Pension Life - Summer 2020

Green Shield Canada has you covered

Green Shield Canada has you covered - image

Green Shield Canada provides retired plan members access to optional extended health care and dental coverage. To learn more about coverage options for retired plan members, please read Retirement health coverage and you.

Green Shield Canada (GSC) is committed to giving you all the information you need to manage your health coverage. Here are a few reminders to make your life simpler.

Direct Deposit, Online Claims Submission and a Personalized Dashboard

While it’s not mandatory, registering for Plan Member Online Services comes with some benefits:

  • Sign up for direct deposit and get your money back from GSC faster
    You only have to sign up once, and all claim payments will be deposited into your bank account
  • Submit claims whenever you want, wherever you are
    The GSC self-service website puts quick and easy claim processing at your fingertips
  • Take advantage of real-time adjudication
    You know immediately how much your plan covers for a wide range of benefits
  • Save time with your personalized dashboard
    This at-a-glance view includes commonly used links and action items

Let your providers do the work for you!

Your GSC plan has PayDirect access which allows your pharmacy to submit your drug claims to GSC at the point of service. This means convenience and time savings for you. Any out-of-pocket expenses are for any remaining amounts owing, such as your copay or deductible amounts owing.

Other providers, such as dental offices and providers of paramedical services (e.g., physiotherapy, massage therapy, and much more) may also simply submit claims online directly to GSC on your behalf. That means no paperwork for you.

The special authorization process in BC

As part of BC PharmaCare, PharmaCare Special Authority covers certain drugs that are not regular benefits of the PharmaCare program. A patient must be registered with BC PharmaCare and meet certain eligibility criteria before BC PharmaCare reviews an application for Special Authority coverage.

You may be asked to apply for Special Authority for certain drugs and submit the decision to GSC. Some pharmacies have the ability to submit Special Authority status directly to GSC on your behalf. Coordinating with the provincial program helps keep your drug plan sustainable.

If you recently joined the Public Service Pension Plan, please note that your claims history from your previous provider will not have transferred to GSC. As a result, GSC may request confirmation of a Special Authority status.

For more information on your plan coverage or online services navigation, please connect with GSC’s Contact Centre Services at 1-888-711-1119, Monday to Friday, 5:30 a.m. to 5:30 p.m. PT.

Related content for Green Shield Canada

Retirement health coverage and you

External link to Green Shield Canada

Green Shield Canada