Accident Coverage-Maximum reimbursement of $10,000 for eligible medical, $250.00 for ambulance and $1,000.00 for dental expenses incurred resulting from one accident. Accidental claims will be paid on a reimbursement basis and are to be sent through the Health and Dental Plan Coordinator located at the WLUSU office. 

Emergency Out of Province/Canada Hospital, Surgical & Medical expenses to a maximum of $1,000,000.00. Eligible benefits are limited to a maximum of 60 days per trip.

Travel Assist Brochure

For Prescription Drug Claims, you simply present you DRUG ID card to a pharmacist. You will be responsible for 20% of the cost of the prescription. The pharmacist will deal directly with Green Shield Canada for the remaining 80%. Should the pharmacist encounter any problems when submitting a claim, ask the pharmacist to call Green Shield directly at 1-888-711-1119 identifying you as a WLU student and requesting confirmation.

NOTE: Claims for the following services must be processed manually; travel immunizations, allergy serum, smoking cessation and diabetic supplies. Simply follow the claim procedure outlined below under Extended Health Claim receipts.

How will you receive your drug card?

Click Here for your Pay Direct Drug Card. 

Simply write your 9 digit WLU student ID number  in the space provided.  Cards are also available for pick up at  Health and Dental Plan Coordinators office on the 3rd floor of the Fred Nichols Campus Centre, 75 University Avenue West, Waterloo.
All other Extended Health claim receipts (including visions claims) must be mailed to RWAM Insurance Administrator's with a completed Claim for Health Benefits form. RWAM's mailing address is indicated on the claim form. Forms are available under the section titled "Downloads". Please ensure that your student ID number, date of birth and a mailing address are shown on the claim form. Claims may also be dropped off at the Health Plan coordinator's office.
To make an Electronic Dental claim

Most dental offices can submit your claim to RWAM Insurance Administrator's electronically, however you must at the time of your visit, provide the dental office with the following information:

Name of Insuring Agency:

• RWAM Insurance Administrators Inc.
• Group number: 490002
• Certificate Number: (student 9 digit student ID number)

Manual Dental Claim

Obtain a completed Standard Dental Claim Form from your dentist's office. The plan member must complete Part 2 & 3 (see Insurance particulars provided under Electronic Dental claims and sign where indicated on the Dental claim form. Please ensure that the form is completed and signed before mailing to:

Claims may also be dropped off at the Health Plan Coordinator's office on the 3rd Floor of the Fred Nichols Campus Centre.

All Claims must be submitted within 90 days of the end of the policy year.  In NO case will claims be considered when submitted more than 12 months from the date the claim was incurred.

In order to keep the price of the Student Health Plan affordable, your Student Union has implemented the Student Managed Drug Formulary. The plan utilizes the Ontario Managed Drug formulary (with several additions and deletions). A drug formulary is a list of eligible drugs that will be covered by the plan based on the following:

1. There is often a substantial difference in price for the same (chemically identical) drug depending on whether it is produced by the brand name pharmaceutical company, which developed the drug or by a generic manufacturer, and,
2. Within a therapeutic class (category) of drugs, there may be a number of different drugs which treat a particular medical situation. Therapeutic cross-selection serves the same function for a given medical situation at a lower cost.

PLEASE NOTE THAT THE 2010 OPT OUT WILL START AUG. 16TH

AND WILL ONLY BE AVAILABLE ON THE NEW WEBSITE WHICH WILL BE ACTIVATED BY AUG 9th 2010