GSC Plan for your family

Health and dental coverage made easy with flexible options at affordable prices.

Benefits
ZONE Plan 1
ZONE Plan 2
ZONE Plan 3
ZONE Fundamental Plan
PRESCRIPTION DRUGS

Maximum

Not included

Not included

Not included

$550 per person per year
Paid at 70% (100% in Quebec*)

DENTAL CARE

Maximums

Not included

Year 1: $500
Year 2: $650
Year 3+: $800 per person per year

Year 1: $600
Year 2: $800
Year 3+: $1,000 per person per year

$450 per person per year

Recall Frequency

Not included

9 months

9 months

9 months

Basic Services

Not included

Paid at 80%

Paid at 80%

Paid at 70%

Comprehensive Services

Not included

Year 1: Paid at 50%
Year 2: Paid at 70%
Year 3+: Paid at 80%

Paid at 80%

Paid at 70%

Major Services

Not included

Not included

Available in Year 3 – Paid at 50%

Not included

VISION CARE

Vision Care
Prescription eyeglasses, contact lenses, laser eye surgery

$150 per person every 2 years

$150 per person every 2 years

$150 per person every 2 years

$150 per person every 2 years

Eye Examination

$65 per person every 2 years

$65 per person every 2 years

$65 per person every 2 years

$65 per person every 2 years

EXTENDED HEALTH CARE Professional Services/Registered Therapists

Acupuncturist, Chiropractor,
Chiropodist/Podiatrist, Massage Therapist,
Naturopath, Osteopath, Physiotherapist

$20 per visit, $300 per person per practitioner, per year

$20 per visit, $300 per person per practitioner, per year

$20 per visit, $400 per person per practitioner, per year

$20 per visit, $400 per person per practitioner, per year

Psychologist/Registered Social Worker, Speech Therapist

$300 per person per practitioner, per year

$300 per person per practitioner, per year

$400 per person per practitioner, per year

$400 per person per practitioner, per year

Accidental Dental

$5,000 per person per year

$5,000 per person per year

$5,000 per person per year

$3,000 per person per year

Ambulance Transportation

Includes land and air

Includes land and air

Includes land and air

Includes land and air

Hearing Aids

Year 1-4: $300 per person every 4 years
Year 5+: $400 per person every 4 years

Year 1-4: $300 per person every 4 years
Year 5+: $400 per person every 4 years

Year 1-4: $350 per person every 4 years
Year 5+: $500 per person every 4 years

Year 1-4: $350 per person every 4 years
Year 5+: $500 per person every 4 years

Medical Services
Diagnostic tests and x-rays, dialysis equipment, laboratory tests

$2,000 per person per year

$2,000 per person per year

$2,000 per person per year

$2,000 per person per year

Medical Items and Home Support Services (in home nursing)
Separate maximums for Medical Items and
Home Support Services

Year 1: $2,000
Year 2: $3,000
Year 3: $4,000
Year 4+: $5,000 per person per benefit
category, per year

Year 1: $2,000
Year 2: $3,000
Year 3: $4,000
Year 4+: $5,000 per person per benefit
category, per year

Year 1: $2,000
Year 2: $3,000
Year 3: $4,000
Year 4+: $5,000 per person per benefit
category, per year

Year 1: $1,500
Year 2: $2,000
Year 3: $3,000
Year 4+: $4,000 per person per benefit
category, per year

TRAVEL

Emergency Medical Travel Coverage
Out of Province/Country

15 days per trip
$5,000,000 per person per year

15 days per trip
$5,000,000 per person per year

15 days per trip
$5,000,000 per person per year

15 days per trip
$5,000,000 per person per year

OPTIONAL HOSPITAL ACCOMMODATION

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

Up to 30 days per person per year

Up to 30 days per person per year

Up to 30 days per person per year

Up to 30 days per person per year

GSC Plan for your family

This Plan Comparison is a summary and does not constitute a contract. Actual terms, conditions, limitations and exclusions are detailed in the contract issued by GSC upon application approval. Reimbursement will be made for eligible expenses incurred, paid for and received by the covered person provided such services and supplies are, in the opinion of GSC, medically necessary for the treatment of an illness or injury and reasonable and customary, taking all factors into account. Coverage amounts shown are in Canadian Dollars. Rates and/or benefits are subject to change with thirty (30) days written notice.

