Guaranteed Coverage
BENEFITS THAT WORK FULL TIME FOR THOSE WHO DON’T
HCP & Our Partners
HCP is owned and operated by HMA The BENEFITS People, which was established in 1984.
The HCP Team is supported by a strong group of client focused individuals, including our plan partners who play an integral role in the HCP plan. Extended health care and dental plans provided and underwritten by GreenShield Canada Insurance™ Trademarks owned by GreenShield Canada Insurance and life insurance, long term disability and accidental death, disease, and dismemberment provided and underwritten by The Cooperators.
Access to Benefits
Many part time and casual employees do not have access to benefits through the hospital and many employees lose benefits at age 65 or retirement.
Comprehensive Coverage
While employees at any hospital may join the plan, employees of endorsing hospitals receive more robust protection, guaranteed to them in a 60-day open window. Find out if your hospital is an endorsing hospital by searching under the resource tab on our website.
Customized Plans
HCP was specifically designed for part time, casual and retired employees of hospitals. Whether you’re working more than 18 hours or less than 18 hours per week, whether you’re casual, temporary, contract, part time or retired or have health and dental coverage elsewhere, we have an option for you!
Why choose HCP?
What Our Plan Members Are Saying
I feel grateful to HCP that they care enough about us to offer both this insurance and assurance that I can now enjoy my retirement with that extra protection. Great benefits and the staff are always very helpful and quick to respond.
I am looking forward to my new coverage. HCP made the transition very easy!
Gail Meghan
Brockville General Hospital
Lakeridge Health
Kingston Health Sciences
Jayne
STANDARD
Package Eligibility & Benefits
You are eligible for the Standard Package. Your package eligibility is determined by your average hours worked and your employment status. All enrollees must be actively at work and not off on any type of leave such as disability or maternity.
Eligibility - Under 65
Work less than 18 hours per week
Retired
Employment status of permanent*
part-time or casual, temporary or contract**
Eligibility - 65+
Age 65 or older
Working more or less than 18 hours per week
Retired
Employment status of permanent* part-time or casual, temporary or contract**
Benefits include the following:
Extended health care benefits
Dental care benefits (optional)
*Permanent - a position for which there is NO end date
**Temporary or contract - employment which has a set end date at the time of hire. Temporary or contract employees, regardless of hours worked per week, are eligible only for our Standard package.
Guaranteed Coverage
HCP is proud to offer guaranteed* health plans to eligible employees.
Use this chart to determine guaranteed* coverage.
*Guaranteed - eligibility and open window conditions apply. Coverage eligibility and guarantee can only be verified at time of enrollment.
Does your hospital endorse the HCP Plan? Yes No
Are you in a 60-Day Open Window? Yes No
Complete or Complete Plus Health Plan
Essential or Essential Plus Health Plan
Essential or Essential Plus Health Plan
Extended Health Care Plans included in the Standard Package
*Guaranteed anytime
*Guaranteed in a 60-day open window Medically underwritten
/Naturopath/Accupuncturist/ Dietician/Occupational Therapist
Dental Plans
Dental plans are available as an optional add-on to the Standard Package.
Overall Dental Plan Maximums
Endodontic & Periodontal Services
Major Restorative Services
Summary of Eligible Services
Eligible services include recall examinations once every 9 months, fillings cleanings, scalings, examinations, polishing, extractions, general anesthetic and other standard services.
Endodontic treatment includes root canal therapy. Periodontal treatment includes addressing diseased bones and gums.
Major Restorative Services
Dentures include standard complete, immediate, transitional and partial denture. Crowns include standard onlays or crown restorations (paid to full metal on molar) to restore diseased or accidentally injured natural teeth.
Standard bridges, including pontics, abutment retainers/crowns (paid to full metal on molar) on natural teeth. Standard repair or re-cementing of crowns, onlays and bridge work on natural teeth.
