RSU Members Health Plan Overview 

How to Access Your Plan 

You can pick-up the RSU care card, the Green Shield pay direct card at the Member Services Office, located in the Student Centre Lobby or you can download the benefits brochure; claim forms and all necessary materials are also available from the Member Services Office or on our site under FORMS & RESOURCES or go to : https://www.mystudentplan.ca/rsu/en/home


Important Information

Claim forms, and assistance is available at the Member Services Office, located in the Student Centre Lobby. Additional information on filing claims is also available in the sections below. Or under our FORMS & RESOURCES section on this site you can download the forms.

The insurance provider is: Green Shield
Green Shield Customer Service Centre is 1-888-711-1119
Your Green Shield I.D. Number is RSU (Ryerson Student I.D.#)-00
The benefit years runs for 12 months from September 1, 2016 - August 31, 2017

 


EXTENDED HEALTH PLAN BENEFITS

Prescription Drugs

The RSU Members' Health Plan covers 80% of the cost of most medications legally requiring a prescription. The Prescription Drug Benefit favours the use of lower cost generic drugs whenever possible. Generic drugs are chemically identical versions of brand name drugs, at a lower cost than the brand name version. The maximum amount payable to an eligible brand name drug will be limited to the lowest priced item in the appropriate generic category. Be sure to advise your doctor and pharmacist that you have a generic equivalent drug plan when having drugs prescribed.

When visiting the pharmacist to have a prescription filled, simply provide them with your Green Shield Card. A handy pay direct card, containing all your health and dental plan registration information is available for download or pick-up it up at the Member Services Office. Use this pay-Direct card and only pay 20% of prescription drug cost.

Health Practitioners

The Plan covers the services of the following practitioners, when specifically prescribed by a physician (unless otherwise noted):

  • physiotherapist (A maximum of $55 per visit and up to $240 per benefit year) -need doctor's note
  • registered massage therapist (maximum of $25 per treatment up to $500 per benefit year) -need doctor's note
  • speech language pathologist ($250 per benefit year )
  • psychologist or Social Worker (MSW)  ($500 per benefit year)
  • chiropractor, including 1 x-ray examination per benefit year (maximum of $15 per treatment up to $300 per benefit year)
  • osteopath, including 1 x-ray examination per benefit year ($20 per visit  up to maximum of $300 per benefit year )
  • naturopath (maximum of $250 per benefit year)
  • podiatrist/chiropodist*, including 1 x-ray examination per benefit year ($20 per visit  up to maximum of $300 per benefit year )
  • acupuncturist ($20 per visit up to a maximum of $300 per benefit year)

Chiropractic and/or Podiatry services are not eligible until your provincial health insurance plan annual maximums have been exhausted

Professional Services, and for practitioners included, up to the amount shown above, when practitioner rendering the service is licensed by their provincial regulatory and/or professional association and the association is recognized by Green Shield.  Please contact the Green Shield Customer Service Centre to confirm practitioner eligibility. Call 1-888-711-1119

Dental Accident

The Plan covers the services of a dental surgeon, 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, provided the services are performed within 6 months of the accident. Excluding from coverage are services required in conjunction with such injuries due to a condition that existed before the accident. If a dental accident occurs, the health plan's dental accident provision will pay benefits before the dental plan.

Because dental accidents are payable under the health benefit rather than the dental benefit, you will need to complete an Extended Health Claim form and a Supplemental Dental Accident Questionnaire which can be obtained from, and must be filled out by your attending dentist, immediately after the accident. Treatment related to the accident must commence within six months of the accident date and completed within 365 days following the accident. When making a claim be sure to attach all original receipts to the claim form. The claim form can be mailed directly to Green Shield at the address on the form, or dropped off at the Members Services Office, Student Centre lobby. Claim forms are sent out daily!

Ambulance

The Plan covers licensed ground ambulance or emergency air ambulance services 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.

A $100 maximum per day at $45 each way is covered.

Trusses, Crutches, Casts, Braces

The Plan covers the costs of casts, limited to plaster of pairs or fibreglass, and braces, provided they aren't solely for athletic use. It is recommended that an application for pre-approval be submitted to the insurer for this coverage.

Footwear (Orthotics and Orthopedic Shoes):

For each of these benefits, Green Shield requires these 5 items to submit with a manual claim:

Doctor's referral note - either a medical doctor, chiropodist or podiatrist - stating the reason they recommend the use of either shoes or orthotics for your foot deformity

Biomechanical Examination
Gait Analysis
Description of process used to make them - casting technique, etc
Proof of payment made, full original receipt
Orthotics: Coverage is 80% reimbursement up to $300 per pair, once every 3 benefit years.
Orthopedic Shoes:  Coverage is 80%  up to $750 per pair, once every 3 benefit years 

Orthopaedic Shoes & Orthotics are Custom Made and cannot be for any athletic use.

Prosthesis

The Plan covers the cost of artificial limbs or other prosthetic appliances. It is recommended that an application for preapproval be submitted to the insurer.

Diabetic Supplies

The Plan covers the cost of blood glucose monitors at reasonable and customary charges.

Medical Equipment

The Plan covers the rental or purchase at the insurer's option, of durable equipment which is required for temporary therapeutic use in the patient's home and is approved by the insurer. Eligible durable equipment includes, but is not limited to, items such as:

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

It is recommended that an application for pre-approval be submitted to the insurer for any items that would be claimed under the Medical Equipment Benefit.

Tutorial

The Plan covers the cost of private tutorial services if the student is confined to home or hospital for a minimum of 15 consecutive school days. At $15 per hour up to $1000 per disability.

Accidental Death & Dismemberment

This benefit is supplied by ACE INA Insurance Policy # SGC10476301 The basic Accidental Death and Dismemberment plan covers you 24 hours a day, anywhere in the world, for specified Accidental Losses. The amount specified shall apply to each insured person per accident, subject to all terms of the policy having reference thereto. See page 23-25 of our "Benefits Booklet". For more details, click here


EYE GLASSES / EYE CARE ARE NOT INCLUDED ON THE PLAN

However, Green Shield offers a value discount to members on the Plan.  For more info on vision discount please visit: 

https://www.mystudentplan.ca/rsu/en/home

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