*Quebec residents can be covered up to 100% only if the drug is listed on the RAMQ formulary. If the drug is not covered by RAMQ, the standard co-pay applies.

Benefits
ZONE Plan 4
ZONE Plan 5
ZONE Plan 6
N/A
PRESCRIPTION DRUGS

Maximum

$2,500 per person per year
Paid at 80% (100% in Quebec*)

$5,000 per person per year
Paid at 90% (100% in Quebec*)

$10,000 per person per year
Paid at 90% (100% in Quebec*)

DENTAL CARE

Maximums

Not included

Year 1: $700
Year 2: $900
Year 3+: $1,100 per person per year

Year 1: $800
Year 2: $1,000
Year 3+: $1,300 per person per year

Recall Frequency

Not included

9 months

6 months

Basic Services

Not included

Paid at 80%

Paid at 80%

Comprehensive Services

Not included

Year 1: Paid at 60%
Year 2: Paid at 70%
Year 3+: Paid at 80%

Paid at 80%

Major Services

Not included

Available in Year 3 – Paid at 50%

Available in Year 3 – Paid at 50%

VISION CARE

Vision Care
Prescription eyeglasses, contact lenses, laser eye surgery

$150 per person every 2 years

Year 1-2: $150 per person every 2 years
Year 3-4: $200 per person every 2 years
Year 5+: $250 per person every 2 years

Year 1-2: $200 per person every 2 years
Year 3-4: $250 per person every 2 years
Year 5+: $300 per person every 2 years

Eye Examination

$65 per person every 2 years

$80 per person every 2 years

$80 per person every 2 years

EXTENDED HEALTH CARE Professional Services/Registered Therapists

Acupuncturist, Chiropractor,
Chiropodist/Podiatrist, Massage Therapist,
Naturopath, Osteopath, Physiotherapist

$20 per visit, $400 per person per practitioner, per year

$25 per visit, $500 per person per practitioner, per year

$25 per visit, $600 per person per practitioner, per year

Psychologist/Registered Social Worker, Speech Therapist

$400 per person per practitioner, per year

$500 per person per practitioner, per year

$600 per person per practitioner, per year

Accidental Dental

$5,000 per person per year

$10,000 per person per year

$10,000 per person per year

Ambulance Transportation

Includes land and air

Includes land and air

Includes land and air

Hearing Aids

Year 1-4: $350 per person every 4 years
Year 5+: $500 per person every 4 years

$500 per person every 4 years

$500 per person every 4 years

Medical Services
Diagnostic tests and x-rays, dialysis equipment, laboratory tests

$2,000 per person per year

$2,000 per person per year

$2,000 per person per year

Medical Items and Home Support Services (in home nursing)
Separate maximums for Medical Items and
Home Support Services

Year 1: $2,000
Year 2: $3,000
Year 3: $4,000
Year 4+: $5,000 per person per benefit
category, per year

Year 1: $2,000
Year 2: $4,000
Year 3+: $6,000 per person per benefit
category, per year

Year 1: $2,000
Year 2: $4,000
Year 3+: $6,000 per person per benefit
category, per year

TRAVEL

Emergency Medical Travel Coverage
Out of Province/Country

15 days per trip
$5,000,000 per person per year

30 days per trip
$5,000,000 per person per year

30 days per trip
$5,000,000 per person per year

OPTIONAL HOSPITAL ACCOMMODATION

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

Up to 30 days per person per year

Up to 30 days per person per year

Up to 30 days per person per year

GSC Plan for your family

This Plan Comparison is a summary and does not constitute a contract. Actual terms, conditions, limitations and exclusions are detailed in the contract issued by GSC upon application approval. Reimbursement will be made for eligible expenses incurred, paid for and received by the covered person provided such services and supplies are, in the opinion of GSC, medically necessary for the treatment of an illness or injury and reasonable and customary, taking all factors into account. Coverage amounts shown are in Canadian Dollars. Rates and/or benefits are subject to change with thirty (30) days written notice.

*Quebec residents can be covered up to 100% only if the drug is listed on the RAMQ formulary. If the drug is not covered by RAMQ, the standard co-pay applies.

