<h2>My Plan Details</h2>
Here&rsquo;s what you need to know about your GSC student health and dental plan&hellip;

<h2>Opt-Out Info</h2>
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.
<a href="https://onlineservices.greenshield.ca/StudentOptOut/Home.aspx?cl=78611&amp;edu=1000" target="_blank" rel="noopener">Click here to opt-out.</a>&nbsp;

<h2>Opt-In Info</h2>
Want to add a spouse or dependent child(ren) to your student health and dental plan? Contact your student union or click the link below.
<a href="https://utmsu.ca/" target="_blank" rel="noopener">Click here for opt-in info.</a>

<h2>In-Active Period</h2>
You may be in a in-active period each year while GSC collects and updates your enrolment information. Don&rsquo;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 <a href="~/online-services">GSC everywhere</a>. Through GSC everywhere, you can:
<ul>
<li>Submit claims electronically</li>
<li>Sign up for direct deposit (to get paid faster!)</li>
<li>Read your full benefits booklet</li>
<li>Search for a provider near you</li>
<li>Connect to the Change4Life&reg; health portal</li>
<li>Search drugs by DIN to see if coverage eligibility</li>
<li>And much more!</li>
</ul>
You can even submit claims right from your mobile device. Just download the <a href="~/mobile-app">GSC everywhere app</a>. Could it get any easier?
You&rsquo;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 &ldquo;-00&rdquo; (example: UTM111222333-00).

<h2>Here&rsquo;s a Look at Some of What Your Plan Covers</h2>
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.