The Details
Prescription Drugs: (Pay Direct Drug Card system) Benefits include drugs legally requiring a prescription, diabetic needles and syringes. Pay generic only unless otherwise indicated in the prescription. Benefits do not include smoking cessation products and medication for the treatment of obesity, erectile dysfunction and infertility.
Travel Benefit: Out of province/out of country emergency medical services up to 60 days for each trip; dollar maximum is per calendar year regardless of the number of trips.
Trip Cancellation: Per covered person, per trip included in the overall maximum out of province/out of country.
Hospital Accommodations: Semi-private room in a public general hospital.
Private Duty Nursing: Services of an RN or RPN or LPN or PSW
Vision: Maximums apply every 24 months based on date of first paid claim. Prescription eye glasses and/or contact lenses and/or laser eye surgery, eye exams (this benefit is only available for residents in provinces that do not cover eye exams under their provincial plan).
Audio: Hearing aids, repairs or replacement parts (maximums apply every 5 years based on the date of first paid claim).
Accidental Dental: Accidental injury to natural teeth. Submit accident report immediately.
Medical Items: Includes items such as wheelchair, hospital bed, glucometer and lancets, orthotics, prosthetics, ventilator, pressure gradient stockings, etc. Each individual item is scaled to usual customary limits.
Emergency Transportation: Land or air ambulance.
Medical Alert Bracelets: Maximums apply every 2 years based on date of first paid claim.
Maximums: There is no lifetime maximum or overall annual plan maximum. Stated maximums are per benefit year unless otherwise specified and apply to each plan member and insured dependant.
Co-insurance: Percentage the Insurer pays, subject to coverage maximums, applies to all categories of coverage unless otherwise specifically stated
Deductible: There is no deductible on any of the health or dental plans.
Dental Free Guide: Coverage follows current fee guide.
For additional plan details, please visit: healthcareproviders.ca/fine-print
Tools offered through GreenShield
GreenShield+ is coverage and care, all in one place. Check your benefits coverage, search for local healthcare providers, and seamlessly submit your benefits claims. With GreenShield+, there are no surprises confirm status and eligibility at any time, from anywhere.
Focus on your health and well-being knowing GreenShield+ online services are fully integrated with your personal health insurance plan.
With GreenShield+ you can:
Check your available benefits and balances
Search your drug coverage by name or drug identification number
Check your eligibility and coverage for most health services and medical items
Submit claims and view all previous claims and their status
Find healthcare providers in your area who will submit claims directly to GreenShield on your behalf. Search by business type or name on the interactive map.
Sign up for direct deposit
View and download a digital copy of your GreenShield ID card
Review your Benefit Plan Booklet
Premium Guide
Rates are effective November 1st, 2024 for Residents of Ontario
If you have determined you are not in an Open Window or your hospital is not endorsing, you are only guaranteed Essential or Essential Plus health. Rates follow age of employee.
All rates listed are paid monthly and are inclusive of all taxes if applicable in your province of residence. Your coverage and your premium may be affected by changes in your weekly hours of work, your job status and/or your family status. It is your sole responsibility to make Health Care Providers aware of any such changes at the time of occurrence. Any premium paid towards coverage for which you were ineligible or which you no longer required as a result of non-contact at the time of the changes will not be refunded.
Premium Guide
Rates are effective November 1st, 2024 for Residents of Ontario
If you have determined you are not in an Open Window or your hospital is not endorsing, you are only guaranteed Essential or Essential Plus health. Rates follow age of employee.
All rates listed are paid monthly and are inclusive of all taxes if applicable in your province of residence. Your coverage and your premium may be affected by changes in your weekly hours of work, your job status and/or your family status. It is your sole responsibility to make Health Care Providers aware of any such changes at the time of occurrence. Any premium paid towards coverage for which you were ineligible or which you no longer required as a result of non-contact at the time of the changes will not be refunded.
How to Apply
You can apply by completing our online enrollment form using the Buy Now button.
A member of the HCP team will review your enrollment form and reach out if any additional information or forms are required.
