically necessary course of treatment

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To submit a claim, visit: https://canassistance.com/greenshield.ca
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Your GreenShield Insurance Health Benefits Plan Summary
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Prescription Drugs

• Co-pay: $5 plus 10% of remaining allowed cost, per prescription or refill
• Mandatory Generic limited to a 30-day supply
• Maximum: $15,000 per benefit year (Subject to the overall maximum)

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Emergency Transportation, Private Duty Nursing in the home, Accidental Dental and
Travel: No Co-pay‍

All Other Health Benefits: 20% co-pay

Private Duty Nursing

• $200 per day up to 60 days per illness or injury per benefit year
• $200 per day up to 30 days per illness or injury per benefit year for in home
  convalescent care
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Paramedical Practitioners

• Chiropractor, Chiropodist/Podiatrist, Osteopath, Physiotherapist, Psychologist, Acupuncturist, Dietitian, Occupational Therapist
• $500 every benefit year per type of practitioner up to $1,000 for all practitioners combined
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Eye Examination: Once per benefit year
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Travel:

• 120 days per trip for training purposes (except in the U.S.)
• 14 days per trip for any other purpose (including the U.S.)

For a complete description of your protection, consult your brochure on GreenShield+.
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Coverage through Cigna Global Individual for Dependents‍

Cigna Global Health Options provides an avenue to create a health plan tailored to dependents. The primary policy holder must be 18 years of age.

The brochure that follows highlights this benefit and provides useful information as to how this plan works.

If you are interested in this coverage: Click here to learn more (This will download a
PDF booklet).

Or visit Cigna Global