Hospital Benefit Sample Clauses
Hospital Benefit. If you or any of your insured dependents are confined in a hospital coverage is provided at 100% to a covered maximum of $85 per day. The program will pay the ingredient cost of eligible drugs (including oral contraceptives and insulin), you are responsible to pay the co-pay, which will be the equivalent of the pharmacists dispensing fee plus any applicable surcharge over the ingredient cost. The drug plan provides coverage for most drugs which require a prescription by law, however, but does not provide coverage for over-the-counter drugs, cough or cold preparations or nicotine products. The Government of Newfoundland and Labrador, through a consultation process with the insurer and drug experts, determines the drugs that are covered under the plan, and typically follows the recommendations of The Canadian Expert Drug Advisory Committee. There is no guarantee or obligation expressed or implied that all drugs recommended by physicians will be covered by the plan. Some drugs may require special authorization, details of the special authorization process are outlined in the online “Employee/Retiree Benefits” booklet. You and your insured dependents are covered for the following vision care expenses:
Hospital Benefit. Effective January 1, 1997, semi private hospital coverage will be limited to $150. per day Effective the first of the month following ratification, new employees will not be covered for semi-private insurance.
Hospital Benefit. Eligibility: After twelve (12) months of service with the Employer • Daily amount - the difference between the public xxxx rate and the semi- private accommodation rate • Benefit maximum age – retirement • Hospital co-insurance at 100% • Convalescent Care is semi private, limited to $20 per day to a max of 180 days • Dependent age coverage until 21 years
Hospital Benefit.
i) Semi-private coverage is provided for room and board charges in excess of xxxx accommodation up to the level of semi-private in a licensed hospital.
ii) Optional private hospital coverage is available for the difference between semi-private and private at employee expense.
Hospital Benefit. The Hospital Benefit Plan will provide for the difference between standard xxxx accommodation and semi-private accommodation. Reimbursement of paramedical treatment shall be 80% per visit up to a maximum of $350 per calendar year per practitioner. - includes licensed speech therapist, registered massage therapist (with physician prescription), clinical psychologist, chiropractor, osteopath, chiropodist/podiatrist, physiotherapist or naturopath. The Extended Health Benefit shall provide coverage of eighty percent (80%) of the cost of eye examination up to $75.00 once in a twenty four (24) month period. Above changes in contribution and coverage for Health Benefits will become effective January 1, 2018. To be implemented on the first day of the month following ratification of the 2008/2011 Collective Agreement.
Hospital Benefit. Effective March 22, 2015 employees will not be covered for semi private hospital coverage.
Hospital Benefit. Effective June 1, 2016 will not be covered for semi-private hospital coverage.
Hospital Benefit. This is not the official version. If you or any of your insured dependents are confined in a hospital on the recommendation of a physician, coverage is provided for semi-private room accommodation at 100%, to a daily maximum of $60.00
Hospital Benefit. 23.1 The Insurer will, subject to the terms and conditions contained in this Policy, pay to the Insured the benefits stated in the Schedule to this policy if the Insured is hospitalized for an uninterrupted period of seven days or longer as a result of illness or an accident. The benefit shall be payable for the entire period of hospitalization subject to Clause 23.3
23.2 The benefit will be payable if the Insured is hospitalized in a registered hospital in Namibia or the Republic of South Africa.
23.3 The Insurer’s liability to pay the benefit shall be limited to a maximum of sixty (60) days hospitalization in every cycle of five (5) years calculated from the effective date. In calculating the period of 60 days the sum total of the hospitalization of all persons to whom cover is extended in terms of the policy shall be taken into account. In the event that an Insured is hospitalized prior to the completion of the 5 year cycle, the benefit shall be calculated on a pro-rata basis.
23.4 The Insurer shall be obliged to pay the benefits only if a registered medical practitioner certifies in writing that the hospitalization of the Insured was a necessary consequence of the illness or accident.
23.5 The hospital benefit shall be subject to the limitations and exclusions in clause 8.
23.6 Any hospitalisation as a result of any HIV or HIV related illness is excluded.
Hospital Benefit. This Product includes benefits in the event of hospitalization. It is provided that if you suffer an injury resulting in a loss (other than loss of life) for which the Company has paid a benefit set out in the “Schedule of Benefits” under Section 3.1 of the insurance policy, and as a consequence of such loss, pursuant to the instructions of a physician, you are confined to a hospital for more than five consecutive overnight stays, the Company will pay a lump-sum benefit of $5,000 per insured per Coverage Period.