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Please provide your information to access the GreenShield discounted rate for the ALAViDA TRAiL Hello Premium program for substance management.

By submitting my information I understand and agree that if I am eligible for full coverage through my benefits plan, ALAViDA will submit a claim directly to GreenShield on my behalf within two business days or less, and GreenShield will reimburse ALAViDA.

Plan Member Details
As written on the GreenShield ID card.

First Name Last Name Date of Birth GreenShield ID#

Ends in "00" and can be found on the front of the plan member ID card, the GreenShield everywhere site and app, or by calling 1-888-711-1119.

Check this box if you are a dependent on the benefits plan, i.e. spouse or child

Please enter your personal mobile number and email. They will be used by the ALAViDA Care Team to reach out to you and for notifications on your TRAiL app. Email Mobile Number Preferred Language Country Province

You certify you are at least the age of majority in your jurisdiction and agree to ALAViDA's Terms of Service and Privacy Policy.

Let's get you started!

Plan Member Details As written on the GreenShield ID card.

Your Details

Plan Member Details
As written on the GreenShield ID card.