Plan Member Forms
If you have to submit your own claims to GSC, here are some of the most commonly requested claim forms that you will need:
- General (for Drug and Extended Health Services)
- Dental
- Health Care Spending Account (HCSA)
- Personal Spending Account (PSA)
For access to some of our more specific claim forms, click below.
- Audio
- Authorization for Custom Braces
- Authorization for Oxygen Equipment and Supplies
- Authorization for Post-Cataract Surgery and Prosthetic Eyewear
- Authorization for Prosthetic Appliances and Durable Medical Equipment
- Childcare
- Chronic Care/Alternate Level of Care
- Custom Foot Orthotics
- Emergency Medical Expense
*This form is to be used to make health claims while travelling Out-of-Province/Out-of-Canada. - Government Health Insurance Replacement (VS Plan)
- Hospitalization
- Long-Term Care Facility
- Medical Devices
- Related Health Professional Services
- Scholarship Program for Dependent Children
- Services performed by an R.N., R.N.A., R.P.N., P.N.A. or L.P.N., Personal Support Worker
- Vision