Benefit Summary. The Employer agrees to make available to each Employee in the bargaining unit of Local 5167 a current copy of the Benefit Summary. The Employer further agrees to provide a copy of the Master Plan, specific to this bargaining unit, to CUPE Local 5167 Executive, as soon as possible following ratification with updates as necessary thereafter.
Benefit Summary. Medical/Prescription Norton City Schools Blue Access® (PPO) Covered Benefits Network Non-Network Deductible (Single/Family) $1,100/$2,200*(see wellness) $1,400/$2,800* (see wellness) Out-of-Pocket Limit (Single/Family) $1,900/$3,800* (see wellness) $2,800/$5,600* (see wellness) Physician Home and Office Services (PCP/SCP) Primary Care Physician (PCP)/ Specialty Care Physician (SCP) Including Office Surgeries and allergy serum: allergy injections (PCP and SCP) allergy testing MRAs, MRIs, PETS, C-Scans, Nuclear Cardiology Imaging Studies, Non-maternity related Ultrasounds and pharmaceutical products $30/$40 $10 10% 10% 30% 30% 30% 30% Preventive Care Services Services include but are not limited to: Routine Exams, Mammograms, Pelvic Exams, Pap testing, PSA tests, Immunizations1, Annual diabetic eye exam, Vision and Hearing screenings Physician Home and Office Visits (PCP/SCP) Other Outpatient Services @ Hospital/Alternative Care Facility No copayment/coinsurance No copayment/coinsurance 30% 30% Emergency and Urgent Care Emergency Room Services facility/other covered services (copayment waived if admitted) Urgent Care Center Services MRAs, MRIs, PETS, C-Scans, Nuclear Cardiology Imaging Studies, Non-maternity related Ultrasounds and pharmaceutical products Allergy injections Allergy testing $150 $40 10% $10 10% $150 30% 30% 30% 30% Inpatient and Outpatient Professional Services Include but are not limited to: Medical Care visits (1 per day), Intensive Medical Care, Concurrent Care, Consultations, Surgery and administration of general anesthesia and Newborn exams 10% 30% Inpatient Facility Services (Network/Non-Network combined) Unlimited days except for: 60 days for physical medicine/rehab (limit includes Day Rehabilitation Therapy Services on an outpatient basis) 120 days for skilled nursing facility 10% 30% Covered Benefits Network Non-Network Outpatient Surgery Hospital/Alternative Care Facility Surgery and administration of general anesthesia 10% 30% Other Outpatient Services (Combined Network & Non- Network limits) including but not limited to: Non Surgical Outpatient Services for example: MRIs, C-Scans, Chemotherapy, Ultrasounds, and other diagnostic outpatient services. Home Care Services 90 visits (excludes IV Therapy) Durable Medical Equipment and Orthotics Prosthetic Devices Prosthetic Limbs Physical Medicine Therapy Day Rehabilitation programs Hospice Care Ambulance Services 10% 10% 10% 30% 10% 10% Outpat...
Benefit Summary. A summary only of Health and Welfare Benefits is provided below. Where spousal benefit coverage is provided, it shall include "common-law spouse", defined as same sex and opposite sex individuals where the employee has signed a declaration or affidavit that s/he has been living in a common-law relationship or has been cohabiting for at least twelve (12) months. The period of cohabitation may be less than twelve (12) months where the employee has claimed the common-law spouse's child/ren for taxation purposes.
Benefit Summary. BENEFIT WHO ELIGIBLE WHEN COST SHARING Medical Services Plan of BC Regular employees who work more than 17.5 hours per week 1st month following date of appointment as a regular employee 100% Board
Benefit Summary. The Employer shall provide each employee with booklets containing benefit plan details.
Benefit Summary. Benefit Who Is Eligible When Eligible Cost Sharing Medical Regular employees who work seventeen and one-half (17 ½) hours or more per week The first (1st) day of the month following date of appointment as a regular employee 100 % Board Extended Health (as above) (as above) 100% Board Dental (as above) (as above) 100% Board Life Insurance (mandatory) (as above) 65 working days from the 1st day as a regular employee 100% Board Long-Term Disability (mandatory) (as above) 65 working days from the 1st day as a regular employee 25% Board/ 75% Employee
Benefit Summary. Effective October 27, 2002 - unless otherwise stated, all premiums are 100% paid for by the employer. - unless otherwise stated, employee is eligible for benefit after 3 months of employment. Benefit Description Employee Life Insurance Year 1 - $45,000 Year 2 - $50,000 Year 3 - $55,000 - reduces by 50% at age 65 and terminating at age 70 Employee Accidental Death and Dismemberment and Specific Loss $40,000 Dependent Life Insurance Year 1 - $6,000 Year 2 - $7,000 Year 3 - $8,000 Semi Private Hospital Semi-private room 100% reimbursement - employee premium cost is 100% Vision Care $250 every two years per dependent (laser surgery included in $250 maximum) Eye examinations once every two years per dependent Hearing Aids $500 coverage every 3 years per dependent Healthcare 100% reimbursement of eligible charges subject to the maximums below Hospital Nursing Chronic Care Medical Travel in Canada Prescription Drugs Custom-fitted Orthopedic Shoes Myoelectric Arms External Breast Prosthesis Surgical Brassieres Patient Lifters Outdoor Wheel Chair Ramps Blood-Glucose Monitoring Machines Transcutaneous Nerve Stimulators Extremity Pumps for Lymphedema Custom-made Compression Hose Wigs for Cancer Patients Private room (employees are only eligible for this benefit if they are also enrolled under the semi-private hospital benefit. $25,000 every 3 years $25 per day $2,000 Lifetime Included Reasonable & Customary $10,000 per prosthesis 1 in every 12 months 2 in every 12 months $2,000 per lifter every 5 years $2,000 Lifetime 1 in every 4 years $700 Lifetime $1,500 Lifetime 4 pairs per calendar year One wig – Lifetime 77 Paramedical Expense Maximums Physiotherapists $500 each calendar year Psychologists/Social Workers $35 for initial visit $20 per hour for each subsequent visit, $200 each/calendar yr. Speech Therapists $200 per calendar year Chiropractor/Naturopath/ Massage Therapist $15 per visit (above OHIP where relevant) $300 annual maximum Global Medical Assistance Expenses (GMA) Out of Country Emergency Care Expenses Lifetime Healthcare Maximum Included for employees Included for employees Unlimited Dental Care (employee is eligible for benefit after 12 months) Basic/Preventative Payment Basis The dental fee guide in effect in your province of residence in the year prior to the date the expense is incurred. Reimbursement Levels Accidental Dental Injury Expenses All other expenses Plan maximum 100% 100% Year 1 - $1,100 Year 2 - $1,200 Year 3 - $1,300 Orthodontics $2,000...
