Covered Medical Expenses Sample Clauses

Covered Medical Expenses. Covered Medical Expenses are the reasonable and customary expenses for the necessary treatment recommended by a physician for non-occupational accidental bodily injuries or illnesses as follows: a. Charges for professional ambulance service by land, sea or air when used to transport the individual from the place where he or she is injured by an accident or stricken by an illness to the first hospital where treatment is given; and when used to transport the individual from a hospital to the area of residence of such individual when the use of a professional ambulance is required by the patient's physician for the protection of the patient's health or life; and when a patient is transferred from a hospital to another hospital in the area when medically necessary; and when used for the round trip transfer of a patient from a hospital to the location of an approved computerized axial tomographic (CAT) scanner whether or not it is located in a hospital. b. Charges (including deterrent charges) by a hospital for the use of its out- patient facilities or for supplies (but excluding physician's charges) where such charges are not covered under the Provincial Hospital Plan. c. Charges of a registered graduate nurse (R.N.) and a registered practical nurse (R.P.N) while the patient is not confined to a hospital. The nursing service must have been ordered by a physician as medically necessary and requiring the specialized training of a R.N. or R.P.N. The nurse must not ordinarily reside in the employee's home or be a member of the family. d. The difference between xxxx and average semi-private accommodation in rehabilitation hospitals approved by the Provincial Hospital Authority, when the employee or a covered dependent is admitted to the rehabilitation hospital within fourteen days following a period as a bed patient in a hospital. It is limited to a maximum of 120 days stay in the rehabilitation hospital for any one continuous period of disability. e. Charges for the services of a person duly qualified and registered and legally engaged in the practice of athletic therapy, respiratory therapy, or occupational therapy to the extent that such services, by duration and type, have been prescribed by a legally qualified physician. Charges by a speech therapist or physiotherapist who is registered and legally practicing within the scope of his or her license. f. Charges for the rental (or purchase, if approved by Manulife Financial) of durable medical equipment of the ty...
Sample 1
Covered Medical Expenses. Covered Medical Expenses are the reasonable and customary charges, which you are required to pay for the following services and supplies received, while you or your dependent is ordinarily eligible under this Section, for treatment of a non-occupational disease or non-occupational accidental bodily injury: (i) Charges of a duly licensed physician or surgeon which are in excess of the Ontario Medical Association Schedule of Fees in effect at the time the procedures are rendered, unless prevented by law. (ii) Charges of a registered graduate nurse - other than a nurse who ordinarily resides in your home, or who is a member of your or your spouse's family- subject to a $25,000 per person per calendar year maximum beginning with expenses incurred after June 23, 2009. (iii) Psychologist Consultations effective July 1, 2003, 24 visits per calendar year. (iv) Charges for the following medical services and supplies which are in excess of the Ontario Medical Association Schedule of Fees in effect at the time the services are rendered, unless prevented by law: (A) Diagnostic x-ray, laboratory and other diagnostic procedures, therapeutic radiology up to the annual maximum of $1,250 per person, (B) Anaesthesia, oxygen, blood transfusion and blood products, (C) Rental of iron lung or other durable medical or surgical equipment, (D) External prosthetic appliances, including: artificial limbs and artificial eyes, but not eye examinations, eye glasses, or hearing aids, (E) Professional ambulance service when used to transport the individual from the place where he is injured by an accident or stricken by a disease to the first hospital where treatment is given. However, no other expenses in connection with travel are included, (F) Physical therapy (including physiotherapy), effective July 1, 2003, 24 visits per calendar year. (G) Breast prosthesis up to a maximum of $1,000 every three years, (H) Wigs for patients undergoing treatment for cancer, lupus or alopecia up to a lifetime maximum of $600 per person, (I) orthopaedic shoes, including arch supports and custom-made orthotics (must be prescribed by your physician and include the diagnosis) As of Jan 1, 2011 one (1) pair every 18 months up to a maximum of $400 applies. (J) Crutches, splints, casts, trusses, and braces, including replacement if required because of a change in the covered patient’s physical condition (K) prescribed support stockings maximum of 4 pairs per year, if ordered by a doctor and provided such cha...
Sample 1

Related to Covered Medical Expenses

  • Medical Expenses 1. Employees exposed to hazardous physical, biological, or chemical agents shall be provided, at no cost to the employee, with medical examinations or evaluations required by VOSHA regulations. If there are no specific VOSHA regulations or standards for the agent in question, recommendations of the National Institute of Occupational Safety and Health or other generally recognized expert organization shall be used, as determined by the Commissioner of Health. 2. Employees determined by the Health Department to be at substantial risk for exposure to contagious diseases shall be provided appropriate vaccines. Groups at risk will be defined by the Vermont Department of Health. If no guidelines have been published by the Department of Health, the guidelines published by the Center for Disease Control in Atlanta, Georgia will apply. Vaccines and/or appropriate medical examinations will be provided at no cost to the employee according to applicable guidelines. 3. Any Department wishing to implement a Medical Monitoring Program on or after July 1, 1990, shall do so by conferring with the Health Department, and the Department of Human Resources. Prior to implementation, the Department of Human Resources shall notify VSEA. The parties shall meet within ten (10) days (unless mutually extended) after a request for negotiations by either party and thereafter on a regular basis for a period not exceeding forty-five (45) calendar days, after which the State may implement the program, whether or not the parties have bargained to genuine impasse. The VSEA shall retain all statutory impasse procedure rights as may be lawfully available to VSEA during the life of this Agreement, provided, however, the State at any time may withdraw its proposed medical monitoring program or terminate without further bargaining a medical monitoring program previously implemented, in which case, such retained statutory impasse procedure rights are extinguished.

