How to use the plan

How to Use the Extended Health and Dental Plan

After the blackout is over your insurance ID card for direct billing will be available online by registering and creating your personal Pacific Blue Cross account.

The GSS e-bulletin will let you know once the digital cards are available online.
Sign up here for the GSS e-bulletin.

The insurance card contains all the information needed by a service provider (pharmacist, dentist, paramedical service providers and so on) in order to submit an eligible claim on your behalf to the insurance company.

You don’t need the physical card if you have the following information for your eligible service provider:

  • Our insurance company is Pacific Blue Cross
  • Our group policy number is 43222
  • Your personal ID number is the last seven digits of your UVic student number

 

If your service provider does not offer direct billing to the insurance company or if you live out-of-province, you will have to pay the bill and submit the claim yourself either online or by mail.

Although the year of insurance coverage runs from September 1 to August 31, some benefits are available according to the calendar year. In other words, some benefit maximums reset on December 31 each year (with the exception of vision care, part of dental, and eye exams).

 

In order to access your card, submit online claims, and monitor your benefits create an account on Pacific Blue Cross’ website.

To register and create your account online, please go to the Pacific Blue Cross member login

  • If you have created an account before you will need to click on “I want to Register for Access to my Member Profile”
  • Use the information above to create your account

 

After giving the clinic/office your direct billing information (see above), then you only pay the difference not covered by your plan.  You can monitor your amount online by creating your online insurance account.

Paramedical practitioners each have a $10 per person per visit copayment.

Registered massage therapy, Physiotherapy, Athletic therapy, Chiropractor (including x-rays), Naturopath, Podiatrist, Acupuncture, Speech therapy, and chiropodist each have an annual per calendar maximum coverage of $250 per person.

Registered psychologist/Registered Clinical Counsellor (combined) has an annual maximum of $500 per person per calendar year.

Some paramedical services may require a doctor’s note with a diagnosis (see the complete list in the coverage booklet on our forms page).  All doctor notes must available upon request and are valid on file for 24 months from the date it was prescribed. 

To search for an extended health practitioners that offer direct billing to the insurance company in British Columbia, start by selecting the health provider service, and type in your city.  It will provide you with a list of clinics/offices that offer direct billing with the insurance company. 

Create your online insurance account.  On the main page after logging in, click on the View Details button on “Drug”.  Search for specific drugs by typing in the drug name or DIN, drug identification number, to see if it is covered (some restrictions may apply)

Prescription drugs are covered at 70% for eligible prescription drugs including contraceptives, life sustaining vitamins, anti-obesity drugs, and certain vaccines.  Pharmacare drugs are subject to the low cost alternative and reference drugs program in British Columbia.  Non pharmacare drugs will be subject to a low cost alternative pricing with a 15% mark-up cap.  All drugs under the GSS Extended Health Plan are subject to a $10 dispensing fee cap. 

Some prescription drugs may be covered by a government agency or requires special authority with special considerations and set maximums by the provincial government.  Please speak to your prescribing practitioner who may apply on your behalf to a government agency. 

If coverage is denied or not provided for your condition, you may need to provide a letter from your physician to indicate your medical condition.  The Health and Dental Coordinator can submit your case for further review for eligibility under the GSS Extended Health Plan.  You can contact the Health and Dental Coordinator at gsoc@uvic.ca.  Include your student number and any relevant documentation.

To search for comparable drug prices, see the FAQ.

The GSS Dental Plan covers basic dental services coverage at 70% to a calendar year maximum of $750.  For more details, download the 2020-2021 Benefit Booklet found on the GSS Health & Dental Forms page, or log onto your online insurance account.   

To find out how to submit a dental claim, see our FAQ.