Common use of Extended Health Care Clause in Contracts

Extended Health Care. The extended health care group benefit plan provision shall be as follows: The Employer shall pay seventy-five percent (75%) of the monthly benefit plan premium of the Extended Health Care Plan for Employees upon enrollment. Subject to the benefit plan carrier requirements, the Extended Health Care Plan shall provide for: (i) Deductible (not applicable to prescription drugs): a fifteen dollar ($15) deductible per calendar year; (ii) Prescription Drugs: Coverage includes provision of a Drug Card providing for a $7.50 cap on re-imbursement on the dispensing fee and a $1.00 deductible per prescription. Positive Enrolment provision to be included. Reimbursement for prescribed drugs covered by the Extended Health Care Plan will be based on the cost of the lowest priced therapeutically equivalent generic version of the drug, unless there is a documented adverse reaction to the generic drug or unless the beneficiary’s doctor stipulates that the generic drug is not an alternative, in which case the reimbursement will be for the prescribed drug; (iii) Para-Medical: $350 maximum annual benefit with no per visit fee cap; (iv) Semi-private hospital accommodation; and, (v) Hearing aid coverage with a maximum benefit of five hundred dollars ($500) every three (3) years per insured person.

Appears in 9 contracts

Samples: Collective Agreement, Collective Agreement, Collective Agreement

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Extended Health Care. The extended health care group benefit plan provision shall be as follows: The Employer shall pay seventy-five percent (75%) of the monthly benefit plan premium of the Extended Health Care Plan for Employees upon enrollment. Subject to the benefit plan carrier requirements, the Extended Health Care Plan shall provide for: (i) Deductible (not applicable to prescription drugs): a fifteen dollar ($15) deductible per calendar year; (ii) Prescription Drugs: Coverage includes provision of a Drug Card providing for a $7.50 cap on re-imbursement on the dispensing fee and a $1.00 deductible per prescription. Positive Enrolment provision to be included. Reimbursement for prescribed drugs covered by the Extended Health Care Plan will be based on the cost of the lowest priced therapeutically equivalent generic version of the drug, unless there is a documented adverse reaction to the generic drug or unless the beneficiary’s doctor stipulates that the generic drug is not an alternative, in which case the reimbursement will be for the prescribed drug; (iii) Para-Medical: $350 maximum annual benefit with no per visit fee cap; (iv) Semi-private hospital accommodation; and, (v) Hearing aid coverage with a maximum benefit of five hundred dollars ($500500.00) every three (3) years per insured person.

Appears in 1 contract

Samples: Collective Agreement

Extended Health Care. The Employer will pay the benefit premium cost share set out in Schedule “B” for an extended health care group benefit (EHC) plan provision shall be as follows: The Employer shall pay seventyfor eligible participating full-five percent (75%) of time Employees providing that such Employee pays the monthly remaining benefit plan premium of the Extended Health Care Plan for Employees upon enrollmentthrough payroll deduction. Subject to the benefit plan carrier requirements, the Extended Health Care Plan shall provide for: (i) Deductible (Deductible: $15/calendar year; not applicable to prescription drugs): a fifteen dollar ($15) deductible per calendar year; (ii) Prescription Drugs: Coverage includes provision of a Drug Card providing for a $7.50 cap on re-imbursement on the dispensing fee and a $1.00 deductible per prescription. Positive Enrolment provision to be included. Reimbursement for prescribed drugs covered by the Extended Health Care Plan will be based on the cost of the lowest priced therapeutically equivalent generic version of the drug, unless there is a documented adverse reaction to the generic drug or unless the beneficiary’s doctor stipulates that the generic drug is not an alternative, in which case the reimbursement will be for the prescribed drug; (iii) Para-Medical: $350 maximum max annual benefit with no per visit fee cap; (iv) Semi-private hospital accommodation; and, (v) Hearing aid coverage with a Aid: $500 maximum benefit of five hundred dollars ($500) every three (3) years per insured personinsured.

Appears in 1 contract

Samples: Collective Agreement

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Extended Health Care. The extended health care group benefit plan provision shall be as follows: The Employer shall pay seventy-five percent (75%) of the monthly benefit plan premium of the Extended Health Care Plan for Employees upon enrollment. Subject to the benefit plan carrier requirements, the Extended Health Care Plan shall provide for: (i) Deductible (not applicable to prescription drugs): a fifteen dollar ($15) deductible per calendar year; (ii) Prescription Drugs: Coverage includes provision of a Drug Card providing for a $7.50 cap on re-imbursement on the dispensing fee and a $1.00 1 .00 deductible per prescription. Positive Enrolment provision to be included. Reimbursement for prescribed drugs covered by the Extended Health Care Plan will be based on the cost of the lowest priced therapeutically equivalent generic version of the drug, unless there is a documented adverse reaction to the generic drug or unless the beneficiary’s 's doctor stipulates that the generic drug is not an alternative, in which case the reimbursement will be for the prescribed drug; (iii) Para-Medical: $350 maximum annual benefit with no per visit fee cap; (iv) Semi-private hospital accommodation; and, (v) Hearing aid coverage with a maximum benefit of five hundred dollars ($500) every three (3) years per insured person.

Appears in 1 contract

Samples: Collective Agreement

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