Green Shield Employee Benefit Plan

Green Shield Canada offers a lot of benefits to plan members. These include drug benefits, dental coverage, orthodontic coverage, extended health benefits, health care spending account (HCSA), personal spending account (PSA), and travel benefits.

The drug benefits cover prescription drugs, antibiotics, specialty drugs, and so forth. Dental coverage covers basic oral surgery, bitewing x-ray, complete oral examinations, denture cleaning, panoramic x-ray, recall exam, bruxism appliance, periodontal treatment, and major dental services.

Orthodontic coverage covers all kinds of braces including clear braces, progressive braces, and conventional options. Extended health benefits cover accidental dental, audio or hearing aid, custom shoes, emergency transportation, home care services, hospital accommodations, medical terms, orthotics, orthopedic shoes, services of paramedical practitioners, vision care, and many more.

Green Shield also provides the Go Mobile that allows you to take your benefits everywhere you go. You can also easily process your claims online or take advantage of direct deposit. Your employees can get rewarded in the Green Shield employee benefit program. This is made possible by the Change4Life that rewards things you do to stay healthy.

To learn more about Green Shield employee benefit, click here.

Employee Benefit News

As health benefits fraud becomes more sophisticated, it has become important now more than ever to detect and shut down such fraudulent schemes but this may imply sifting through an unimaginable level of collusion.

People who perpetrate such fraud have mastered the benefits world and they are also innovative and technologically shrewd. They have varied activities and usually comprise plan members, plan providers, labs and suppliers, prescribers and involve up to hundreds of millions of dollars every year.

Being a longstanding leader in the detection and prevention of fraud, Green Shield and its health management solution provider division (HBM+) have created a multi-layer strategy based on artificial intelligence (AI) under its new Claim Watch banner.

Even though the range of GSC’s claims data has huge volume in every form and direction and their analysis can require a lot of time, the new AI platform can find and compile any kind of data at remarkable speed. It will also identify patterns and outliers that hitherto appear less obvious at a level deep enough to uncover suspicious activities as early as possible.

Brent Allen, vice president of service operations at GSC said that they are very proud of what GSC and HBM+ do in detecting and preventing fraud. Detecting and preventing fraud required manual processes in the past. The focus was on following a paper trail but GSC and HBM are trying to find a needle in the haystack.

Today, the AI platform is a gamechanger as it pulls every data on claims, health providers and plan members to create instant insight. GSC has a very rich data but the data is less daunting with the AI-powered microscope, Brent stated.

To learn more about Canadian Green Shield employee benefit, click here.