Common use of Eligible Benefits and Limitations Clause in Contracts

Eligible Benefits and Limitations. (1) The services (excluding x-rays) of a Practitioner of Chiropracty are an eligible benefit. Chiropractic treatments will be reimbursed at a maximum rate of $25 per visit (except as indicated below) to an annual maximum of (2) Treatments provided by a Practitioner of Chiropody, when prescribed by a physician, and a Practitioner of Podiatry are eligible. Podiatry treatments are eligible when they occur subsequent to the exhaustion of the applicable provincial benefit period maximum. These benefits will be reimbursed at a maximum rate of $11.45 per visit for either Podiatry or Chiropody, to an annual combined maximum of (3) The services of a Doctor of Naturopathy (N.D.) are an eligible benefit and will be reimbursed at a maximum of (4) The services of a Registered Massage Therapist are an eligible benefit, when prescribed by a physician and will be reimbursed at a maximum rate of $45 per visit, to an annual maximum of $200 per benefit year per covered person. (5) Effective January 1, 2017, the services of a Physiotherapist are an eligible benefit, when prescribed by a physician and will be reimbursed at a maximum rate of $50 per visit to an annual maximum of $200 per benefit year per covered person.

Eligible Benefits and Limitations. (1A) The services (excluding x-rays) of a Practitioner of Chiropracty are an eligible benefit. Chiropractic treatments will be reimbursed at a maximum rate of $25 15.00 per visit (except as indicated below) until the applicable provincial benefit plan is exhausted and at a maximum rate of $25.00 per visit thereafter, to an annual maximum ofof $465.00. In provinces where chiropractic treatments are covered by a provincial benefit plan, reimbursement shall be at a maximum rate of $15.00 per visit until the applicable provincial benefit plan is exhausted and at a maximum rate of $25.00 per visit thereafter, to an annual maximum of $465.00. (2B) Treatments provided by a Practitioner of Chiropody, when prescribed by a physician, and a Practitioner of Podiatry are eligible. Podiatry treatments are eligible when they occur subsequent to the exhaustion of the applicable provincial benefit period maximum. These benefits will be reimbursed at a maximum rate of $11.45 per visit for either Podiatry or Chiropody, to an . The annual combined maximum ofis $325.00 per benefit year per covered person. (3C) The services of a Doctor of Naturopathy (N.D.) are an eligible benefit and will be reimbursed at a maximum ofof $25.00 per visit. The annual maximum is $325.00 per benefit year per covered person. (4D) The services of a Registered Massage Therapist are an eligible benefit, when prescribed by a physician and will be reimbursed at a maximum rate of $45 45.00 per visit, to an annual maximum of $200 200.00 per benefit year per covered person. (5) Effective January 1, 2017, the services of a Physiotherapist are an eligible benefit, when prescribed by a physician and will be reimbursed at a maximum rate of $50 per visit to an annual maximum of $200 per benefit year per covered person.

Eligible Benefits and Limitations. (1A) The services (excluding x-rays) of a Practitioner of Chiropracty are an eligible benefit. Chiropractic treatments will be reimbursed at a maximum rate of $25 15.00 per visit (except as indicated below) until the applicable provincial benefit plan is exhausted and at a maximum rate of $25.00 per visit thereafter, to an annual maximum ofof $465.00. In provinces where chiropractic treatments are covered by a provincial benefit plan, reimbursement shall be at a maximum rate of $15.00 per visit until the applicable provincial benefit plan is exhausted and at a maximum rate of $25.00 per visit thereafter, to an annual maximum of $465.00. (2B) Treatments provided by a Practitioner of Chiropody, when prescribed by a physician, and a Practitioner of Podiatry are eligible. Podiatry treatments are eligible when they occur subsequent to the exhaustion of the applicable provincial benefit period maximum. These benefits will be reimbursed at a maximum rate of $11.45 per visit for either Podiatry or Chiropody, to an . The annual combined maximum ofof $325.00 per benefit year per covered person. (3C) The services of a Doctor of Naturopathy (N.D.) are an eligible benefit and will be reimbursed at a maximum ofof $25.00 per visit. The annual maximum is $325.00 per benefit year per covered person. (4D) The services of a Registered Massage Therapist are an eligible benefit, when prescribed by a physician and will be reimbursed at a maximum rate of $45 45.00 per visit, to an annual maximum of $200 200.00 per benefit year per covered person. (5) Effective January 1, 2017, the services of a Physiotherapist are an eligible benefit, when prescribed by a physician and will be reimbursed at a maximum rate of $50 per visit to an annual maximum of $200 per benefit year per covered person.

Eligible Benefits and Limitations. (1) The services (excluding x-rays) of a Practitioner of Chiropracty are an eligible benefit. Chiropractic treatments will be reimbursed at a maximum rate of $15 per visit until the applicable provincial benefit plan is exhausted and at a maximum rate of $25 per visit (except as indicated below) thereafter, to an annual maximum ofof $465. (2) Treatments provided by a Practitioner of Chiropody, when prescribed by a physician, and a Practitioner of Podiatry are eligible. Podiatry treatments are eligible when they occur subsequent to the exhaustion of the applicable provincial benefit period maximum. These benefits will be reimbursed at a maximum rate of $11.45 per visit for either Podiatry or Chiropody, to an annual combined maximum of (3) The services of a Doctor of Naturopathy (N.D.) are an eligible benefit and will be reimbursed at a maximum ofof $25 per visit, to an annual maximum of $325 per benefit year per covered person. (4) The services of a Registered Massage Therapist are an eligible benefit, when prescribed by a physician and will be reimbursed at a maximum rate of $45 per visit, to an annual maximum of $200 per benefit year per covered person.a (5) Effective January 1, 2017, 2018 the services of a Physiotherapist are an eligible benefit, benefit when prescribed by a physician and will be reimbursed at a maximum rate of $50 per visit to an annual maximum of $200 per benefit year per covered person. A covered person will not be eligible for reimbursement under this plan when publicly or provincially funded physiotherapy coverage is available.