Extended Health Services Plan Sample Clauses

Extended Health Services Plan. Prescription Drugs - $2.00 co-pay per occurance for life of contract -Extended Health Care - 100% co-insurance -Private Duty Nursing Benefits carry a maximum of $5,000. -Contributions - $1.00 per week - Single, for life of contract - $2.00 per week - Family, for life of contract
Sample 1
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Extended Health Services Plan. This Extended Health Services Plan incorporated into and forms part of the Group's Schedule of Eligible Services which forms part of the Green Shield Benefit Plan Group Agreement. Refer to the General Information and Outline of Benefits in your Employee Benefit Booklet for additional maximums, limitations and general exclusions which may apply. Eligible Services shown below will not be eligible unless they are usual, reasonable and customary taking all factors into account, and are medically necessary for the treatment of an illness or injury. Drug benefits may be subject to a different payment. Refer to the Outline of Benefits for details. Accidental Dental Coverage, charges incurred for care or services by a dentist for the repair or replacement of teeth which are broken as a result of a direct accidental blow to the mouth (and not by an object intentionally placed in the mouth). Benefits will be paid in accordance with the Ontario Dental Association Suggested Fee Guide for General Practitioners in effect at the time of treatment. Treatment must commence within ninety days following the date of the accident and the care or services completed within one year from such date. Reimbursement will be made up to the fees set out in the General Practitioners Fee Guide in effect on the date of treatment. A Dental Accident Report Form and your dental x-rays must be submitted to Green Shield for prior approval. Failure to comply may result in non-payment. Blood and Blood Products when required for transfusions. Clinical Psychologist for the first visit and per hour for subsequent visits up to a maximum of per calendar year. Speech up to a maximum of per calendar year. A certificate must be provided to Green Shield by your attending physician indicating the medical necessity of the treatment. O Registered Massage Therapist per treatment up to a of treatments per calendar year. A certificate must be provided to Green Shield by your attending physician indicating the medical necessity of the treatment. O Chiropractor,Osteopath, Podiatrist, Chiropodistor Naturopath per visit up to a maximum of per calendar year. Chiropractic x-rays are eligible up to an additional maximum of per calendar year. A must be submitted to Green Shield for chiropractic treatment when the patient is years of age or under. Legislation in certain provinces prohibits Green Shield from providing reimbursement until the provincial government health plan has been exhausted. Contact Green Shield for ...
Sample 1
Extended Health Services Plan. Prescription Drugs w-pay per occurrence effective June co-pay per occurrence effective April -Extended Health Care co-insurance -Private Duty Nursing Benefits carry a maximum of -Contributions per week Single, for life of contract per week Family, for life of contract 2 Vision Plan months for prescription glasses and/or contact lenses months for medically necessary contact lenses years of Fee Guide effective April to March of Fee Guide effective April to March of Fee Guide April to March single or family deductible per year for the life of the The Company shall pay the premium costs covering the following items for seniority employees only. The Company reserves the right to the carrier of each plan.
Sample 1

Related to Extended Health Services Plan

  • Extended Health Plan An employee who makes an election under this provision must enrol in each and every of the benefit plans and shall not be entitled to except any of them.

  • Extended Health Care Plan ‌ The Employer shall pay the monthly premium for regular employees entitled to coverage under a mutually acceptable extended health care plan.

  • Extended Health Care The Hospital shall contribute on behalf of each eligible employee seventy-five percent (75%) of the billed premium under the Extended Health Care Plan (Liberty Health $15-25 deductible plan including hearing aids with a maximum of $300.00 per person and vision care with a maximum of $150.00 every 24 months per person, or its equivalent) provided the balance of the monthly premium is paid by employees through payroll deduction. Any Hospital currently paying more than 75% of the premium shall continue to do so. The drug formulary shall be as defined by Liberty Health Formulary Three.

  • Extended Health Fifty percent (50%) of the billed premium towards coverage of eligible nurses in the active employ for the Extended Health Care Benefits as provided under the VON National Group Insurance Plan, provided that the balance of the premium is paid by each nurse through payroll deductions.

  • Extended Health Benefits The extended health benefits coverage for CUPE and Fire will be amended to include:

  • Behavioral Health Services Behavioral health services include the evaluation, management, and treatment for a mental health or substance use disorder condition. For the purpose of this plan, substance use disorder does not include addiction to or abuse of tobacco and/or caffeine. Mental health or substance use disorders are those that are listed in the most updated volume of either: • the Diagnostic and Statistical Manual of Mental Disorders (DSM) published by the American Psychiatric Association; or • the International Classification of Disease Manual (ICD) published by the World Health Organization. This plan provides parity in benefits for behavioral healthcare services. Please see Section 10 for additional information regarding behavioral healthcare parity. This plan covers behavioral health services if you are inpatient at a general or specialty hospital. See Inpatient Services in Section 3 for additional information. This plan covers services at behavioral health residential treatment facilities, which provide: • clinical treatment; • medication evaluation management; and • 24-hour on site availability of health professional staff, as required by licensing regulations. This plan covers intermediate care services, which are facility-based programs that are: • more intensive than traditional outpatient services; • less intensive than 24-hour inpatient hospital or residential treatment facility services; and • used as a step down from a higher level of care; or • used a step-up from standard care level of care. Intermediate care services include the following: • Partial Hospital Program (PHP) – PHPs are structured and medically supervised day, evening, or nighttime treatment programs providing individualized treatment plans. A PHP typically runs for five hours a day, five days per week. • Intensive Outpatient Program (IOP) – An IOP provides substantial clinical support for patients who are either in transition from a higher level of care or at risk for admission to a higher level of care. An IOP typically runs for three hours per day, three days per week.

  • Health Services At the time of employment and subject to (b) above, full credit for registered professional nursing experience in a school program shall be given. Full credit for registered professional nursing experience may be given, subject to approval by the Human Resources Division. Non-degree nurses shall be placed on the BA Track of the Teachers Salary Schedule and shall be ineligible for movement to any other track.

  • Clinical Management for Behavioral Health Services (CMBHS) System 1. request access to CMBHS via the CMBHS Helpline at (000) 000-0000. 2. use the CMBHS time frames specified by System Agency. 3. use System Agency-specified functionality of the CMBHS in its entirety. 4. submit all bills and reports to System Agency through the CMBHS, unless otherwise instructed.

  • Extended Health Care Benefits The City will provide for all employees by contract through an insurer selected by the City an Extended Health Care Plan which will provide extended health care benefits. The City shall pay one hundred per cent (100%) of the premiums, which will include any premiums payable under The Health Insurance Act, R.S.O. 1990, as amended.

  • Mental Health Services This agreement covers medically necessary services for the treatment of mental health disorders in a general or specialty hospital or outpatient facilities that are: • reviewed and approved by us; and • licensed under the laws of the State of Rhode Island or by the state in which the facility is located as a general or specialty hospital or outpatient facility. We review network and non-network programs, hospitals and inpatient facilities, and the specific services provided to decide whether a preauthorization, hospital or inpatient facility, or specific services rendered meets our program requirements, content and criteria. If our program content and criteria are not met, the services are not covered under this agreement. Our program content and criteria are defined below.

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