Extended Health Care Benefit. There shall be an extended health care plan, for which the annual Employer's cost of such plan will not exceed one percent (1%) of payroll.
Extended Health Care Benefit. An 80%-20% co-pay plan will be purchased for each employee and their eligible dependents. Employees will contribute $15/month towards the cost of their benefits with the Company paying the balance of the premium. A pay direct drug card will be provided to the members. (Allows pharmacy to submit claims electronically. Members pay only the portion not covered by the plan). Drug re-imbursement will be limited to the cost of the lowest priced interchangeable drug. Coverage for non-generic drugs will be provided only when medically necessary. Out of country medical coverage will be provided with the Company paying 100% of the premium.
Extended Health Care Benefit. Extended Health Care other than the services of a licensed optometrist, licensed ophthalmologist or a Dentist must be ordered by a Doctor. Charges for: use of a licensed ambulance for local transportation of the person to and from the nearest hospital and qualified to render the necessary assistance. use of a licensed air ambulance for transportation of the person to the nearest hospital qualified to render necessaryemergency medical services. the following service outside the person's Province of residence for emergencies or referrals: room and board in a hospital up to the hospital's semi-private rate (including where permitted by law, any admittance, coinsurance, or utilization charges). other hospital services (provided out of Canada). out-patient services in a hospital. services of a Doctor. A referral must be for treatment of an illness and made in writing by a Doctor located in the person's Province of residence. Services rendered in such cases: must be rendered in Canada if such services are available in Canada, or may be renderedout of Canada if such services are not available in Canada; and must be services for which the Provincial Medicare Plan of the person’s Province of residence agrees to pay benefits to such person as a result of referral. The insured percentagefor referrals out of Canada may not exceed eighty per cent (80%). services while not confined in a hospital, of a private duty registered nurse or a registered trained attendant (other than a close relative). laboratory tests done in a commercial laboratory for diagnosis of an illness (but excluding any tests performed in a Doctor’s office or a pharmacy). services of a Dentist, including charges for braces or splints, for the repair or alleviationof damageto natural teeth resulting from an accidental blow to the mouth which occurs while the person is insured and provided the services are received within six (6) months after the date of the accident. In no event will payment exceed the amount for the procedure as provided for in the current Ontario Dental Association schedule of fees on the date the treatment is received. services of an ophthalmologist or licensed optometrist. The maximum amount payable in any two (2) consecutive benefit years in per person. services of a licensed physiotherapist (other than a close relative). equipment rented (or purchasedat the option of the insurancecarrier) for temporary therapeutic use. O. casts, splints, trusses, braces or crutches. mammary prost...
Extended Health Care Benefit i. Private and semi-private hospital;
Extended Health Care Benefit. The benefit helps pay the cost of eligible medical and hospital incurred by you and your insured family members. You will be reimbursed for eligible expenses, not covered by your Provincial Medicare Plan, subject to any deductible and percentage reimbursed that is shown in the Benefit Schedule. Payment will be made for those eligible expenses which are a) reasonable and necessary and incurred on the prior recommendation of a legally qualified physician except where otherwise indicated. Deductible The deductible amount, if shown in the Benefit Schedule, is the total amount of eligible expenses you must absorb in any calendar year before you are reimbursed under this plan. Percentage Reimbursed The percentage reimbursed that is shown in the Benefit Schedule is the portionof the eligible expenses that will be reimbursed after the deductible, if any, is satisfied. Co-ordination of Benefits If you and your family are covered under this health plan and your spouse’s health plan, the benefits payable under this plan will be co- ordinated so that the total amount you receive from both plans will not exceed of the actual expense incurred.
Extended Health Care Benefit. (In Province) The following are the eligible expenses provided in the province you normally reside in. while in a hospital as an in-patient, the difference in cost between xxxx and the level of accommodation shown in the Benefit Schedule, plus meals. any generic drugs as listed in the most current Provincial Government Drug Formulary or any non-substitutable drugs dispensed by a licensed pharmacist, physician, or dentist, which can only be obtained by a written prescriptionfrom a physician or dentist for an illness or injury, injectable drugs, serums and vaccines prescribed by a physician for preventing or treating an illness, disposable needles, syringes, lancets and chemical reagent testing materials used for monitoring diabetes, drugs in the following categories bearing a Drug Identification Number: fluorides (single entity), nitroglycerin, potassium replacements, single entity iron salts, thyroid agents, topical enzymatic debriding agents, oral contraceptives prescribed by a physician and intra-uterine devices. However, proprietary or patent medicines, experimental drugs, drugs used in the treatment of infertility (but may be provided under the Other Eligible Expenses section), dietary or health foods, vitamins, nutritional products, smoking cessation aids (which include, but are not limited to, nicotine patches and nicotine gum) and charges for the administration of drugs, serums or vaccines are not included. Eligible expenses will be limited to a day supply per purchase, and will be subject to the amount, if any, shown in the Benefit Schedule. Residents of In addition, eligible expenses will be limited to the deductible amount and co-insurance you are required to pay under your provincial drug plan.
Extended Health Care Benefit. Eligible Expenses (In Province) Care out-of-hospital nursing care (not custodial care) provided by a registered nurse or a licensed practical nurse or a registered nursing assistant none of whom is related by blood or marriage or normally live with you or any of your dependents to the maximum shown in the Benefit Schedule. Ambulance
Extended Health Care Benefit. (In Province) Paramedical Practitioners - to the maximum shown in the Benefit Schedule for each type of practitioner listed below provided the practitioner is operating within the scope of his license:
Extended Health Care Benefit. Expenses Not Covered Expenses for treatment required as a result of war (declared or not), military service or participation in a riot, insurrection or civil commotion.
Extended Health Care Benefit. (a) Massage therapy to be capped at the amount of $400 per family member per year.
