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GMS Personal Health Coverage

GMS

A personal health plan from GMS

A Personal Health Plan from GMS gives you coverage for everyday health needs and medical emergencies not covered by provincial health plans. Just need the basics? Want to top up your work benefits plan? Looking for a comprehensive package? You’re able to build a plan that’s right for you and your family.

GMS has three base plans to choose from and optional benefits like prescription drugs and dental care you can add. Mix and match the base plans and optional benefits to create a plan that suits your needs and those of your family — no matter what stage of life you’re in!

GMS Personal Health plans are part of your overall wellness plan

GMS Personal Health offers BasicPlan, ExtendaPlan or OmniPlan to fit your lifestyle as a vital part of your overall wellness plan.

With every GMS Personal Health Plan you can have coverage for:

You can add dental, drug and hospital cash benefits to any GMS Personal Health Plan for just a few more dollars each month.

And we understand that selecting coverage can be a challenge for people with conditions like high blood pressure, asthma or depression, but not with GMS Enhanced Prescription Drugs Benefit. This option can be added to any Personal Health Plan and lets you use $800 of your yearly limit for non-formulary and special status drugs, as well as drugs to treat pre-existing conditions.

Love to travel? You can add travel emergency medical coverage too.

GMS does their best to make your life easy

GMS offers great health coverage that can begin on any date, not just the 1st of the month like most insurance providers. Do you want coverage to start on the 16th of the month? That can happen!

No matter what stage of life you’re in, GMS health insurance plans offer the convenience of a pay-direct card so you can skip submitting claims documents when you use the plan at participating pharmacies, dentists, massage therapists, physiotherapists, psychologists, and more — and they’ll bill GMS directly for covered costs. No need to pay out of pocket! Send your other claims online and sign up for direct deposit, so you can get your money back faster. Use the GMS eClaims Provider Locator to find health and vision service providers near you.

Which GMS personal health plan is right for you?

At SBIS, we can help you choose the one that best suits your needs and budget.

Click on the chart buttons below to discover your GMS Personal Health Plan options.

Why do you need GMS health insurance?

As Canadians, we enjoy the benefits of our publicly funded healthcare system. It covers the basics, such as trips to your family doctor or the emergency room and most immunizations. But not all healthcare costs are covered – and that means out of pocket expenses for you.

GMS Personal Health Plans can cover healthcare costs government health plans don’t. Things such as contact lenses, dental exams, and massage treatments that help you feel and be your best. And when the unexpected happens, they cover the costs of ground and air ambulance, preferred hospital rooms, medical equipment, and more to make sure you get the care you deserve.

GMS Personal Health plans are great for self-employed individuals, families, business owners and retirees. Personal Health plans are medically underwritten, which means pre-existing conditions may be excluded.

If you’re leaving a group plan, you are eligible for a GMS Replacement Health plan that offers guaranteed acceptance with no medical questions asked. That means your premium won’t be affected by health conditions you might have developed while covered under your group benefits plan. GMS has packaged Replacement Health plans to provide you with similar benefits to most group benefit plans so you can maintain your health.

With SBIS, you can get GMS protection today. Make GMS part of your wellness plan.

ANSWERS TO YOUR IMPORTANT QUESTIONS

It is a flexible personal health coverage option that helps pay for healthcare expenses not covered by provincial plans. These plans are suitable for individuals, families, retirees, and self-employed Canadians who want added financial protection for everyday and unexpected health needs.
Coverage can include health practitioners, prescription eyewear, dental care, medical equipment, and emergency services. Plans are built to complement government healthcare by reducing out-of-pocket costs for commonly used health services.
Benefits may include coverage for therapies such as physiotherapy, massage, acupuncture, mental health services, vision care, ambulance services, hospital accommodations, and emergency travel protection, depending on the plan selected.
Yes, these plans are well suited for families, business owners, freelancers, and retirees who do not have access to group benefits or want to enhance existing coverage with additional health protection.
Plans allow you to select from multiple base options and add benefits such as dental care, prescription drugs, and hospital cash coverage. This flexibility makes it easier to adjust protection as your health needs change over time.
Coverage can start on almost any date, not just the beginning of the month. This allows individuals to activate protection quickly without waiting weeks for coverage to take effect.
Many providers offer direct billing at participating pharmacies and healthcare offices, reducing the need to submit claims. Other claims can be submitted online with direct deposit for faster reimbursement.

Wait – See How Much You Could Save!

Most Canadians overpay or stay under‑insured simply because comparing plans feels overwhelming. Get professional advice completely free from an SBIS advisor, who will compare leading health, dental, and travel plans and help you find coverage that fits your life and budget with no obligation to buy.​

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