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Supplemental Health

All benefits payable through the Student Plan are based on reasonable and customary charges.

Ambulance
Your plan covers of 100% for licensed ground ambulance or emergency air service that transports the patient to the nearest hospital equipped to provide the required treatment when the physical condition of the patient prevents the use of another means of transportation. 

Private Duty Nursing
Your plans covers 100% to a maximum of $10,000 per benefit year for the services of a Private Duty Nurse, when certified in writing as medically necessary by the attending physician. To establish the amount of coverage available under this policy, we suggest that prior to initiating home care, the student submit a pre-care assessment to the Carrier.


Practitioners
Student benefits are payable after any Provincial Health Care benefits have been exhausted. This plan does not cover user fees. Student specific rates are available for some of the indicated services, information can be found in Select Savings. Practitioners must be registered and licensed in their field of practice.

The services of the following practitioners are covered at 80% up to $300 per person, per type of practitioner, per benefit year.

• chiropractor 
• physiotherapist 
• registered massage therapist*
• speech therapist*
• podiatrist/chiropodist*, including 1 x-ray examination per benefit year

*physician’s prescription/referral required.

The services of the following practitioners are covered at 80% up to $450 per person, per type of practitioner, per benefit year.

 • psychologist, social worker or registered clinical counselor

Medical Equipment & Supplies
It is recommended that an application for pre-approval be submitted to the insurer for any item that would be claimed under the Medical Services & Supplies benefit.

Medical Equipment
Your plan covers 100% of reasonable and customary charges for eligible equipment when prescribed by a physician. Eligible durable equipment includes, but is not limited to, items such as:

• wheel chairs
• wheel chair repairs
• walkers
• hospital beds
• traction kits

Braces, Crutches, Splints, Trusses
Your plan covers 100% of reasonable and customary charges when prescribed by a physician and are not solely for athletic use for braces, crutches, splints, and trusses.

Diabetic Supplies
Your plan covers 100% of diabetic equipment, such as blood glucose monitors and lancets.

Prosthesis
Your plan covers 100% of reasonable and customary charges when prescribed by a physician for artificial limbs or other prosthetic appliances.

Orthopaedics*
Your plan covers 100% up to a combined maximum of $300 per benefit year for custom-made foot orthotics and/or orthopaedic shoes, repairs and modifications when required for the correction of deformity of the bones and muscles. Provided the orthopaedics are not solely for athletic use and are prescribed by a physician, podiatrist, or chiropodist.

*IMPORTANT It is strongly recommended that a pre-determination/estimate be submitted to Green Shield to ensure that the guidelines set out by Green Shield for the payment of Orthopaedics are met and to confirm that your claim would be eligible.

Dental Accident
IMPORTANT! Dental Accident Pre-determination: An estimate for all dental accident services MUST be submitted to the health plan insurer. If you go ahead with treatment without a pre-determination being approved, you are doing so at the risk of the expenses being yours.

The plan covers 100% of the cost of the services of a dental surgeon, limited to the fees provided in the current General Practitioners fee guide, including dental prosthesis, required for the treatment of a fractured jaw or accidental injuries to natural teeth or jaw if caused by external, violent and accidental means. Services must commence within 180 days of the accident and be completed within 365 days of the accident. Dental Accident benefits are payable through the Health plan and based on reasonable and customary amounts.

Select Health Savings
To enhance your existing coverage, select providers have agreed to help students by providing savings on certain plan eligible services. You must present your myBenefits Card at each visit. For further information on participating providers check out the Select Savings tab.

Service Members


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