Health and Dental Plan

NEW FOR 2019-2020, THE UTMSU MEMBERS’ HEALTH & DENTAL PLANS ARE PROVIDED THROUGH GREEN SHIELD CANADA!

UTMSU provides affordable and comprehensive health and dental coverage to full-time students at the University of Toronto Mississauga campus. Depending on your registration, the plans provide extended health and dental coverage for up to 12 months, from September 1 to August 31 annually. The plans cover medical expenses that are not covered by provincial or other health insurance. The plans are supplementary to coverage under OHIP (Ontario Health Insurance Plan) or UHIP (University Health Insurance Plan), not a substitute. Full-time undergraduate students are automatically enrolled in the plan. Through the health and dental plans, the UTMSU strives to provide coverage to address members’ common health needs. The health and dental plans are provided through Green Shield Canada, the only national not-for-profit insurance provider in Canada with support of the National Student Health Network.

BENEFITS

Your health & dental plans offer comprehensive benefits, ranging from drug, paramedical, dental, vision, trip, and accidental.

Benefits Overview
Click here to access an overview of your health & dental plans.

Benefits Booklet
Click here to access the plan booklet of your health & dental plans.

COVERAGE PERIOD

The plan coverage runs for up to one-year (September 1 to August 31) maximum.

If you are registered for both the Fall and Winter sessions of the academic year, you are covered from September 1, 2019 to August 31, 2020.

If you are registered to begin your studies in the Winter session of the academic year, you are covered from January 1, 2019 to August 31, 2020.

USING YOUR PLAN

To use your UTMSU health and dental plans, you will need your Green Shield Canada ID Number (or insurance policy number). This number is comprised of “UTM”, your student number, and “-00” for the primary plan user (as in you). For example: UTM1001234567-00. For additional family members and dependents added on the plan, the suffix may be “-01” or “-02”.

Some health and dental providers may be able to submit claims electronically on your behalf. In this case, provide them with your policy number and they can send a claim to the insurance provider for the amount covered by the plan. You will then only need to pay the remaining balance upfront.

Online Claims
You may submit eligible claims online at Green Shield Canada Plan Member Online Services. By creating an online account and submitting claims electronically you are eligible to get your money back faster. Your online account is self-serve and you will be able to review your claims history. For more information about Plan Member Online Services, check out: Student Claims.

Manual Claim Forms
Otherwise, please complete one of the claim submission forms below, and you will be reimbursed appropriately by the insurance provider for amounts covered by the plans.
Health Claim Submission Form
Dental Claim Submission Form

Student Centre
The Green Shield Canada Student Centre is your resource for your health and dental benefit plans. Learn more about your plan, find preferred dentists and practitioners, discounts, and more! Visit the Green Shield Canada Student Centre now!

Plan Member Online Services
The Plan Member Online Services is where you can manage your UTMSU health & dental benefits plan! After registering for Plan Member Online Services, you will be able to submit claims, check coverage, print personalized benefit ID cards, and more! Click here to learn more about Plan Member Online Services and how to register!

GSC On the Go Mobile App
The On the Go mobile app is your companion on your mobile device! Log in to your Plan Member Online Services account and submit claims, check benefit coverage, and access your GSC digital ID card. Click here to learn more about GSC On the Go Mobile app.

DISCOUNTS

Student Dental Discount Network
The Student Dental Discount Network is a network of preferred dentists who have agreed to offer UTMSU students up to 30% off dental services! Visiting a Student Dental Discount Network and using your UTMSU Members’ Health & Dental plan can bring you total coverage up to 100% on common dental procedures. Click here to see the closest dentist to you on the Student Dental Discount Network!

GSC at Shoppers Drug Mart
UTMSU students receive a 10% discount with GSC at Shoppers Drug Mart! Receive a 10% discount on the following products: President Choice®, no name®, Quo® & Life Brand®. Click here to get your card!

Vision Discounts, Hearing Discounts, and more!
Visit the Green Shield Canada Student Centre to see more great discounts, like 30% off at clearly.ca, The Bay Optical, and more!

OPTING OUT

Students who have comparable health & dental benefit plan coverage may choose coordinate benefits. This allows you to use your UTMSU health & dental plans with any other health & dental plans that you may be covered with. If you do not wish to coordinate benefits, you may opt out of the plan. Opt out applications must be submitted annually during the opt out period.

