Amounts and Limits. This benefit pays the costs of hospital and medical benefits that are not covered by the provincial plan and is subject to a co-insurance factor (not payable by the plan) and/or a deductible and a maximum benefit as indicated in the following table. (2006) Item Deductible Co-Insurance Maximum Benefit Semi-Private Hospital Nil 0% Unlimited inside Canada; Major Medical Single: $25 20% $50,000 emergency and Family: $25 $15,000 elective outside Canada. Drugs 0% Maximum dispensing fee of $10 per prescription. Extended Health Benefit claims must be submitted within 365 days after the date the expense was incurred. All eligible charges covered by extended health benefits must be incurred while members are insured under the policy and must be reasonable, customary, and necessary in the treatment of sickness or injury and ordered by a qualified doctor. Eligible charges include the following, provided they are not insured services under any provincial hospital/medical plan.
Appears in 3 contracts
Samples: –19 Agreement, –19 Agreement, 2016 Agreement
Amounts and Limits. This benefit pays the costs of hospital and medical benefits that are not covered by the provincial plan and is subject to a co-insurance factor (not payable by the plan) and/or a deductible and a maximum benefit as indicated in the following table. (2006) Item Deductible Co-Insurance Maximum Benefit Semi-Private Hospital Nil 0% Unlimited inside Canada; Major Medical Single: $25 20% $50,000 emergency and Family: $25 $15,000 elective outside Canada. Drugs 0% Maximum dispensing fee of $10 per prescription. Major Medical Single: $25 Family: $25 20% Drugs 0% Extended Health Benefit claims must be submitted within 365 days after the date the expense was incurred. All eligible charges covered by extended health benefits must be incurred while members are insured under the policy and must be reasonable, customary, and necessary in the treatment of sickness or injury and ordered by a qualified doctor. Eligible charges include the following, provided they are not insured services under any provincial hospital/medical plan.
Appears in 3 contracts
Samples: 2016 Agreement, 2016 Agreement, –19 Agreement
Amounts and Limits. This benefit pays the costs of hospital and medical benefits that are not covered by the provincial plan and is subject to a co-insurance factor (not payable by the plan) and/or a deductible and a maximum benefit as indicated in the following table. (2006) Item Deductible Co-Insurance Maximum Benefit Semi-Private Hospital Nil 0% Unlimited inside Canada; Major Medical Single: $25 20% $50,000 emergency and Family: $25 $15,000 elective outside Canada. Drugs 0% Maximum Effective January 1, 2007, maximum dispensing fee of $10 per prescription. Major Medical Single: $25 Family: $25 20% Drugs 0% Extended Health Benefit claims must be submitted within 365 days after the date the expense was incurred. All eligible charges covered by extended health benefits must be incurred while members are insured under the policy and must be reasonable, customary, and necessary in the treatment of sickness or injury and ordered by a qualified doctor. Eligible charges include the following, provided they are not insured services under any provincial hospital/medical plan.
Appears in 1 contract
Samples: –8 Agreement
Amounts and Limits. This benefit pays the costs of hospital and medical benefits that are not covered by the provincial plan and is subject to a co-insurance factor (not payable by the plan) and/or a deductible and a maximum benefit as indicated in the following table. (2006) Item Deductible Co-Insurance Maximum Benefit Semi-Private Hospital Nil 0% Unlimited inside Canada; $50,000 emergency and $15,000 elective outside Canada. Maximum dispensing fee of Major Medical Single: $25 20% $50,000 emergency and Family: $25 $15,000 elective outside Canada. 20% Drugs 0% Maximum dispensing fee of $10 per prescription. Extended Health Benefit claims must be submitted within 365 days after the date the expense was incurred. All eligible charges covered by extended health benefits must be incurred while members are insured under the policy and must be reasonable, customary, and necessary in the treatment of sickness or injury and ordered by a qualified doctor. Eligible charges include the following, provided they are not insured services under any provincial hospital/medical plan.
Appears in 1 contract
Samples: –13 Agreement
Amounts and Limits. This benefit pays the costs of hospital and medical benefits that are not covered by the provincial plan and is subject to a co-insurance coinsurance factor (not payable by the plan) and/or a deductible and a maximum benefit as indicated in the following table. (2006) Item Deductible Co-Insurance Maximum Benefit Semi-Private Hospital Nil 0% Unlimited inside Canada; $50,000 emergency and $15,000 elective outside Canada. Major Medical Single: $25 20% $50,000 emergency and Family: $25 $15,000 elective outside Canada. 20% Drugs 0% Maximum dispensing fee of $10 per prescription. Extended Health Benefit claims must be submitted within 365 days after the date the expense was incurred. All eligible charges covered by extended health benefits must be incurred while members are insured under the policy and must be reasonable, customary, and necessary in the treatment of sickness or injury and ordered by a qualified doctor. Eligible charges include the following, provided they are not insured services under any provincial hospital/medical plan.
Appears in 1 contract
Samples: 2004–5 Agreement