Eligible Expenses. (a) The IESO will provide funding to the Recipient for Eligible Expenses, up to the Maximum Funding Amount, that are evidenced by supporting documentation as set out in this Funding Agreement or as otherwise required by the IESO.
Eligible Expenses. Expenses incurred in the treatment of a covered illness or injury which are Medically Necessary and not exceeding the limits in “Schedule B – Membership Fees ”.
Eligible Expenses. Contractor ensures that Services will not include entertainment expenses or fund Sectarian worship, instruction, or proselytization.
Eligible Expenses. The following is a list of the items currently eligible for payment under this group plan. However, should your Provincial Health Plan alter to include any of these items, coverage under this plan will automatically adjust in accordance with the approved legislation. Eligible expenses must be reasonable, customary, and (except for expense #4) recommended as necessary by a physician.
Eligible Expenses. Reasonable and customary charges for medically necessary drugs and medicines (excluding Viagra), which by law, require a physician's prescription for purchase. They include oral contraceptives, injectable preparations, insulin and other diabetic supplies and allergy serums. Note: Smoking cessation aids have a lifetime maximum of $500 per individual. Fertility drugs and treatment are limited to a lifetime maximum of $2,500 per individual. Supply Limits Maintenance drugs are limited to a supply which is reasonably used within 90 days. Other drugs are limited to a 34-day supply. Purchase Options Each time you have a drug claim, you have the option to:
Eligible Expenses for current listing of eligible expenses please check out the American Fidelity Assurance Company website address: xxxx://xxx.xxxxxxxxxxx.xxx/for-individuals/flexible-spending-accounts/health-flexible- spending-accounts/health-fsa-eligible-expenses.aspx Partial List of Eligible Expenses: Acupuncture Obstetrics Alcohol and drug rehabilitation Optometrist Ambulance Orthodontia expenses-as treatment is provided* Anesthetist Osteopath Artificial limbs and teeth Outpatient care Birth control pills Pediatrician Chiropodist Physical therapy by licensed therapist Chiropractor Physician Podiatrist Practice nurse Dental care Prescription drugs Eye exam, eyeglasses, contact Psychiatrist Lenses Psychologist Gynecologist Rental or purchase of medical equipment Hospital and skilled nursing facility Supportive or corrective devices Insulin Surgery Laboratory fees Transportation expenses relative to illness Medical examinations Midwife Nursing care Home health care persons Lip-reading lessons (including doctor’s office at current IRS rate) Hearing aids and batteries including special equipment for handicapped * We cannot accept a claim for the entire contracted amount of orthodontia treatment. We will accept claims for the initial down payment usually associated with the appliances. Monthly payments will also be accepted as the charge for the medical services rendered for that month. Maximum amount that may be contributed to the plan is $2,650 per year.
Eligible Expenses. Expenses eligible for reimbursement for Short Term Leave under this Article may include:
Eligible Expenses. 2.01 Subject to the remainder of this Schedule “B”, the Financial Contribution may only be applied to the costs and expenses set out in this Article 2 (the “Eligible Expenses”).
Eligible Expenses. Expenses eligible for reimbursement under this Article include:
Eligible Expenses. The Post Foods Canada Health Care Plan reimburses a percentage of the eligible expenses, provided these expenses are reasonable and customary, and that they are medically necessary and prescribed by a physician. Reimbursement is subject to a lifetime maximum of $250,000 per insured person. In addition, up to $1,000.00 of this maximum will be reinstated each January 1. The actual amount will be based on the amount of benefits you had received from the plan in the previous calendar year. Hospital Expenses For licensed hospital and convalescent care facilities, the plan covers: Hospital: 100% of the difference in cost between xxxx and semi-private or private room up to $55 per day and 80% of the excess over $55. Convalescent Care: 100% of the cost of semi-private accommodation up to $55 per day and 80% of the excess over $55. Hospitalization outside Canada is reimbursed at 100% of emergency treatment of an illness or accident occurring while traveling outside the country. If you are hospitalized outside Canada for a medically necessary treatment not available in Canada and for which there is no alternate treatment available in Canada, medical expenses that exceed the allowance paid by any provincial government plan are reimbursed based on reasonable and customary charges. No deductible applies to hospital expense. Medical Expenses The plan reimburses 100% of the following eligible medical expenses: Drugs and medicines which require a prescription by law to be obtained. Reasonable and customary charges for emergency treatment of an illness or accident occurring while traveling outside Canada. Emergency travel assistance expenses (see leaflet entitled “Emergency Travel Assistance” for full details.) The plan also reimburses 80% of the following: Private-duty nursing. Services must be recommended by a physician and rendered by a registered nurse who is not a relative and does not ordinarily reside in your home. There is a maximum reimbursement of $10,000 every thirty-six (36) months. Charges for room and board in a licensed chronic care facility up to a maximum reimbursement of $10 per day for a period of 120 days per calendar year. Charges for the use of a licensed ambulance for local transportation to and from the nearest hospital. Emergency transportation by airline to and from the nearest hospital within your province of residence which is equipped to provide the required medical services is also eligible, subject to a maximum equal to an economy airfare. Pa...
