Dental benefits will be eligible if they are necessary for the prevention of dental disease or treatment of dental disease or injury and reimbursement will be limited to the amount stated in the Provincial Dental Association Fee Guide.

Coverage is divided into four categories: 

  1. Basic services*. 
  2. Comprehensive basic services 
  3. Major services*; and 
  4. Orthodontic services*. 

*Please refer to the Annual Benefit Maximum for more details or the GreenShield benefit booklet, which can be found through your GSC everywhere account.  

Alternate Benefit Clause  

This benefit plan will reimburse the amount shown in the Fee Guide for the least expensive service or supply where two or more professionally accepted courses of treatment are a benefit under the plan. The covered person can choose to have a more expensive treatment performed; however, reimbursement will be limited to the cost of the least expensive alternative. 

Predetermination of Coverage

In the event that you expect any significant extended health or dental expenses, it is advisable to submit a cost estimate/predetermination to GreenShield to confirm how much you can expect to be reimbursed.

To determine if a specific medication/treatment will be covered by our plan we advise you to contact GreenShielddirectly at 1-888-711-1119 or you can submit a request online to check your coverage.

How to check if you are eligible for an item/service can be found below.

You can first watch the GreenShield YouTube video

Once you registered and logged into your GSC Everywhere member site, select the button “check your coverage” (bottom left screen).

predetermination website example

Once selected, you’ll be brought to the following window and all you need to do is now provide information that is required to see if you are eligible for a service.

Please note that you have the opportunity at this point to watch a video on how to submit a claim.

predetermination website example

If you require any assistance during this process, please reach out to GreenShield directly at 1-888-711-1119.