Your Health & Dental Plan

Overview

The UWSA, on behalf of its members, negotiates a health and dental plan for those students who are not already covered under their own or their parent’s benefit plans. This service is provided for students in order to reduce the costs of a benefit plan for students that are not already covered. In this way we use our collective strength in numbers to negotiate services students need to ensure a safe and healthy university experience. The policy coverage ceases August 31st, of each year. Students have the opportunity to opt-out of the plan if they can show proof of alternate coverage.

Opt-Out Information

To be eligible to opt outs you must be a full-time undergraduate student (including Law and Education students) registered in four (4) or more University of Windsor courses. You must already be covered under your own or your parents benefit plans. All health and dental opt out must be done online during the designated opt out period.

Fall Opt Out Period: September 1, 9am – September 30, midnight

Students will need the following information for registration:

full name and student number
name of insurance company currently covered under
group or insurance policy number

Opt-Out here

Opt-In Information

Students are able to opt-in their dependants to insure them on the Health and/or Dental plan for a fee. Co-op Students are also eligible to opt in to the UWS Health and/or Dental plan for a fee. Application forms are available at the UWSA office. All family opt-in requests must done during the designated opt in period.

Winter Opt In Period: January 1, 9am – January 31, midnight

Health Plan Coverage:

80% of prescriptions
Vaccinations
Out-of-Province/Country
Accidental Death & Dismemberment
Accidental Medical Reimbursement
Dental Accident Reimbursement
Tutorial Expense Benefit
One optometric examination during any 24 mont consecutive period
$80.00 towards eye glass lenses or contacts in any consecutive 24 months
80% up to a maximum of $300.00 each policy towards paramedical practitioners (e.g. chiropractors, massage therapist, speech therapist and physiotherapist etc.)

Dental Plan Coverage:

100% of one Exam, including X-Rays
100% of one cleaning and one Fluoride
75% coverage for removal of impacted teeth, including up to two Wisdom Teeth
75% of cost of normal fillings
Other oral surgery covered at a rate of 10%

Claims

Your Drug/Dental/EHC claims are paid by Claimsecure
All claim inquires call Toll Free 1— 888–513-4464
View your claim status at Claimsecure

When making a pay direct drug/dental claim the pharmacy/dentist will need to know the following:

Your Group Number: # 513985
Provider: Claimsecure (formerly rxplus/merx health corporation)
Your Student ID # F _ _ _ _ _ _ __ _ _ (9 digit alpha numeric number)
Example: If your student ID # is 9 digits, the correct ID # would be F 100654321

If mailing your claim please mail your prescription drug/dental/extended health claim directly to Claimsecure at: 43 Elm St., suite 200, Sudbury ON, P3C 1S4

Prescription Drug Claim Form
Dental Claim Form
Vision
Major Medical Claim Form
Out of Province
Accident
Out of Country

UWSA Office
Caw student centre 2nd floor, Room 209
(519) 253–3000 X3600
uwsa@uwindsor.ca

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