You can apply using our forms as follows:
Form 1C: Group Enrollment Form to be completed by all enrollees (not required if applying through the Buy Now button)
Form 2: Statement of Health questionnaire to be completed by any enrollee wishing to be considered for the Optimum health plan
60 Day Offer: To be completed by HR for those enrolling in a 60-day open window and are eligible for the Complete/Complete Plus health plan. Contact your HR department to obtain the form. This form is not required if you have a copy of your job offer letter or loss of benefits letter.
If you wish to be considered for the Optimum health plan, you will be enrolled in the guaranteed option of your choice until your file has gone through the underwriting process. You will be moved into the Optimum on the 1st day of the month following the date of approval and premiums adjusted if applicable.
Premium Payment
Deposit and First Month Premium
A deposit and first month premium payment are required with each enrollment. Both payments are equal to the monthly premium for the plan into which you are enrolling.
The deposit will be held in trust for the duration of the time you are covered under the HCP plan and may serve to ensure there is no disruption in your coverage should we not be able to collect payment from you in any given month - ie. - insufficient funds. If not used to cover premium, it will be returned to you at the time of termination.
The first month premium is used to cover the cost of your first month of coverage under the plan.
You can pay the deposit and first month premium by cheque or credit card.
If you choose to pay the deposit and first month premium by cheque, your deposit cheque is to be dated the same date as your enrollment forms and WILL be cashed when the enrollment forms are received. This cheque is NOT VOID and must be payable to HCP Group Insurance Plan.
Your first month premium cheque is to be dated for the first month in which your coverage will begin. This cheque is NOT VOID and must be payable to HCP Group Insurance Plan.
Ongoing Monthly Premium Payment
Following your enrollment, ongoing monthly premium payments are made by pre-authorized, automatic debit from the chequing account of your choice. The withdrawal will occur on your last pay day each month and are used to pay for your coverage for the following month. You must provide banking details with your enrollment (i.e.: a void cheque, pre-authorized debit form or banking details listed on the enrollment form).
Frequently Asked Questions
Am I really guaranteed coverage regardless of my medical history?
Yes. You and your family members are guaranteed the Essential or Essential Plus health plan regardless of pre-existing health conditions and the health of your dependents. The Essential and Essential Plus health plans are available to all eligible enrollees regardless of hours worked, employment status, time of enrollment or hospital of employment. Enrollees who actively working for a Canadian endorsing hospital and are in a 60-day open window will be guaranteed the Complete or Complete Plus health plan.
What is a 60-day Open Window?
The term 60-day open window refers to a one-time opportunity to receive the Complete or Complete Plus health plan guaranteed. 60-day open window opportunities arise from the first of the following occurrences:
• Initial hire date at the hospital
• Losing group health coverage as a result of retirement from a full-time position
• Losing group health coverage as a result of a transfer from full-time to part-time
• Losing group health coverage as a result of turning age 65
• FIRST offer from the hospital of non-temporary or non-contract employment
* 60-day open windows apply only to those employed at an endorsing hospital. Other specific circumstances may apply.
What does “actively at work” mean?
In order to be considered actively at work, you must be a hospital employee that is scheduled to work or have retired from active employment. For example, you are not considered to be actively at work if you are on a disability or maternity leave.
Frequently Asked Questions
I am a temporary part-time employee; does HCP have anything for me?
Absolutely! Regardless of hours worked in a week, you are eligible to apply for our Standard Package, which offers a variety of health and dental plan options.
Do I have to cancel my coverage if I am no longer employed at a hospital?
No. We have coverage that is both portable and flexible. Should you cease to be employed at a hospital, your health and dental plans will continue under your current plan option.
How do I know if I work for an endorsing hospital?
You can confirm that you work in an endorsing hospital by viewing the list of endorsing hospitals. Or you may call our office at 1-866-768-1477 to speak to one of our Customer Service Associates.
For more answers to frequently asked questions, visit our FAQ page: healthcareproviders.ca/faqs
