Green Shield 健康与牙科保险

Green Shield Canada

加拿大Green Shield 保险

自1957年以来,加拿大Green Shield Canada,简称GSC,一直在提供扩展的健康和牙医福利。它是加拿大唯一的一家非营利性健康和牙科福利的保险公司。 GSC Health Assist提供各种健康和牙科计划,以满足您的医疗保健需求。 ZONE计划和LINK计划适用于18岁及以上的加拿大居民,这些居民受省健康保险计划的保障。您申请人的年龄最高上限为79岁,一旦获得批准,您就可以终身受保(前提是您继续支付保费)。这项保险甚至还包括紧急医疗旅行福利! GSC的Health Assist产品可为单身,夫妇(单身加一名受抚养者)和家庭(对受抚养者人数没有限制)提供有竞争力的保单价格。

Green Shield 灵活的保险计划提供了处方药承保范围,牙科承保范围或两者的组合。此外,所有计划均涵盖视力保健,扩展医疗保健(即注册的按摩治疗师和脊椎医师)以及紧急医疗旅行保障。

Green Shield 的大多数保险计划都不需要填写医疗保险表*,也就是说大多数保险计划只要申请都能顺利批准。并且 Health Assist计划更容易获得且易于理解!

ZONE - 个人(及其家属)的保险范围

无论您是自雇人士,小型企业雇主(包括员工),年龄较大的学生,退休人员,合同工,兼职人员,季节性工人或临时工,ZONE计划均能以具有竞争力的价格提供全面的健康和牙科保险。

  • 有不同覆盖范围的各种计划可供选择 - 所有这些计划都包括视力,扩大的医疗保健和紧急医疗旅行福利,没有年龄限制。
  • 计划选项包括保证接受的健康保险计划*;以及其他需要填写医疗问卷和承保的计划。
  • 在所有医疗问卷计划中,医院住宿福利是可选的项目。

LINK - 从团体健康福利计划过渡到个人(及其家属)的保障范围

员工可能会因退休,职业变更,失业或达到年龄上限而失去团体健康保险的福利。当员工失去这些福利时,提供有关从团体健康保险转换为私人健康保险的无缝过渡的信息至关重要。如果您要退休,或者开始新的工作或职业,LINK会提供您负担得起的医疗保健费用。

只要GSC在团体健康福利终止日期后的90天内收到申请,GSC Health Assist LINK计划就可以保证提供个人健康和牙科保健服务*。

LINK计划无需医疗承保即可提供全面的承保范围。

不同的计划选项-全部包括眼科,扩展的医疗保健,首选的医院条件和紧急医疗旅行保险。只要个人在团体承保结束日期后的90天内申请,所有计划都将被保证接受离开任何团体健康计划的个人*。

*保证接受的条件是必须提供GSC的付款收据。

Benefits effective April 1, 2020 No Medical Underwriting Required — Your Acceptance is Guaranteed
  LINK Plan 1 LINK Plan 2 LINK Plan 3 LINK Plan 4
PRESCRIPTION DRUGS (benefits per person)
Maximums
Year 1: $500
Year 2: $650
Year 3+: $800
Plan pays 80% subject to annual max.
Year 1: $750
Year 2: $900
Year 3+: $1,100
Plan pays 80% subject to annual max.
Year 1: $1,200
Year 2: $1,350
Year 3+: $1,500
Plan pays 80% subject to annual max.
Year 1: $2,300
Year 2: $2,400
Year 3: $2,500
Year 4+: $2,700
Plan pays 80% subject to annual max.
DENTAL CARE (benefits per person)
Maximums   Year 1: $600
Year 2: $800
Year 3+: $1,000
Year 1: $750
Year 2: $1,000
Year 3+: $1,250
Year 1: $1,000
Year 2: $1,250
Year 3+: $1,750
Recall Frequency   9 months 9 months 6 months
Basic Services   Plan pays 80%, subject to annual max. Plan pays 80%, subject to annual max. Plan pays 80%, subject to annual max.
Comprehensive Basic Services Not included Plan pays 80%, subject to annual max. Plan pays 80%, subject to annual max. Plan pays 80%, subject to annual max.
Major Services   Not included Available in Year 3 - Plan pays 50%, subject to annual max. Available in Year 3 - Plan pays 60%, subject to annual max.
Orthodontic Services   Not included Not included Available in Year 3 - Plan pays 60%, subject to lifetime max of $2,000
VISION CARE (benefits per person)
Vision Care
Prescription eyeglasses, contact lenses, laser eye surgery
$150 every 2 years $200 every 2 years $250 every 2 years $300 every 2 years
Eye Examination $50 every 2 years $50 every 2 years $65 every 2 years $80 every 2 years
EXTENDED HEALTH CARE (benefits per person)
Professional Services/Registered Therapists
Chiropractor, Chiropodist/Podiatrist, Naturopath, Osteopath, Physiotherapist $20 per visit, 15 visits per practitioner, per year $300 per practitioner, per year $400 per practitioner, per year $600 per practitioner, per year; up to $1,200 per year combined
Massage Therapist, Acupuncturist $20 per visit, 15 visits per practitioner, per year $20 per visit, 15 visits per practitioner, per year $20 per visit, 20 visits per practitioner, per year $30 per visit, 20 visits per practitioner, per year
Psychologist/Registered Social Worker $600 per year, combined $600 per year, combined $600 per year, combined $600 per year, combined
Speech Therapist $300 per year $300 per year $400 per year $600 per year
Accidental Dental $2,500 per year 5,000 per year 10,000 per year 10,000 per year
Ambulance Transportation Includes land and air Includes land and air Includes land and air Includes land and air
Hearing Aids $300 every 4 years $400 every 4 years $500 every 4 years $600 every 4 years
Medical Services
Diagnostic tests and x-rays, dialysis equipment, laboratory tests
$2,000 per year $2,000 per year $2,000 per year $2,000 per year
Medical Items and Home Support Services (in home nursing)
Separate maximums for Medical Items and Home Support Services
$1,500 per benefit category, per year $2,500 per benefit category, per year $5,000 per benefit category, per year $5,000 per benefit category, per year
HOSPITAL ACCOMMODATION (benefits per person)
Semi-Private and/or Private Benefit pays the difference between standard ward charges and semi-private and/or private accommodation in a public general hospital $200 per day
30 days max. per year
$200 per day
30 days max. per year
$200 per day
30 days max. per year
$250 per day
30 days max. per year
TRAVEL (benefits per person)
Emergency Medical Travel Coverage Out of Province/Country 10 days per trip
$5,000,000 per year
10 days per trip
$5,000,000 per year
15 days per trip
$5,000,000 per year
15 days per trip
$5,000,000 per year