  • Professional Expenses Each calendar year during the Employment Term, the Company agrees to reimburse the Executive for up to $10,000 of reasonable professional expenses (i.e., accounting, financial planning, estate planning expenses) incurred by the Executive during such year for personal advice rendered to the Executive.

  • Unreimbursed medical expenses If you take payments to pay for unreimbursed medical expenses that exceed a specified percentage of your adjusted gross income, you will not be subject to the 10 percent early distribution penalty tax. For further detailed information and effective dates you may obtain IRS Publication 590-B, Distributions from Individual Retirement Arrangements (IRAs), from the IRS. The medical expenses may be for you, your spouse, or any dependent listed on your tax return.

  • Travel Expenses CONTRACTOR shall not be allowed or paid travel expenses unless set forth in this Agreement.

  • Child Care Expenses (a) Where an employee is requested or required by the Employer to attend: (i) Employer endorsed education, training and career development activities, or (ii) Employer sponsored activities which are not included in the normal duties of the employee's job, and are outside their headquarters or geographic location, such that the employee incurs additional child care expenses, the employee shall be reimbursed for the additional child care expenses up to $60 per day upon production of a receipt. (b) Where an employee, who is not on leave of absence, attends a course approved by the Employer outside the employee's normal scheduled work day such that the employee incurs additional child care expenses, the employee shall be reimbursed for the additional child care expense up to $30 per day upon production of a receipt. This reimbursement shall not exceed 15 days per calendar year. (c) Reimbursement in (a) or (b) shall only apply where no one else at the employee's home can provide the child care. (d) The receipt shall be a signed statement including the date(s), the hourly rate charged, the hours of care provided and shall identify the caregiver/agency.

  • FUNERAL EXPENSES The City shall expend a sum not to exceed $30,000 for funeral expenses to the heirs of any employee covered by this MOU who dies while on active duty from injuries incurred while performing his/her job or who dies as a direct cause of such injuries. This amount includes the amount already available for this purpose in accordance with California State Labor Code Section 4701.

  • Medical/Dental Expense Account The Employer agrees to allow insurance eligible employees to participate in a medical and dental expense reimbursement program to cover co- payments, deductibles and other medical and dental expenses or expenses for services not covered by health or dental insurance on a pre-tax basis as permitted by law or regulation, up to the maximum amount of salary reduction contributions allowed per calendar year under Section 125 of the Internal Revenue Code or other applicable federal law.

  • Reimbursement of Travel Expenses If the Servicer provides access to the Review Materials at one of its properties, the Issuer will reimburse the Asset Representations Reviewer for its reasonable travel expenses incurred in connection with the Review on receipt of a detailed invoice.

  • General Expenses You authorize the Manager to charge your account with your Underwriting Percentage of all expenses of a general nature incurred by the Manager and Co-Managers under the applicable AAU in connection with the Offering, including the negotiation and preparation thereof, or in connection with the purchase, carrying, marketing and sale of any securities under the applicable AAU and any Intersyndicate Agreement, including, without limitation, legal fees and expenses, transfer taxes, costs associated with approval of the Offering by the NASD and the costs of currency transactions (including forward and hedging currency transactions) entered into to facilitate settlement of the purchase of Securities permitted under Section 3.1 hereof.

  • Expenses and Fringe Benefits During the Contract Period, the Executive shall be entitled to reimbursement for all business expenses incurred by him with respect to the business of the Employer in the same manner and to the same extent as such expenses were previously reimbursed to him immediately prior to the Change in Control, PROVIDED, HOWEVER, that if the deduction by Employer for federal income tax purposes of any expense which is incurred by Executive and reimbursed to Executive by Employer is disallowed as a result of not being an ordinary and necessary business expense under the then current version of Section 162 of the Internal Revenue Code, then Executive shall repay the amount of such reimbursed expense to Employer; AND FURTHER PROVIDED that, notwithstanding the foregoing clause of this sentence, Executive shall not be obligated to repay to Employer any business expense incurred by him and reimbursed to him by the Bank the deductibility of which is prohibited or limited by the application of a specific statutory, regulatory or administrative principle, and which would otherwise be deductible to Employer as an ordinary and necessary business expense under the then current version of Section 162 of the Internal Revenue Code. Executive consents to the withholding by Employer of any such amount from that paycheck of Executive which immediately succeeds the final disallowance by the Internal Revenue Service of the deduction of such reimbursed expense, but only if the withholding of such amount would not violate applicable wage and hour laws. If prior to the Change in Control, the Executive was entitled to the use of an automobile, he shall be entitled to the same use of an automobile at least comparable to the automobile provided to him prior to the Change in Control, and he shall be entitled to vacations and sick days, in accordance with the practices and procedures of the Employer, as such existed immediately prior to the Change in Control. During the Contract Period the Executive also shall be entitled to hospital, health, medical and life insurance, and any other benefits enjoyed, from time to time, by executive officers of the Employer, all upon terms as favorable as those enjoyed by other executive officers of the Employer. Notwithstanding anything in this section to the contrary, if Employer adopts any change in the expenses allowed to, or fringe benefits provided for, executive officers of Employer, and such policy is uniformly applied to all executive officers of Employer, then no such change in policy shall be deemed to be a violation of this provision.

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