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George Brown学院的“补充医保计划”
[ 编辑:admin | 时间:2014-09-27 09:16:24 | 浏览:1020次 | 来源:isbbs | 作者:加拿大小蝌蚪 ]

Post-Secondary Student Extended Health and Dental Plan FAQs

1.     How can I use the insurance?

Extended Health and dental is covered through GREENSHIELD CANADA. Most services providers for the services offered under this insurance offer direct billing. This means that you are able to show your card to the office providing the service and they can then bill the insurance company directly so you would only pay the difference.

This card, if you are receiving it for the first time, will only be available 8 weeks after classes start. Prior to this, the student must pay their bill and retain their receipts until the card is issued. Then can then claim those receipts and start the direct billing process.

After the 8 weeks wait, the card will be available wither at the student association offices or it is downloadable at http://www.greenshield.ca/sites/student/en/what-you-need/Pages/my-id-card.aspx .

For health care providers who do not have direct billing set up with the insurance companies, you must pay for the services upfront and manually submit a claim directly to Green Shield to get reimbursed.

For health care providers that provide direct billing, please visit www.greenshield.ca/studentcentre.

2.     What is the drug coverage?

The total amount of drug coverage that can be received is $5,000 per academic year.

Please note: co-pay means the amount that the student will pay

Contraceptives
Your Co-pay:10% per prescription or refill, plus any drug dispensing fee in excess of $5.00

Hormones and substitutes for transgendered
Your Co-pay:10% per prescription or refill, plus any drug dispensing fee in excess of $5.00

All Other Prescription Drugs
Your Co-pay:20% per prescription or refill plus any drug dispensing fee charge in excess of $5.00

For more details, please check the benefits booklet which is available at http://www.greenshield.ca/sites/student/en/Pages/default.aspx

3.     What is the dental coverage?

The total amount of dental coverage that can be received is $750 per academic year.

  • Basic Services, such as Diagnostic, preventive and periodontal scaling: Your Co-pay is 20%

  • Minor restorative and oral surgery: Your Co-pay is 25%

  • Comprehensive Services, such as Endodontics and Periodontics (other than periodontal scaling): Your Co-pay is 50%

  • Major Services, such asmajor restorative, dentures, and bridgework: Your Co-pay is 85%

For the whole health benefits document, please visit the following website: http://www.greenshield.ca/sites/student/en/Pages/default.aspx

4.     What is the vision coverage?

All students who are enrolled in the plan can receive eye exams and prescription eyeglasses.
$65 for eye exams every 24 months. $100 for prescription eye glasses every 24 months.

5.     Is massage therapy covered under the insurance plan?

Yes, massage therapy is covered under the plan. Please note that you must obtain a referral note from your family doctor stating that you requires massage therapy otherwise it will not be covered under the plan.

6.     Is Acupuncture covered under the plan?

No, acupuncture is not covered under the plan.

7.     Are Braces covered under the plan?

No, braces are not covered under the plan.

8.     Are contraceptives “Birth Control” covered under the plan?

Yes. Your Co-pay is10% per prescription or refill, plus any drug dispensing fee in excess of $5.00

9.     Is Hospital Accommodation covered under plan for domestic students?

No, hospital accommodation is not covered under the plan.

10.  Are naturopaths covered under the plan?

Yes, naturopaths are covered under the plan.

11.  What to do when making a claim from Green Shield for prescription drugs?

Your benefits are activated about eight (8) weeks after the start of classes. After the benefits are activated, you will be able to use the Green Shield identification number at your local pharmacy in Ontario for direct billing. Once you give the pharmacy your identification number, you will only have to pay the portion that is not covered and you will not have to mail in any receipts.

12.  How do I find out if a particular medication is covered?

Please call Green Shield at 1-888-711-1119 with the medication DIN# (your doctor or pharmacist can provide you with this number).

13.  For other services, how do I submit a claim to Green Shield?

Although Green Shield provides direct billing for certain services, other services require manual claims. For these services, you must mail out your original receipt (which are eligible for reimbursement) and a claim form to Green Shield Canada. The addresses are written right on the claim forms itself.

You can find the benefits booklet and the claim forms at http://greenshield.ca/studentcentre.

14.  When submitting a claim form to Green Shield, make sure your:

  • Claim form is completed, signed and dated properly.

  • Original receipts are attached.

  • Important: You need to keep a copy of the receipts as you will submit the originals to Green Shield.

  • Submit or mail the above to the appropriate department.

  • For service providers that offer direct billing, you can give them the following information to submit your claim electronically:

    • Policy #:27983.

    • Green Shield ID:  GBC + your student # -00

      • For example if your GBC student number is 100123456, your Green Shield ID would be GBC100123456–00.



  • Important: you must review you Green Shield benefits booklet before using your Green Shield card. You may also call Green Shield directly at 1-888-711-1119.

  • Date of birth.

15.  Can I cancel my insurance as I don’t want it?

Yes, but only if you have an alternative insurance. The Health and Dental Plan is mandatory and you cannot cancel it without having an equivalent level of extended health and dental insurance elsewhere. Please note, any opt-out applications won’t be accepted after the deadline date and students are only eligible to opt-out in the initial semester of your school year.

For example, if you start in September and you miss the opt out deadline date, you can only opt out the next September. However, if you start your program in January, because the insurance year end date is August 31 and you are to renew your insurance again in September, you may opt out the following September.

16.   I applied to opt-out of the plan but I have not received my refund yet?

If you paid your tuition fees in full at the start of the school year and have opted-out, you may receive a refund cheque issued by George Brown College to your mailing address. However, if you have only paid a portion of your tuition fees and have successfully opted-out, the refund will be deducted from the portion of your unpaid tuition fees. For more information, please visit our Student Association offices.

17.  Am I covered if I’m traveling outside Canada?

Yes. Out of Province/Canada Travel Medical Emergency Insurance is available under RSA Insurance Services Inc.

You can call Travel Medical Emergency Insurance prior to travel at 1-866-870-1898 to obtain coverage.

18.  When does my coverage end?

Regardless of September or January start students, your coverage ends on August 31.


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