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. (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. 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. Maintenance drugs are limited to a supply which is reasonably used within 90 days. Other drugs are limited to a 34-day supply. Each time you have a drug claim, you have the option to:
Eligible Expenses. Refers to those expenses incurred by the insured and that would be covered by the policy provided as long as is indicated under the Table of Benefits, even if those expenses are applied to the deductible. EMERGENCY: A medical condition manifesting itself by acute signs or symptoms which could reasonably result in placing the insured’s life or physical integrity in immediate danger if medical attention is not provided within twenty-four (24) hours. EMERGENCY DENTAL TREATMENT: Treatment necessary to restore or replace damaged or lost teeth in a covered accident. EMERGENCY MEDICAL TREATMENT: Medically necessary attention or services due to an emergency. EPIDEMIC: The occurrence of more cases than expected of a disease or other health condition in a given area or among a specific group of persons during a particular period, and declared as such by the World Health Organization (WHO), or the Pan American Health Organization (PAHO) in Latin America, or the United States Centers for Disease Control and Prevention (CDC), or a local government or equivalent body (i.e. local ministry of health) where the epidemic is developing. Usually, the cases are presumed to have a common cause or to be related to one another in some way. EXPERIMENTAL: The service, procedure, device, drug, or treatment that does not adhere to the standard of practice guidelines accepted in the United States of America regardless of the place where the service is performed. Drugs must have approval from the U.S. Food and Drug Administration (FDA) for use for the diagnosed condition, or other federal or state government agency approval required in the United States of America, independent of where the medical treatment is incurred or where bills are issued. GENERAL WAITING PERIOD: The period of time during which the insured will not have any benefit, except for illnesses and injuries caused by an accident that occurs within this period, or those diseases of infectious origin that first manifest themselves during this period.
Eligible Expenses. Only expenses actually incurred by the employee are eligible for reimbursement, including the cost of tuition, books, and class-associated fees. Tools, supplies, and other fees and charges will not be reimbursed. Tuition costs that are covered by grants, scholarships, or other waivers (and therefore not the financial obligation of the employee) are not eligible for reimbursement.
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”).
2.02 The Eligible Expenses may be amended only with the prior written approval of Destination BC.
2.03 The Eligible Expenses must be, in the sole opinion of Destination BC:
(a) directly related to the Project (s) in support of the Destination BC Programs listed in section 2.02 in Schedule “A”; and
(b) reasonable.
2.04 Eligible Expenses are limited to the following categories:
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. 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.) 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. Paramedical services by a licensed physiotherapist, psychologist, o...
Eligible Expenses. Expenses eligible for reimbursement under this Article include:
(i) Tuition/registration fees
(ii) Required textbooks or other official course materials
(iii) Long Term Education leaves approved under this article shall be granted to the Employee with up to one hundred percent (100%) pay, and normally such leave will be granted with sixty percent (60%) pay. Backfill costs to the Employee’s Department will be paid out of the Fund.
(iv) Travel Expenses Employees travelling are entitled to reimbursement of travel expenses as per article 27.1. See article 13.18.6 below regarding travel expenses and arrangements.