Fall and Winter Session Students Opt Out Period: September 1, 2019 – September 30, 2019
Students registered for both Fall and Winter sessions who choose to opt out of the health and dental plans must do so between September 1, 2019 and September 30, 2019. No exceptions will be granted if an opt out application is not submitted to the UTMSU opt out portal within this period. Students must provide proof of comparable health & dental plan coverage with the opt out application.

Click here to access the UTMSU health & dental Fall/Winter. opt out application.

Winter Session Students Opt Out Period: January 1, 2020 – January 31, 2020
Students beginning their studies in the Winter session who choose to opt out of the health and dental plans must do so between January 1, 2020 and January 31, 2020. No exceptions will be granted if an opt out application is not submitted to the UTMSU opt out portal within this period. Students must provide proof of comparable health & dental plan coverage with the opt out application.

Click here to access the UTMSU health & dental Winter opt out application.

COUPLE/FAMILY COVERAGE

UTMSU members can enroll a spouse/partner and/or dependent children on their plans at the beginning of their first eligible term. All family members enrolled for coverage under this plan must be residents of Canada. For Fall and Winter session students, the opt-in period is September 1-30, 2019. For students are registered to begin studies in the Winter session, the opt-in period is January 1-31, 2020.

To opt in your family members, please complete and submit the UTMSU Family Opt-in Form and additional plan fees to the UTMSU office by the above applicable deadline. Click here to download the form or visit the UTMSU infobooth!

FAQ

Who is automatically enrolled?
Full-time students enrolled at the University of Toronto Mississauga campus are automatically enrolled. To confirm enrolment, students will see the health and dental plans fee charged to their University of Toronto ACORN invoice.

Part-time students are covered through the Association of Part-time University Students (APUS) health & dental plans.

How much does it cost?
Below are the annual costs for the health and dental plans for an individual student.
Health: $204.18
Dental: $170.68

How am I charged for the plan?
Full-time students are automatically charged the health & dental plans fees to their University of Toronto ACORN invoice.

Can I enrol my family?
Yes, students enrolled in the health & dental plans are able to enrol their spouse/partner and/or dependant children to plans for an additional charge. See the Family/Couple Coverage section above or visit the UTMSU Infobooth!

How do I submit claims?
The recommend way to submit claims is through Plan Member Online Services or the GSC On the Go Mobile App. Submit your claims and receive reimbursement within 72 hours via direct deposit to your bank account. See the Using your Plan section above for more information.

Can I opt out of the plan?
Students with comparable alternative health & dental plans coverage are eligible to opt out of the plan. Students must opt out during the applicable opt out period, using the UTMSU opt out tool application. Proof of comparable alternative coverage must be provided with the opt out application. See the Opt Out section above for more information.

What about OHIP+?
OHIP+ is a program for residents of Ontario that provides coverage for many common prescription medications. The Government of Ontario amended the original OHIP+ program so that students without health & dental benefit plan coverage are eligible for the program. OHIP+ is not comparable alternative coverage that can be used to opt out of the UTMSU health & dental plans as it does not cover dental, paramedical, vision, trip, or accident claims.

I am an international student, what is UHIP?
UHIP (University Health Insurance Plan) is primary care health coverage for international students studying in Ontario. This plan covers basic health insurance costs, such as visiting a doctor or a hospital emergency room. International students must be enrolled in UHIP to have primary care health benefits. International students use UHIP with the UTMSU Members’ Health & Dental plans (which are supplementary care benefits) to be able to access prescription medications, paramedical services, dental benefits, vision benefits, trip coverage, and accident benefits.

I have more questions! Where can I receive help?
For plan enrolment, opt in, and opt out questions, please reach out the UTMSU. Please contact Infobooth services at 1-905-828-5420 (Monday – Friday, 9am – 9pm and Saturday 12pm to 5pm), visit the Infoboth on campus (Monday – Friday, 9am – 9pm and Saturday 12pm to 5pm), or email health@utmsu.ca.

For benefit questions or claims inquiries, please contact Green Shield Canada. Log in to Plan Member Online Services or use the GSC on the Go Mobile App to send a secure email, or call 1-888-711-1119.


UTMSU Upcoming Events

No upcoming events