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 i. Private and semi-private hospital;
ii. Massage therapy to a capped amount of six hundred dollars ($600.00) per family member per year.
iii. Chiropractic care to a capped amount of six hundred dollars ($600.00) per family member per year.
iv. Physiotherapy to a capped amount of six hundred dollars ($600.00) per family member per year.
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. 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. Where an Employee is required to use his vehicle for City business, City Policy Local shall apply.
Extended Health Care Benefit. Maximum benefit for all provisions of the plan as outlined in the Plan plus, effective July 1, 2005, vision care: Maximum of $200.00 in any period of 24 months for eye glasses and contact lenses; effective July 1, 2006, vision care: Maximum of $225.00 in any period of 24 months for eye glasses and contact lenses; effective July 1, 2007, vision care: Maximum of $250.00 in any period of 24 months for eye glasses and contact lenses. - No deductible. - Prescription Drug Plan: - Effective July 1, 2005, provision of a Drug Card - Over-the-counter drugs are eliminated from the plan - Generic substitution unless ‘no substitution’ specified by Physician - $1.00 deductible per prescription.
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). out-patient services in a hospital. services of a Doctor. 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. mammary prostheses required as a result of surgery. The maximum amount payable in any benefit year is for each person. artificial limbs and eyes, including replacements when medically necessary, but excluding myoelectric appliances. treatment of an illness by the use of...
Extended Health Care Benefit. (In Province)
Extended Health Care Benefit. Effective January 1, 2006
Extended Health Care Benefit. Insured Percentage: 80% in excess of the deductible with maximum amounts to be specified in the detailed benefits plan. Type 4 Vision Care: Maximum amount payable in any 24 months period is $ $210 Type 2 and Type 3 above are subject to individual deductible of $25.00 per calendar year (family deductible of $50.00 per calendar year).
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.
