How do I make a claim?
There are three ways to submit claims:
1. Bill Directly to the Health and Dental Plan
The first way to make a claim is by billing directly to the plan using your Plan Member ID-oo. This will mean that the portion of your claim covered by the health plan will be paid automatically by the plan and you will only be required to pay portions not covered by the plan. Many dental offices and pharmacists will offer this service however it is not offered in all places. To bill directly to the plan you will need to provide the service provider with your Plan Member ID-00. Click here if you don’t know your Plan Member ID-00
2. Submit Your Claim Online
The second way to make a claim is by submitting your claim online in your Greenshield Student Centre account. If you have not set up your account yet click here.
To submit a claim online you need to log in to your Greenshield account, go to the left hand menu and hover over “My Claims” and click on “Submit a Claim”. From here follow the prompts from Greenshield. You will need a digital copy of your itemized receipt (scanned or photo). If you have set up direct billing the amount of your claim that is covered by the health plan will be deposited into your bank account once the claim has been processed.
3. Submit Your Claim by Mail
The last way to submit a claim is by mail. You will need your itemized receipt and a claims form. To get the appropriate claims form, log in to your Greenshield Student Centre Account. If you have not set up your account yet click here. Once you are logged in to your account hover over “My Claims” in the left hand menu and click on “Personalized Claims Forms”.
On this page select the form that corresponds with the type of claim you are filing from the drop down menu and click on “View Selected Form”. From here you can complete the form on your computer and print it or print it out and complete it by hand. Mail the completed form and the itemized receipt to the mailing address indicated on the bottom of the claims form. If you have set up direct billing the amount of your claim that is covered by the health plan will be deposited into your bank account once the claim has been processed. If you have not set up direct billing in your greenshield account a cheque will be mailed back to you once your claim has been processed.
What needs to be included in my claim?
In order to make most claims you will need to provide Greenshield with an itemized receipt for the purchase to be reimbursed (cash receipts or credit card receipts alone are not acceptable. To ensure your claim is processed make sure that you include the following:
- Covered person’s name, address and GSC Identification Number
- Provider’s name and address
- Date of service
- Charges for each service or supply
- A detailed description of the service or supply
- Medical referral/physician prescription when required
No. You don’t need a card, you just need your Plan Member ID-00. Your Plan Member ID-00 is derived from your student number. Please review the following steps to formulate your plan member ID-00:
- Remove the “T” and leading zeros from your student number (eg. T00012345 = 12345)
- Add TRU to the front of the number (TRU12345)
- Add -00 to the end (TRU12345-00)
|Plan Code||Numbers from Student ID
(minus T & leading zeros)
How do I opt out if there is no term available?
The opt out deadline for the TRUSU Health and Dental Plan is 30 days after the academic plan year has started. If you have missed the opt-out deadline you are no longer able to opt-out of the plan.
If you are a trades student or your program starts in the Winter semester you can contact the TRUSU Services Coordinator at firstname.lastname@example.org and be opted out manually. With your request to opt out you will need to include your Health and Dental Provider and Policy Number.
When will I be active on the plan?
All students opted in the Health and Dental Plan in the Fall semester will have a waiting period of 45 days that is referred to as the Blackout Period. The blackout period begins on the first day of coverage (September 1st) and runs for approximately 45 days. During this period the Students’ Union is in the process of updating the enrollment list with opt-outs and additions. The updated enrollment list is sent to Green Shield to be uploaded onto their database after the end of the opt-out period. Once the list of members has been uploaded, active coverage begins.
During the black-out period you will not be able to make pay-direct claims on the plan. If you need to get medical services during this period, you must keep your receipts and file them via mail once the black-out period is over.
For students that Opt-In after the Blackout Period, please allow one week for the opt in file to be updated.