<h2>Schedule of Benefits &ndash; effective September 1, 2023</h2>
HEALTH BENEFIT PLAN
Prescription Drugs
<ul>
<li>Prescription drugs eligible for purchase through PocketPills Pharmacy (eg. Vaccines are not available for purchase through PocketPills): 0% co-pay.</li>
<li>Prescription drugs purchased at any other pharmacy: 10% co-pay (does not apply to Vaccines).</li>
<li>$5,000 per benefit year.</li>
</ul>
HPV Vaccines
<ul>
<li>$200 per benefit year (included in the Prescription Drugs Maximum).</li>
</ul>
Oral Contraceptives and Contraceptive Devices
<ul>
<li>$250 per benefit year.</li>
</ul>
Diabetic Testing Agents
<ul>
<li>$1,000 per benefit year (included in the Prescription Drugs Maximum).</li>
</ul>
Hospital
<ul>
<li>Public general hospital, semi-private room: Reasonable &amp; customary charges.</li>
<li>Public alternate level care hospital, semi-private room: $3 per day up to 120 days per calendar year.</li>
</ul>
Hearing Care
<ul>
<li>$500 every 5 years based on date of first paid claim.</li>
</ul>
Medical Items and Services
<ul>
<li>Gender affirmation (diagnosis of gender dysphoria from a physician (M.D.) or nurse practitioner is required): &nbsp;Reasonable and customary charges, limited to $10,000 lifetime.</li>
<li>Footwear (custom made boots or shoes or custom made foot orthotics): $350 every 3 benefit years for all footwear services combined.</li>
<li>Blood Glucose Meter and supplies: $700 per lifetime.</li>
<li>Bra (mastectomy): Reasonable and customary charges.</li>
<li>Compression Stockings: 2 per benefit year.</li>
<li>Stump socks: 5 per benefit year.</li>
<li>Wigs: $300 per benefit year.</li>
</ul>
Emergency Transportation
<ul>
<li>Reasonable and customary charges.</li>
</ul>
Professional Services
<ul>
<li>Chiropractor, Physiotherapist, Speech Therapist, Chiropodist or Podiatrist: $30 per visit up to 20 visits per practitioner per benefit year.</li>
<li>Acupuncturist or Registered Massage Therapist (Rx required): $30 per visit up to 20 visits per benefit year for all services combined.</li>
<li>Naturopath or Homeopath: $30 per visit up to 20 visits per benefit year for all services combined.</li>
<li>Psychologist or Counsellor/Social Worker or Master of Social Work or Psychotherapist: $125 per visit up to 20 visits per benefit year for all services combined (excluding MindBeacon).</li>
<li>MindBeacon Therapist Guided Program: $300 per benefit year.</li>
<li>Holistic Nutritional Consultant: &nbsp;$125 per visit up to 25 visits per benefit year combined with Psychologist, Counsellor/Social Worker, Master of Social Work and Psychotherapist.</li>
</ul>
Accidental Dental
<ul>
<li>Reasonable and customary charges.</li>
</ul>
Vision
<ul>
<li>Prescription eye glasses or contact lenses: $150 every 24 consecutive months.</li>
<li>Optometric eye exams: Once every 2 years based on date of first paid claim (included in the $150 vision maximum). </li>
</ul>
TRAVEL BENEFIT PLAN
Maximum Number of Days per Trip
<ul>
<li>120 days.</li>
</ul>
Maximum
<ul>
<li>$5,000,000 per covered person per benefit year. </li>
</ul>
DENTAL BENEFIT PLAN
Fee Guide
<ul>
<li>The current Provincial Dental Association Fee Guide for General Practitioners in the province where services are rendered.</li>
</ul>
Maximum
<ul>
<li>$800 per covered person per benefit year.</li>
</ul>
Basic Diagnostic and Preventative Services and Periodontal
<ul>
<li>30% co-pay.</li>
</ul>
Basic Restorative Services, Anesthesia, Comprehensive Basic Services and Endodontic Service
<ul>
<li>40% co-pay.</li>
</ul>
Basic Oral Surgery
<ul>
<li>20% co-pay. </li>
</ul>
ACCIDENTAL DEATH AND DISMEMBERMENT
<ul>
<li>$7,500.</li>
</ul>
ADDITIONAL PROGRAMS/SERVICES As a GSC plan member you have access to these programs/services.
Student Assistance Program
<ul>
<li>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.&nbsp; Visit <a href="https://inkblottherapy.com/nshn">https://inkblottherapy.com/nshn</a> to get started.</li>
</ul>
The MindBeacon Therapist Guided Program&trade;
<ul>
<li>As a GSC plan member, you have access to guided digital therapy through MindBeacon.&nbsp; Offered to you and your dependents (age 16 and over), at no out-of-pocket cost to you, the MindBeacon Therapist Guided Program is an effective, easy-to-access way to receive personalized therapy guided by a mental health professional. It&rsquo;s a fully digital program, so with no face-to-face appointments to schedule and get to, your therapy happens anywhere and anytime that&rsquo;s comfortable for you. If the MindBeacon Therapist Guided Program is a good fit for you, you can access the program anytime via the web or app using your computer or mobile device.&nbsp; 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. Access the MindBeacon Therapist Guided Program at <a href="info.mindbeacon.com/ehc/gsc-pmember">info.mindbeacon.com/ehc/gsc-pmember</a></li>
</ul>
PocketPills
<ul>
<li>You and your eligible dependents have access to PocketPills &ndash; Canada&rsquo;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, <a href="https://app.pocketpills.com/gsc">https://app.pocketpills.com/gsc</a></li>
</ul>
Tranquility by Inkblot
<ul>
<li>Tranquility by Inkblot is a digital platform that uses internet-based Cognitive Behavioural Therapy (iCBT) to help plan members and their eligible dependents (age 15+) with mild to moderate anxiety and/or depression take control of their mental health. It includes interactive learning modules, tools, and optional coaching to help develop positive coping strategies and reduce life-disrupting symptoms. The program is an effective and easy-to-use anxiety and depression management tool, available to GSC plan members and their eligible dependents (age 15+) at a discounted rate and can be accessed on most phones, tablets, and computers.&nbsp; Access Tranquility by Inkblot at <a href="www.tranquility.app/gsc">www.tranquility.app/gsc</a>. Choose from a self-guided program ($75 plus applicable taxes) or a coach-assisted program ($325 plus applicable taxes)*. The programs are reimbursed subject to existing limitations (co-pays, deductibles, and/or maximums) found in the mental health Paramedical Practitioners section of the Summary of Benefits in your Benefit Plan Booklet.</li>
</ul>
*Tranquility by Inkblot is currently available for GSC plan members residing in Canada.

For a full description of all products and services, please log in to <a href="https://onlineservices.greenshield.ca/planmember/AccessMgmt/Public/SignOn.aspx">GSC everywhere</a> for a copy of your booklet.

University of Toronto Mississauga Campus Students’ Union

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We are offering one year of free access to Tranquility Online's iCBT program through our Room For Her initiative to anyone who identifies as a woman, is 18 years or older, and resides in Canada.&nbsp;
Internet-based cognitive behavioural therapy (iCBT) is a digital therapy program that helps you get the help you need from the comfort of your own home. Through insight and practice, iCBT teaches life-long skills that help you develop healthier behaviours to better manage your mental well-being.&nbsp;

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Contact our Customer Service Centre (Mon to Fri 8:30 am - 8:30 pm ET) at 1.888.711.1119 or email&nbsp;<a href="mailto:customer.service@greenshield.ca" target="_blank" rel="noopener">customer.service@greenshield.ca</a>.

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