Vision
100%
Up to $75 for one eye examination. The exam must be by an ophthalmologist or optometrist.
Up to $150 for eyeglasses or contact lenses.
The vision coverage renews every 24 months from the initial date of service. Coverage is based on reasonable and customary charges.
Prescription sunglasses are not covered by the plan.
Paramedical Services
100%
Your plan covers up to $400 per practitioner per benefit year for licensed paramedical services.
Check Eligible Practitioners
If your provincial health plan covers part of the cost, your student plan pays only after the provincial plan's maximum is reached.
Coverage is based on reasonable and customary charges; to check the maximum reimbursement for paramedical services, log in to the Benefits Management Platform and click “Resources”.
Practitioners must be registered in the province where care is provided.
Services from family members or people you live with are not covered.
User fees are not covered.
Practitioners must be registered and licensed in their field of practice.
Paramedical Practitioner Listing
Practitioners:
Practitioner
Coverage
Chiropractor
$15 per visit up to 20 visits per benefit year; plus 1 x-ray per benefit year
Chiropodist, Podiatrist, Acupuncturist
$20 per visit up to $300 for all practitioners combined per benefit year plus 1 x-ray by a Podiatrist per benefit year
Registered massage therapist*
$25 per visit up to 20 visits per benefit year
Naturopath
$250 per benefit year
Osteopath
$20 per visit up to $300 per benefit year including 1 x-ray per benefit year
Physiotherapist*
$55 per visit up to $240 per benefit year
Speech therapist
$250 per benefit year
*physician's prescription/referral required for indicated services.
Mental Health Practitioners
100%
The services of a psychologist, counsellor/social Worker, master of social work or psychotherapist are covered to a maximum of $1000 based on reasonable and customary charges per benefit year.
Practitioners must be registered and licensed in their field of practice.
Holistic Nutritional Consultant Included in the overall combined maximum of $1,000 per benefit year for Psychologist, Social Worker/Counsellor, Master of Social Work or Psychotherapist.
Licensed Ambulance Services
100%
To a maximum of $100 per occurrence. This coverage is applied after the provincial deduction.
The plan covers a licensed ground ambulance or emergency air service that transports the patient (student) 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.
If the patient requires the services of a registered nurse during the flight, the services and return airfare for a registered nurse are covered.
Private Duty Nursing in the Home
100%
To a maximum of $25,000 per benefit year. Reimbursement for the services of a Registered Nurse (R.N.) or Registered Practical Nurse/Licensed Practical Nurse (R.P.N./L.P.N.) in the home on a visit or shift basis.
No amount will be paid for services which are custodial and/or services which do not require the skill level of a Registered Nurse (R.N.) or Registered Practical Nurse/Licensed Practical Nurse (R.P.N./L.P.N.)
A Predetermination Form for Private Duty Nursing must be completed by the attending physician.
Medical Equipment & Supplies
100%
The plan covers reasonable and customary charges for eligible equipment when prescribed by a physician, podiatrist, chiropodist, or chiropractor.
Prescription and predetermination may be required.
Medical Equipment & Supplies Listing
Eligible durable equipment includes, but is not limited to, items such as:
Compression Stockings - $50 per benefit year
Wigs - $500 per lifetime
Wheelchair/Scooter modifications/ repairs - $250 per lifetime
Wheelchair Ramp (portable) - $2,000 per lifetime
Patient Lift - 1 every 5 benefit years up to $2,000
TENS Unit - $700 per lifetime
Myo-electric arm - $10,000 per prosthesis
External Breast Prosthesis - 1 per benefit year
Blood Glucose Meter - $150 every 5 benefit years
Contraceptives devices - $75 per benefit year
Mobility aids, such as canes, crutches, walkers
Braces, Crutches, Splints and Trusses. Not solely for athletic use.
Prosthesis: The plan covers reasonable and customary charges for standard prosthetics, such as an arm, hand, leg, foot, breast, eye and larynx.
Custom-Made Shoes - Orthopaedics
80%
Your plan covers 80% of 1 pair, once every 3 benefit years, up to a maximum of $750 for custom made orthopaedic shoes.
Your plan also covers 80% of 1 pair, once every 3 benefit years, up to a maximum of $300 for custom made foot orthotics.
Footwear, when prescribed by your attending physician, podiatrist or chiropodist and dispensed by your podiatrist, chiropodist, chiropractor, orthotist or pedorthist.
IMPORTANT It is strongly recommended that a pre-determination/estimate be submitted to GreenShield to ensure that the guidelines set out by GreenShield for the payment of Orthopaedics are met and to confirm that your claim would be eligible.
