EXTENDED HEALTHCARE Sample Clauses

EXTENDED HEALTHCARE. Drug Formulary Managed Drug Formulary Managed Drug Formulary Drug Reimbursement 80% If purchased Xxxx Group Limited corporate stores. $2.00 Minimum payment per prescription 100% If purchased at Xxxx Group Limited corporate stores. $2.00 Minimum payment per prescription Pay Direct Drug Card Yes Yes Drug Definition Mandatory generic substitution, drug must be covered under managed formulary Mandatory generic substitution, drug must be covered under managed formulary Smoking Cessation $400 per lifetime $400 per lifetime Fertility Drugs Excluded Excluded ED Drugs Excluded Excluded Hospital 100% semi-private 100% private or semi-private Private Duty Nursing 100% maximum of $10,000 for 12 months per condition 100% maximum of $10,000 for 12 months per condition Paramedical Practitioners 70% reimbursement to a maximum of $300 per practitioner per calendar year for Chiropractor, Podiatrist, Naturopath, Osteopath, Physiotherapist, Masseuse, Acupuncturist, Psychologist/Social Worker (combined) and Speech Therapist. 90% reimbursement to a maximum of $500 per practitioner per calendar year for Chiropractor, Podiatrist, Naturopath, Osteopath, Physiotherapist, Masseuse, Acupuncturist, Psychologist/Social Worker (combined) and Speech Therapist. EXTENDED HEALTHCARE (CONT’D) Vision Care No coverage 100% to a maximum of $300 per 24 months (frames, lenses, contact lenses, laser eye surgery) Eye Examination 100% to a maximum of $50 per 24 months 100% to a maximum of $50 per 24 months Out of Province Emergency 100% 100% Out of Province Referral 100% to a maximum of $10,000 for life (for services not available in province of residence (limited to Canada and U.S.)) 100% to a maximum of $10,000 for life (for services not available in province of residence (limited to Canada and U.S.)) Travel Assist Yes Yes Hearing Aids 70% to a maximum of $500 every 4 years 90% to a maximum of $500 every 4 years Custom fitted Orthopedic Shoes & Custom-made foot Orthotics 70% to a maximum of $300 every 2 calendar years (must be prescribed by doctor, podiatrist or chiropodist) 90% to a maximum of $300 every 2 calendar years (must be prescribed by doctor, podiatrist or chiropodist) Ambulance 100% 100% Other Health 70% 90% Survivor Benefit 24 months 24 months Termination Clause Coverage terminated at termination or retirement Coverage terminated at termination or retirement Single Nil $17.01 – Biweekly(plus appl. Taxes) Family Nil $44.33 – Biweekly(plus appl. Taxes) *plus provincial sales tax where ap...
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EXTENDED HEALTHCARE the Corporation will pay 100% of an Extended Healthcare Plan providing coverage for eligible plan medical expenses over and above what OHIP provides. Benefits are to be equivalent to those provided under the Corporation’s health plan provider which has a yearly deductible of $10.00 Single and $20.00 Family. The difference between semi-private and private hospital room accommodation is included up to the standard Provincial fee. Coverage is to be provided for all members of the Police Services and their eligible dependents. Coverage of six hundred ($600.00) per calendar year for massage therapy on a doctor’s prescription.
Sample 1
EXTENDED HEALTHCARE. Effective January 1, 2012 the Employer agrees to pay seventy-five (75%) percent of the premium cost of the following Extended Healthcare Plan benefits; Basic and extended health coverage for medical services – coverage is subject to a deductible of twenty-five dollars ($25) per year with reimbursement of eighty percent (80%) of eligible expenses, one million dollars ($1,000,000) lifetime overall maximum. i. Vision care coverage to a maximum of four hundred dollars ($400) per person in a twenty-four (24) month period; ii. Eye exams to a maximum of one hundred dollars ($100) per person in a twenty-four (24) month period; iii. Hearing exams to a maximum of seventy-five dollars ($75) per person in a twenty-four
Sample 1
EXTENDED HEALTHCARE. Effective January 1, 2012 the Employer agrees to pay seventy-five (75%) percent of the premium cost of the following Extended Healthcare Plan benefits; Basic and extended health coverage for medical services – coverage is subject to a deductible of twenty-five ($25) dollars per year with reimbursement of eighty (80%) percent of eligible expenses, one million dollars ($1,000,000) lifetime overall maximum. (a) Vision care coverage to a maximum of four hundred dollars ($400) per person in a twenty-four (24) month period; (b) Eye exams to a maximum of one hundred dollars ($100) per person in a twenty-four (24) month period; (c) Hearing exams to a maximum of seventy-five dollars ($75) per person in a twenty-four (24) month period; (d) Hearing aids to a maximum of seven hundred dollars ($700) in a five (5) year period (e) Professional Services i. Naturopath to a maximum of two hundred and fifty dollars ($250) per calendar year; ii. Physiotherapist to a maximum of seven hundred and fifty dollars ($750) per calendar year; iii. Chiropractic services to a maximum of seven hundred and fifty dollars ($750) per calendar year; iv. Massage Therapist to a maximum of seven hundred and fifty dollars ($750) per calendar year; v. Orthopaedic shoes: custom-made (including repairs) and modifications to stock item footwear for members and their dependents when prescribed by a physician or podiatrist for congenital or post- traumatic foot problems (but excluding arch supports and other orthotic devices), to a calendar year maximum of $200 for a dependent child and $400 per adult covered by the plan; vi. Residential drug and alcohol abuse treatment program; vii. The employer will provide a pay-direct drug card for prescription drugs covering up to 80% of drug costs; viii. Oral contraceptives will be included in the list of recognized prescription drugs.
Sample 1
EXTENDED HEALTHCARE. All eligible employees will be covered for extended healthcare benefits listed below. The Corporation will pay the premium for the single coverage. Employees who choose the family coverage will be required to pay the difference in premium costs between single and family coverage. 75 % Prescription drugs 100% Semi-private hospital care and ambulance Deductible will be $10.00 for single and $25.00 for family. a) The Corporation will provide five hundred dollars ($500.00) every two (2) years towards the cost of prescription eyewear for each employee. b) The Corporation will provide for a pay direct prescription drug card to be added to the extended healthcare plan. c) The Corporation will provide for an Employee Assistance Plan (EAP). Details of benefits are provided in booklets which will be distributed to each employee. The information in these booklets should answer some basic questions; however, the legal documents and contracts will govern in all cases.
Sample 1
EXTENDED HEALTHCARE. The Town of LaSalle will pay 100% of an Extended Healthcare Plan providing coverage for eligible plan medical expenses over and above what OHIP provides. Benefits are to be equivalent to those provided under Green Shield's B-3Plan which has a yearly deductible of $10.00 Single and $20.00 Family. The difference between semi-private and private hospital room accommodation is included up to the standard Provincial fee. Coverage is to be provided for all members of the Police Services and their eligible dependants. Coverage of six hundred ($600.00) per calendar year for massage therapy on a doctor’s prescription.
Sample 1

