Medical (Green Shield)
THE COMPANY OFFERS TWO CHOICES FOR SUPPLEMENTAL COVERAGE UNDER THE MEDICAL PLAN.
BASIC – provided at no cost to you.
ENHANCED – employee contributions are required
COVERAGE
Drug
Medical
PROFESSIONAL SERVICES
Physiotherapist, Chiropractor, Osteopath, Naturopath, Podiatrist, Chiropodist, Registered Massage Therapist (medical referral required), Speech Therapist or Psychologist, up to a maximum per practitioner of:
• $400 per calendar year for Basic Plan.
• $750 per calendar year for Enhanced Plan.
VISION
Your Vision Benefit carries a maximum as follows:
• Prescription eye glasses and/or contact lenses or laser eye surgery, or medically necessary contact lenses
• $250 every 24 months (every 12 months for covered persons 17 years of age and under) for Basic Plan, and
• $325 every 24 months (every 12 months for covered persons 17 years of age and under) for Enhanced Plan.
• Visual training: $200 lifetime maximum provided they are dispensed by an Optometrist, an Optician or an Ophthalmologist.
AUDIO
Reimbursement will be made for standard hearing aids, repairs or replacement parts up to a maximum of:
• $500 every 3 years for Basic Plan.
• $600 every 3 years for Enhanced Plan.
Batteries are not eligible.
2024 RATES
ADDITIONAL HIGHLIGHTS (BASIC & ENHANCED)
EYE EXAMINATIONS
Eye examinations performed by a registered, licensed Optometrist or
Physician are limited to one exam every 12 months for covered persons
17 years of age and under and every 24 months for covered persons 18
years of age and older up to a maximum of $70 (available only where eye
examinations are not covered by the provincial health insurance plan).
EMERGENCY TRANSPORTATION
Ambulance transportation, for land or air ambulance to the nearest
hospital equipped to provide the required treatment.
MEDICAL ITEMS
Prosthetic Appliances and Durable Medical Equipment as well as
replacements, repairs, fittings and adjustments of such devices. Contact
the Customer Service Centre to verify eligibility of a particular benefit.
PRIVATE DUTY NURSING IN THE HOME
Private duty nursing benefits carry a maximum of $25,000 per calendar
year for the services of a Registered Nurse (R.N.) or Registered Practical
Nurse (R.P.N.)/Licensed Practical Nurse (L.P.N.) in the home on a full or
part shift basis.
TRAVEL
• Travel benefits are eligible for the first 30 days per trip.
• Your maximum is $1,000,000 per covered person per calendar year
for Emergency Services; and $50,000 per calendar year for Referral
Services.
• Hospital and medical services are eligible only if your provincial health
insurance plan provides payment toward the cost of incurred services.
• Deductible and co-payments do not apply to Travel.
LIMITS:
• Fertility drugs, $10,000 per lifetime.
• Smoking cessation program, one course of treatment in any 12 month period.
• Nicotine replacement products (patches, gum, lozenges, inhalers), $300 per lifetime.
• Vaccines, $1,000 per calendar year.
• Quebec residents only: Legislation states that GSC is obligated to follow RAMQ reimbursement guidelines for all residents of Quebec. For those 65 years of age and under, GSC is primary payer.