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The website is being updated for the 2022-2023 policy (Sept. 1, 2022 - Aug. 31, 2023). For information on the 2021-2022 policy year, click here.

Click here for an FAQ on Plan coverage related to COVID-19 that will be continually updated as we monitor the situation.
                
   

FAQ

The following frequently asked questions are posted to help you better understand the Plan.

Opt Out

Can I opt out?

You can opt out of the Health and/or Dental Plan during the Change-of-Coverage Period. If you’re opting out of the Health Plan, you must provide proof of alternative health coverage (such as a parent's or spouse’s employee benefit plan); if you’re opting out of the Dental Plan, you don’t need to provide proof of alternative coverage. Only new January academic starts can opt out during the Winter Change-of-Coverage Period.

How do I opt out?

All opt outs are done online through our websitehere. You’ll need your student ID number and your date of birth. Opting out online ensures quick processing and allows you to receive an instant confirmation of your opt out.

How do I know if my opt out is complete?

After you have successfully opted out of the Plan, you'll receive an automated confirmation email once your opt out is complete. If you don’t receive an opt out confirmation email by the end of the Change-of-Coverage Period, please contact the Care Centre.

When do I get my refund?

If you successfully opt out, you’ll receive an email money transfer or a direct deposit for the amount of the Plan shortly after the end of the appropriate Change-of-Coverage Period.

How do I get my refund?

If you successfully opt out, you’ll receive an email money transfer or a direct deposit for the amount of the Plan shortly after the end of the appropriate Change-of-Coverage Period.

I’m locked out of the Email Money Transfer Password Retrieval system. What do I do?

The Email Money Transfer Password Retrieval system is only available once the refund e-transfers have been issued. Please do not try to log in beforehand. If your refund has been issued, and you can’t remember your password, please double-check that all your information is correct when accessing the Email Money Transfer Password Retrieval system. If you enter the wrong information, you will be locked out after 5 attempts. If you are currently locked out, please contact our Care Centre as soon as possible.

What happens if my refund e-transfer is cancelled because I forgot my password?

If you maxed out your password attempts, your bank will automatically cancel the e-transfer. If this happens, a cheque in the amount of the reimbursement minus a $10 administration fee will be automatically issued to the address we have on file, 6 weeks from the date your e-transfer was sent. If your address has recently changed, please contact our Care Centreas soon as possible.

Self Enrolment

How can I enrol myself in the Plan?

All self-enrolments are done online during the appropriate Change-of-Coverage Period through our website by clicking here. You’ll need your student ID number and your date of birth. Self-enrolling online ensures quick processing and allows you to receive an instant confirmation of your self-enrolment request.

What kind of proof of eligibility document do you need?

If the university didn’t bill you automatically but you’re eligible for the Plan, you must provide proof of eligibility (“Tuition Statement”) during the online self-enrolment process.

When will I receive payment instructions for my online self-enrolment?

Once your online self-enrolment and proof of eligibility documents have been reviewed, you’ll receive an automated email with payment instructions and a deadline during or shortly after the appropriate Change-of-Coverage Period.

How long is my self-enrolment valid for?

All self-enrolments for Fall Session students are valid from Sept. 1, 2021 – Aug. 31, 2022. New eligible January academic start students may enrol themselves in the Plan for coverage from Jan. 1, 2022 – Aug. 31, 2022.

Couple & Family Enrolments

Can I enrol my family in the Plan?

Yes, your Plan gives you the option to enrol your family (spouse and/or dependent children) during the appropriateChange-of-Coverage Period by completing an enrolment process and by paying an additional fee, over and above your individual fee as a Plan member, through our website by clicking here. Common law couples are eligible.

Can I enrol all of my family members?

Your Plan gives you the option to enrol your dependent children and/or your spouse. You can only cover one spouse at a time.

Can I opt out and enrol my family members?

No, you must remain covered by the Plan in order to enrol your eligible family members. Dependants’ coverage must be equal to or lesser than the Plan member’s coverage.

Will their coverage automatically be renewed next year?

Coverage is only for the current policy year. If you want to cover your dependants in subsequent policy years, you must renew your couple/family coverage during the Change-of-Coverage Period at the beginning of each school year.

Claiming

What are the different ways I can claim?

You can claim online by downloading the Studentcare mobile app. Alternatively, you can also submit your receipts and paper claims directly to Desjardins Insurance by mail. For more information, click here.

What’s an Explanation of Benefits?

An explanation of benefits (EOB) statement tells you what portion of a claim was paid to the health-care provider and what portion you must pay. Once your claim has been processed, you’ll receive an EOB from your insurer either electronically or by mail.

Is there a claiming deadline?

Yes, all health and dental claims must be received by Green Shield no later than 12 months after the date the eligible benefit was incurred. For more information, click here.

Prescription Drugs

Which drugs are covered under my Plan?

The UTSU Health Plan covers most medications legally requiring a prescription, and drugs that don't legally require a prescription, such as insulin and all other injectables approved by the insurer, as well as related supplies such as diabetic syringes, needles, and testing agents. For more information, including prescription drug coverage maximums, pleaseclick here.

How do I know if my drug is eligible for coverage?

To find out if a specific drug is covered, contact the Care Centre with both the name of the drug and its Drug Identification Number (DIN).

How do I use my Pay-Direct Card?

By presenting the Pay-Direct Card with your valid student ID card, you can fill your prescriptions at most pharmacies in Ontario. The pharmacist will be able to process the claim immediately, so you won’t have to pay the full amount up front and wait to be reimbursed.

Studentcare Networks

What are the Studentcare Networks?

The Studentcare Networks are composed of different types of health and dental practitioners conveniently located in your area and other regions of Canada. Their commitment to helping students provides you with the option of paying less for their services. Studentcare Networks savings work in addition to your insured benefits so that you can save even more money.

Do I have to see a Studentcare Networks professional?

You’re not limited to Studentcare Networks members. You’re covered for the insured portion regardless of the practitioner you choose. By consulting a member of the Studentcare Networks, you’ll get additional coverage.

Out-of-Province Students

Can I access the Plan benefits if I move to Ontario but keep my home provincial health care?

Yes, you can access your Plan benefits if you have access to any Canadian provincial health-care coverage.

Can I use the Plan benefits anywhere in Canada?

Yes, you can use your Plan benefits anywhere in Canada. For more information on how to claim, click here.

Combining Plans & Coordinating Benefits

Can I coordinate benefits with another plan?

Yes, if you’re covered by another extended plan in addition to your student Plan (e.g. through a parent's or spouse's employer, or your own employer), you may coordinate the benefits in order to increase your overall coverage, up to 100%.

How do I coordinate benefits with my employee plan?

If you’re covered by your employer in addition to a student Plan, your employee plan is your primary plan. All claims must first be submitted to your employee plan, and then the remaining balance can be sent to your student Plan. For step-by-step instructions, click here.

How do I coordinate benefits with my parent’s or spouse’s plan?

If you’re covered by your spouse’s or parent’s plan in addition to a student Plan, your student Plan is your primary plan. All claims must first be submitted to your student Plan, and then the remaining balance can be sent to your spouse’s or parent’s plan. For step-by-step instructions, click here.

You still have some unanswered questions?
Don't hesitate to contact the Care Center

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