Related to EXTENDED HEALTHCARE

  • 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 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 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 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.

  • Continued Healthcare If Executive elects to receive continued healthcare coverage pursuant to the provisions of the Consolidated Omnibus Budget Reconciliation Act of 1985, as amended (“COBRA”), the Company shall directly pay, or reimburse Executive for, the premium for Executive and Executive’ s covered dependents through the earlier of (i) the six (6) month anniversary of the Termination Date and (ii) the date Executive and Executive’s covered dependents, if any, become eligible for healthcare coverage under another employer’s plan(s). After the Company ceases to pay premiums pursuant to the preceding sentence, Executive may, if eligible, elect to continue healthcare coverage at Executive’s expense in accordance the provisions of COBRA.

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

  • Healthcare Section 1. Bargaining unit employees with one (1) year or more of service will be provided coverage for the duration of this contract through the “Full Coverage” Team Care Plan (“Team Care MM200”), which includes dental, vision, life, short term disability, medical and prescription drug benefits. Prior to January 1, 2020, bargaining unit employees with less than one (1) year of service will be provided coverage through the “Medical Only” plan. On January 1, 2020, all bargaining unit employees enrolled in the Medical Only plan shall be enrolled in the Full Coverage plan, and the Medical Only plan will eliminated. The rates for 2019 and a further description of the plan and rates are referenced

  • COVERED HEALTHCARE SERVICES This section describes covered healthcare services. This plan covers services only if they meet all of the following requirements: • Listed as a covered healthcare service in this section. The fact that a provider has prescribed or recommended a service, or that it is the only available treatment for an illness or injury does not mean it is a covered healthcare service under this plan. • Medically necessary, consistent with our medical policies and related guidelines at the time the services are provided. • Not listed in Exclusions Section. • Received while a member is enrolled in the plan. • Consistent with applicable state or federal law. We review medical necessity in accordance with our medical policies and related guidelines. Our medical policies can be found on our website. Our medical policies are written to help administer benefits for the purpose of claims payment. They are made available to you for informational purposes and are subject to change. Medical policies are not meant to be used as a guide for your medical treatment. Your medical treatment remains a decision made by you with your physician. If you have questions about our medical policies, please call Customer Service. When a new service or drug becomes available, when possible, we will review it within six (6) months of one of the events described below to determine whether the new service or drug will be covered: • the assignment of an American Medical Association (AMA) Current Procedural Terminology (CPT) code in the annual CPT publication; • final Food and Drug Administration (FDA) approval; • the assignment of processing codes other than CPT codes or approval by governing or regulatory bodies other than the FDA; • submission to us of a claim meeting the criteria above; and • generally, the first date an FDA approved prescription drug is available in pharmacies (for prescription drug coverage only). During the review period, new services and drugs are not covered. For all covered healthcare services, please see the Summary of Medical Benefits and the Summary of Pharmacy Benefits to determine the amount that you pay and any benefit limits.

  • Health Care The Company will reimburse the Executive for the cost of maintaining continuing health coverage under COBRA for a period of no more than 12 months following the date of termination, less the amount the Executive is expected to pay as a regular employee premium for such coverage. Such reimbursements will cease if the Executive becomes eligible for similar coverage under another benefit plan.

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