Benefits
ZONE Plan 4
ZONE Plan 5
ZONE Plan 6
N/A
Total
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

Total
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.