Extended Health and Dental Benefits

Your Extended Health and Dental Plan will reimburse you for a portion or all (depending on the service and amount) of the healthcare costs for you and your eligible dependents that are not covered by the Ontario Health Insurance Program (OHIP).   

The University has an agreement with GreenShield whereby the University has full liability for healthcare (apart from GreenShield Travel Assistance) and dental care benefits, and GreenShield administers the plan and processes all claims. GreenShield also offered specialty programs and services.

The GreenShield benefit booklets contain more information relating to your extended health benefit coverage based on your employee position type.

Eligible paramedical and drug expenses are shared 80% by the plan and 20% out-of-pocket by the employee.  Once the out-of-pocket maximum is researched, the plan pays 100% of eligible expenses, subject to benefit maximums, and reasonable and customary limits.

The out-of-pocket maximum for 2024 is $143 single coverage and $288 family coverage. This represents 20% of a total of $715 in expenses for single coverage and $1,440 in expenses for family coverage.

Note: It is highly advisable to get predeterminations for significant extended health or dental expenses to be aware of the costs you may incur.

To be eligible for the extended health benefit, employees and any qualifying dependents must be covered under the applicable provincial health care plan, OR be enrolled in the University Health Insurance Plans (UHIP), which provides provincial healthcare replacement coverage. To ensure your coverage is kept up-to-date, remember to update any changes in your Workday account.

If you, or a dependent, are covered by more than one plan, you will need to coordinate your benefits.

Most expenses, including prescription drugs and dental fees, are billed directly. Other expenses you pay can be submitted to GreenShield Canada for reimbursement through submitting a claim.