Each OISE graduate student has a Green Shield Canada University of Toronto Graduate Student Union (UTSGU) health care plan, which includes:

80% of your eligible prescription drug costs, up to $5,000 per policy year

Studentcare and Rexall Pharma Plus have a deal and if you get your prescriptions from Rexall Pharma you can get some discounts:

• • • 10% off your prescription drug costs (up to a max of $40)* Simply present a copy of your Pay-Direct Card to your Rexall pharmacy and your pharmacist will process your claim immediately. You will not have to pay the full amount up front and wait to be reimbursed.

    • 20% off on regularly priced Rexall brand products* including Be Better, KIT, Nosh & Co., Rose & Robin, and Savvy Home, when you present your Rexall Exclusive Savings Card and your valid Student ID card at time of purchase.

    • Medications delivered for free right to your door when you use Rexall Direct! Visit rexalldirect.ca for more information.

Up to $3,500 for services provided by health practitioners

• • • Massage Therapists: Maximum of $25 per visit and up to $500 per policy year. Referral required.

    • Podiatrists/Chiropodists: Reimbursement based on reasonable/customary fees

    • Chiropractors: Maximum of $15 per visit and up to 20 visits per policy year

    • Speech Therapists: Up to $1,000 per policy year

    • Physiotherapists: Maximum of $30 per visit and up to 20 visits per policy year

    • Occupational Therapists: Maximum of $30 per visit, up to 20 visits per policy year

    • Naturopathic Doctors: Maximum of $15 per visit and up to 20 visits per policy year

    • Mental Health Practitioners: Up to $500 per policy year

    • Acupuncturist: Maximum of $15 per visit and up to 20 visits per policy year

Lab tests (including blood tests), needed as the result of an accident and used to diagnose an illness when performed in a commercial lab.

Tests performed in a doctor’s office or pharmacy aren't covered.

Cost of hospitalization, home nurse, and tutorial service in the case of an accident or illness

• Hospitalization: Semi-private hospital room

• Tutorial Service: Up to $15 per hour, to a maximum of $1,000 per accident or illness

• Home Nurse: Has to be certified as medically necessary by the attending physician and approved by the insurer

Cost related to health emergencies

• Ambulances

• Travel accident

• Dental accident

• accidental dealth or dismemberment

Necessary medical equipment

• The Plan covers the cost of stipulated medical equipment if needed as the result of an accident, including crutches, wheelchair rental, hospital-type bed, and permanent prosthesis.

• Before incurring any medical equipment expense, you should contact Studentcare to learn more about applicable maximums and how to confirm eligibility.

• A medical doctor’s authorization is required for these claims.

You can see the full details here of this UTSGU plan here: http://www.studentcare.ca/rte/en/IHaveAPlan_UniversityofTorontoGraduateStudentsUnionUTGSU_Home

NOTE: You can get top-ups or use other health care plans depending on the kind of university employment you have (GAship, RAship, contract, TAship, CIship etc.)

Making claims online

Register online to submit claims electronically

1. From greenshield.ca, click the LOGIN button (found in the right corner of any page) and then click GO to register as a plan member.

2. On the “Welcome to Plan Member Online Services” page, enter your plan member ID and registration key in the “REGISTER HERE” section. Click “CONTINUE WITH REGISTRATION”. Skip to Step 4.

3. Don’t have a registration key? Your unique, one time use registration key can be found on your most recent Explanation of Benefits (EOB) statement. You can also easily request one by clicking on “GET A REGISTRATION KEY” and following the steps. Once you have your registration key, go back to the Welcome page, enter your Plan Member ID and registration key, and click “CONTINUE WITH REGISTRATION”.

4. You will be required to confirm a few personal details, create a user name and password, and provide answers to three challenge questions. You can also give authorization for other people to access your account (such as a spouse) and enter your banking information to have your claims be directly deposited into your account.

5. And that’s it! You now have access to cool tools (hey, that rhymes!) related to your GSC benefit plan.

Submit claim electronically

1. After you have registered for Plan Member Online Services, select “Submit a Claim” from the menu.

2. Select the type of claim you are submitting.

3. Enter your complete claim details and click Submit. Note: If you or your spouse have other coverage with GSC, you can coordinate your claim with the other GSC plan right at the time of online submission.

A confirmation page will display, showing your exact claim adjudication results. We encourage you to print a copy for your records. If you are selected for an audit, you will have to submit supporting claim documentation within a set timeframe to get your claim paid and to avoid potential suspension of access to this feature. Your supporting documentation can be uploaded online right from the audit notification.