Benefit Summary injectable medications (charges made by a practitioner or physician to administer injectable medications are not covered) • life-sustaining drugs • standard syringes, needles and diagnostic aids, required for the treatment of diabetes (charges for cotton swabs, rubbing alcohol, automatic jet injectors and similar equipment are not covered) Charges for preventive vaccines and medicines (oral or injected) are not covered. Charges for drugs, biologicals and related preparations which are intended to be administered in hospital on an in-patient or out-patient basis and are not intended for a patient’s use at home are not covered. Charges for drugs used in the treatment of a sexual dysfunction are not covered. - Drug Maximums - Payment of Covered Expenses - No Substitution Prescriptions - Payment of Drug Claims - Drug Maximums Fertility Drugs - $1,500 per lifetime All other covered drug expenses - Unlimited - Payment of Covered Expenses Payment of your covered drug expenses will be subject to any Drug Deductible, any Drug Dispensing Fee Maximum and the Co-insurance of 100%. Covered expenses for any prescribed drug or medicine will not exceed the price of the lowest cost generic equivalent product that can legally be used to fill the prescription, as listed in the Provincial Drug Benefit Formulary. If there is no generic equivalent product for the prescribed drug or medicine, the amount covered is the cost of the prescribed product.
Benefit Summary. Employee Life Insurance of annual earnings up to is provided by employer Employees may opt to increase the coverage at their own cost of annual earnings up to a maximum of evidence of insurability. Dependant Life Insurance Spouse Child Employee Accidental Death, Dismemberment and Specific Loss An amount equal to your life insurance (principal sum) Short Term Disability Benefits Waiting Period Maximum benefit period days weeks of Amount Long Term Disability Benefits Waiting period Amount days of monthly earnings to is provided by the employer Employees may opt to increase the coverage at their own cost of monthly earnings up to a maximum of upon approval of evidence of insu I Healthcare Deductible Reimbursement level Basic Expense Maximums: Hospital Home nursing care In-Canada prescription drugs Smoking cessation products Hearing aids Speech aids Custom-fitted orthopedic shoes Myoelectric arms External breast prosthesis S I brassieres Mechanical patient lifters Outdoor wheelchair ramps Blood-glucose monitoring machine Transcutaneous nerve simulators Extremity pumps for Lymph edema Custom-made compression hose Wigs for cancer patients Nil Private room for a maximum of months per condition Included lifetime every years lifetime every months per prosthesis every months every months per lifter once every years lifetime every years lifetime lifetime pairs each calendar year lifetime Vaccines Hepatitis A Life of the vaccine Paramedical Expenses Maximums Chiropractors Physiotherapists Podiatrists t workers Speech therapists Massage therapists Audiologists each calendar year each calendar year each calendar year each calendar year each calendar year each calendar year each calendar year each calendar year Vision care Expense Maximums Eye examinations Glasses and contact lenses every months every months Lifetime Healthcare Maximum Unlimited Care Payment basis The dental fee guide in effect on the date treatment is rendered for the province in which treatment is rendered Deductible Reimbursement levels: Basic coverage Major coverage Orthodontic coverage Accidental dental injury coverage Plan Maximums Accidental dental injury treatment Dentures and bridgework Orthodontic treatment All other treatment Unlimited every years lifetime each calendar year Note: “Additional insurance is provided to the staff for injury sustained in consequence of and during the course of any trip while on the business of the employer. Coverage includes life insurance as well as specific acci...
Benefit Summary. Medical • 100% of Medical Services Plan of BC Extended Health • Reimbursement of 100% for eligible expenses • $25 deductible per patient, maximum $25 per family • Unlimited lifetime maximum for expenses incurred in Canada, per patient • Reimbursement of 100% for hospitalization, per patient • Reimbursable maximum of $50 per year for eye examinations, per patient • Reimbursable maximum of $500 every two (2) years for eye glasses, contact lenses, or laser eye surgery, per patient • Reimbursable maximum of $1000 every three (3) years for hearing aids, per patient • Reimbursable maximum of $500 every year for listed paramedical practitioners, per patient Dental • Reimbursement of 80% for basic and preventative treatments, up to $2,250 per year, per patient • Reimbursement of 50% for major treatments, up to $1,500 per year, per patient • Reimbursement of 50% for orthodontic treatments, up to $1,500 for a lifetime, per patient