Benefits
LINK PLAN 1
LINK PLAN 2
LINK PLAN 3
LINK PLAN 4
PRESCRIPTION DRUGS

Maximum

$500 per person per year
Paid at 80% (100% in Quebec*)

$750 per person per year
Paid at 80% (100% in Quebec*)

$1,200 per person per year
Paid at 80% (100% in Quebec*)

$2,300 per person per year
Paid at 80% (100% in Quebec*)

DENTAL CARE

Maximums

Not included

Year 1: $600
Year 2: $800
Year 3+: $1,000 per person per year

Year 1: $750
Year 2: $1,000
Year 3+: $1,250 per person per year

Year 1: $1,000
Year 2: $1,250
Year 3+: $1,750 per person per year

Basic Services

Not included

Paid at 80%

Paid at 80%

Paid at 80%

Comprehensive Services

Not included

Paid at 80%

Paid at 80%

Paid at 80%

Major Services

Not included

Not included

Available in Year 3 – Paid at 60%

Available in Year 3 – Paid at 60%

Orthodontic Services

Not included

Not included

Not included

Available in Year 3 – Paid at 60%; $2,000 lifetime maximum per person+E5:E16

VISION CARE

Vision Care
Prescription eyeglasses, contact lenses, laser eye surgery

$150 per person every 2 years

$200 per person every 2 years

$250 per person every 2 years

$300 per person every 2 years

Eye Examination

$50 per person every 2 years

$50 per person every 2 years

$65 per person every 2 years

$80 per person every 2 years

EXTENDED HEALTH CARE Professional Services/Registered Therapists

Chiropractor, Chiropodist/Podiatrist, Naturopath, Osteopath, Physiotherapist

$20 per visit, 15 visits per person per practitioner, per year

$300 per person per practitioner, per year

$400 per person per practitioner, per year

$600 per person per practitioner, per year; up to $1,200 per person per year combined

Massage Therapist, Acupuncturist

$20 per visit, 15 visits per person per practitioner, per year

$20 per visit, 15 visits per person per practitioner, per year

$20 per visit, 20 visits per person per practitioner, per year

$30 per visit, 20 visits per person per practitioner, per year

Psychologist/Registered Social Worker

$600 per person per year combined

$600 per person per year combined

$600 per person per year combined

$600 per person per year combined

Accidental Dental

$2,500 per person per year

$5,000 per person per year

$10,000 per person per year

$10,000 per person per year

Ambulance Transportation

Includes land and air

Includes land and air

Includes land and air

Includes land and air

Hearing Aids

$300 per person every 4 years

$400 per person every 4 years

$500 per person every 4 years

$600 per person every 4 years

Medical Services
Diagnostic tests and x-rays, dialysis equipment, laboratory tests

$2,000 per person per year

$2,000 per person per year

$2,000 per person per year

$2,000 per person per year

Medical Items and Home Support Services (in home nursing)
Separate maximums for Medical Items and
Home Support Services

$1,500 per person per benefit category, per year

$2,500 per person per benefit category, per year

$5,000 per person per benefit category, per year

$5,000 per person per benefit category, per year

HOSPITAL ACCOMMODATION

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 person per day
30 days maximum per year

$200 per person per day
30 days maximum per year

$200 per person per day
30 days maximum per year

$250 per person per day
30 days maximum per year

TRAVEL

Emergency Medical Travel Coverage
Out of Province/Country

10 days per trip
$5,000,000 per person per year

10 days per trip
$5,000,000 per person per year

15 days per trip
$5,000,000 per person per year

15 days per trip
$5,000,000 per person per year

GSC Plan for your family

This Plan Comparison is a summary and does not constitute a contract. Actual terms, conditions, limitations and exclusions are detailed in the contract issued by GSC upon application approval. Reimbursement will be made for eligible expenses incurred, paid for and received by the covered person provided such services and supplies are, in the opinion of GSC, medically necessary for the treatment of an illness or injury and reasonable and customary, taking all factors into account. Coverage amounts shown are in Canadian Dollars. Rates and/or benefits are subject to change with thirty (30) days written notice.

*Quebec residents can be covered up to 100% only if the drug is listed on the RAMQ formulary. If the drug is not covered by RAMQ, the standard co-pay applies.