Plan Details
Health Questionnaire Required
Get health, vision and emergency medical travel insurance with the added advantage of prescription drug coverage. You will need to answer some health questions when you apply, but we’ll keep it as simple as possible. Really.
Coverage
Couverture
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Health Questionnaire Required
Your application will be evaluated. If you are taking prescription medication on an ongoing basis when you apply, or if you have a pre-existing medical condition, you will receive an offer for coverage that excludes the medications you’re currently taking and those approved by Health Canada to prevent or treat the medical conditions.
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Prescription Drugs
GreenShield Insurance plans offer coverage for generic prescription medications that are approved for use in Canada, have a DIN, require a prescription by law and have been prescribed by an authorized medical practitioner. Brand name prescription medications may be covered if no generic equivalent exists. Smoking cessation products and drugs for the treatment of obesity, infertility and erectile dysfunction are not covered.
Quebec residents must be covered by the RAMQ (Régie de l’assurance maladie du Québec) plan. Prescription drug claims must be submitted to RAMQ first. When RAMQ reimburses a portion of the drug cost, unpaid balances (including co-payments and deductibles) will be co‑ordinated so that you may be reimbursed up to 100% of the eligible expense incurred. If the drug is not covered by RAMQ, the standard co-pay applies.
MaximumsPays 80% up to
Year 1 - 2: $2,500
Year 3+: $3,500 per person per year
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Prescription eyeglasses, contact lenses, laser eye surgery
Maximum:
$150 per person every 2 years
Eye ExaminationMaximum:
$80 per person every 2 years
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Professional Services / Registered Therapists
Chiropractor, Massage Therapist, Physiotherapist, Acupuncturist, Chiropodist / Podiatrist, Dietitian, Naturopath, Osteopath
Maximums:
$20 per visit
$400 per person per practitioner, per year
Speech Therapist
Maximum:
$400 per person per year
Accidental DentalMaximum:
$5,000 per person per year
Ambulance TransportationIncludes land and airHearing AidsMaximums:
Year 1-4: $350
Year 5+: $500 per person every 4 years
Medical ServicesDiagnostic tests and x-rays, dialysis equipment, laboratory tests
Maximum:
$2,000 per person per year
Medical Items and Home Support Services (in-home nursing)Medical Items include diabetic supplies (like blood glucose monitors and lancets), custom made boots or shoes, custom made foot orthotics, mobility aids (like canes, crutches, walkers, wheelchairs), prosthetics, aids for daily living (like hospital style beds, IV stands, a trapeze, a bedpan), braces, casts, catheters and ostomy supplies, compression stockings, respiratory/cardiology items like breathing and heart monitors for infants, compressors and oxygen.
Separate maximums for Medical Items and Home Support Services
Maximums:
Year 1: $2,000
Year 2: $3,000
Year 3: $4,000
Year 4+: $5,000 per person per benefit category, per year
Please note: CPAP, BIPAP, APAP and/or AMP machines and supplies are eligible for coverage with a max. of $500 in Year 1 and $500 in Year 2.
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Multi-Trip Emergency Medical Travel Coverage out-of-province or country
Maximums:
15 days per trip
$5,000,000 per person per year
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Optional benefit pays for the difference in cost between standard ward charges and semi-private and/or private accommodation in a public general hospital in your province/territory of residence.
Maximum:
Up to 30 days per person per year
Care
Communautaire
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GreenShield Insurance Online Services:
4 virtual visits per family every year with a licensed general health care practitioner, available 24/7, 365 days a year
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Psychologist / Psychotherapist / Registered Social Worker
Maximum:
$400 per person per year, combined
GreenShield Mental Health:
4 hours of virtual counselling (2 hours for individual therapy, 2 hours for couples therapy) per person per year; additional therapy is eligible for coverage under the Psychology benefit
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Makes it easy for you to access all your pharmacy services from the comfort and privacy of home. Book a clinical consultation with our pharmacists, receive refill reminders, access to your medication information online and get free delivery of your prescription medications anywhere in Canada.
* Pharmacy services in Quebec provided by Medzy | Pharmacie Sonia Boutin Inc.
What's More
- Multi-trip emergency medical travel coverage (up to 15 days per trip)
- Add optional preferred hospital accommodation to increase your protection even more. It's your choice.
- No waiting period! Once your application is approved, your coverage will begin on the first day of the following month.
- Get instant access to your benefits with the GreenShield pay-direct benefit card.
- File a claim, review your coverage and locate a nearby health practitioner from anywhere, any time with GreenShield+ online services and the GreenShield+ mobile app.