Your coverage
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).
Contacting GreenShield:
Phone (Mon to Fri, 8:30 a.m. - 8:30 p.m. ET):
- 1-888-525-7587, select "Option 1", or
- 1-888-711-1119
Online:
- Customer.service@greenshield.ca
- GreenShield contact form.
- GreenShield Support Centre: an online hub with answers to commonly asked questions
GreenShield inquiry support:
Experiencing problems with a benefit claim? The following steps of the GreenShield Inquiry Support Model can help to resolve the problem.
Your Plan Provider:
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.
GSC everywhere
Plan members can use GSC everywhere app that lets you access your benefits plan information, easily check your benefits coverage anytime, and submit a claim from your computer, mobile device, or tablet.
Your benefits ID card is also available on the app.
Out-of-Pocket Maximum
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.
Eligibility and eligible dependents
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.
Coordination of benefits
If you, or a dependent, are covered by more than one plan, you will need to coordinate your benefits.
Submitting a claim
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.
Self-service support:
You make changes in your Workday account that affect your plan, including updating your personal information, changing or adding dependents, and more. The following supporting guides may help you (WatIAM required).
Proof of benefits letter
GreenShield can provide a dated proof of benefits coverage letters for an employee, including a list of all of their dependents. Available though contacting GreenShield.
Be sure to include your name, ID number, e-mail address, and mailing address (if selecting mail delivery).